Evidence map›Paper›PMID 34731182›Full record

ArticlePloS one2021

From a case-control survey to a diagnostic viral gastroenteritis panel for testing of general practitioners' patients.

Lesla E S Bruijnesteijn van Coppenraet, Jacky Flipse, Janny A Wallinga, Marloes Vermeer, Wil A van der Reijden, Jan F L Weel, Adri G M van der Zanden, Theo A Schuurs, Gijs J H M Ruijs

Abstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Lesla E S Bruijnesteijn van CoppenraetLaboratory of Medical Microbiology and Infectious Diseases, Isala, Zwolle, The Netherlands.
Jacky FlipseLaboratory of Medical Microbiology and Infectious Diseases, Isala, Zwolle, The Netherlands.ORCID 0000-0002-2195-5282
Janny A WallingaLaboratory of Medical Microbiology and Infectious Diseases, Isala, Zwolle, The Netherlands.
Marloes VermeerZGT Academy, Ziekenhuisgroep Twente, Almelo, The Netherlands.
Wil A van der ReijdenRegional Laboratory for Medical Microbiology and Public Health Kennemerland, Haarlem, The Netherlands.
Jan F L WeelIzore, Center for Infectious Diseases Friesland, Leeuwarden, The Netherlands.
Adri G M van der ZandenLaboratory for Medical Microbiology and Public Health Labmicta, Enschede, The Netherlands.
Theo A SchuursIzore, Center for Infectious Diseases Friesland, Leeuwarden, The Netherlands.
Gijs J H M RuijsLaboratory of Medical Microbiology and Infectious Diseases, Isala, Zwolle, The Netherlands.ORCID 0000-0003-1733-6443

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the pathogenicity of a broad range of 11 possible gastroenteritis viruses, by means of statistical relationships with cases vs. controls, or Ct-values, in order to establish the most appropriate diagnostic panel for our general practitioner (GP) patients in the Netherlands (2010-2012).

methodsArchived stool samples from 1340 cases and 1100 controls were retested using internally controlled multiplex real-time PCRs for putative pathogenic gastroenteritis viruses: adenovirus, astrovirus, bocavirus, enterovirus, norovirus GI and GII, human parechovirus, rotavirus, salivirus, sapovirus, and torovirus.

resultsThe prevalence of any virus in symptomatic cases and asymptomatic controls was 16.6% (223/1340) and 10.2% (112/1100), respectively. Prevalence of astrovirus (adjusted odds ratio (aOR) 10.37; 95% confidence interval (CI) 1.34-80.06) and norovirus GII (aOR 3.10; CI 1.62-5.92) was significantly higher in cases versus controls. Rotavirus was encountered only in cases. We did not find torovirus and there was no statistically significant relationship with cases for salivirus (aOR 1,67; (CI) 0.43-6.54)), adenovirus non-group F (aOR 1.20; CI 0.75-1.91), bocavirus (aOR 0.85; CI 0.05-13.64), enterovirus (aOR 0.83; CI 0.50-1.37), human parechovirus (aOR 1.61; CI 0.54-4.77) and sapovirus (aOR 1.15; CI 0.67-1.98). Though adenovirus group F (aOR 6.37; CI 0.80-50.92) and norovirus GI (aOR 2.22, CI: 0.79-6.23) are known enteropathogenic viruses and were more prevalent in cases than in controls, this did not reach significance in this study. The Ct value did not discriminate between carriage and disease in PCR-positive subjects.

conclusionsIn our population, diagnostic gastroenteritis tests should screen for adenovirus group F, astrovirus, noroviruses GI and GII, and rotavirus. Case-control studies as ours are lacking and should also be carried out in populations from other epidemiological backgrounds.

Indexed as

AdenoviridaeBocavirusChild, PreschoolEnterovirus InfectionsFecesFemaleGastroenteritisGeneral PractitionersHumansInfantMaleNorovirusPatientsRotavirusSapovirus

Identifiers

PMID34731182
PMCPMC8565752

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.