Evidence map›Paper›PMID 36736579›Full record

SynthesisInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2023

Consequences of Shigella infection in young children: a systematic review.

Tanya E Libby, Miranda L M Delawalla, Fatima Al-Shimari, Calman A MacLennan, Kirsten S Vannice, Patricia B Pavlinac

Open access · goldFull text readSystematic Review
In one paragraph

Synthesis in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
8.2field-weighted citation impact, top 2% of its field
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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Effects ofmedRxiv : the preprint server for health sciences · 2026
    Article
  6. The consequences ofEClinicalMedicine · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. TheeLife · 2025
    Article
  12. Article
  13. Shigellosis.Lancet (London, England) · 2025
    Review
  14. Article
  15. Article
  16. ThebioRxiv : the preprint server for biology · 2025
    Article
  17. A multifunctional anti-O-Antigen human monoclonal antibody protects againstProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  18. mBio · 2025
    Article
  19. Article
  20. Article
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

6 authors at 2 institutions in 1 country.

Tanya E LibbyDepartment of Epidemiology, University of Washington, Seattle, Washington, USA. Electronic address: libbyte@uw.edu.
Miranda L M DelawallaDepartment of Epidemiology, University of Washington, Seattle, Washington, USA.
Fatima Al-ShimariDepartment of Global Health, University of Washington, Seattle, Washington, USA.
Calman A MacLennanBill and Melinda Gates Foundation, London, UK.
Kirsten S VanniceBill and Melinda Gates Foundation, Seattle, Washington, USA.
Patricia B PavlinacDepartment of Global Health, University of Washington, Seattle, Washington, USA.
University of Washington · USGates Foundation · US

Funding

Psychology Training in Alcohol Research (PTAR)T32AA007455 · NIAAA · UNIVERSITY OF WASHINGTON · PI MARY E. LARIMER · 1985 to 2026
$11.4M
Biostatistics, Epidemiologic & Bioinformatic Training in Environmental HealthT32ES015459 · NIEHS · UNIVERSITY OF WASHINGTON · PI June T. Spector · 2009 to 2026
$10.6M
NIAAA NIH HHS T32 AA007455NIEHS NIH HHS T32 ES015459
6 · The paper itself

Abstract

objectivesWe conducted a systematic review of the longitudinal consequences of Shigella infection in children to inform the value proposition for an effective vaccine.

methodsWe searched PubMed and Embase for studies published from January 01, 1980 to December 12, 2022 and conducted in low- and middle-income countries that included longitudinal follow-up after Shigella detection among children aged <5 years, irrespective of language. We collected data on all outcomes subsequent to Shigella detection, except mortality.

resultsOf 2627 papers identified, 52 met inclusion criteria. The median sample size of children aged <5 years was 66 (range 5-2172). Data were collected in 20 countries; 56% (n = 29) of the publications included Bangladesh. The most common outcomes related to diarrhea (n = 20), linear growth (n = 14), and the mean total cost of a Shigella episode (n = 4; range: $ 6.22-31.10). Among children with Shigella diarrhea, 2.9-61.1% developed persistent diarrhea (≥14 days); the persistence was significantly more likely among children who were malnourished, had bloody stool, or had multidrug-resistant Shigella. Cumulative Shigella infections over the first 2 years of life contributed to the greatest loss in length-for-age z-score.

conclusionWe identified evidence that Shigella is associated with persistent diarrhea, linear growth faltering, and economic impact to the family.

Indexed as

Dysentery, BacillaryMalnutritionShigellaBangladeshChildChild, PreschoolDiarrheaHumansInfantDiarrheaEntericGrowth falteringShigellaStuntingVaccine

Identifiers

PMID36736579
PMCPMC10017352
OpenAlexW4318612361

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read213
Read underepoch 390

Registered trials

None linked

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.