Evidence map›Paper›PMID 37315778›Full record

ArticleThe Journal of pediatrics2023

A Comparison of Pathogen Detection and Risk Factors among Symptomatic Children with Gastroenteritis Compared with Asymptomatic Children in the Post-rotavirus Vaccine Era.

Brian R Lee, Christopher J Harrison, Ferdaus Hassan, Anjana Sasidharan, Mary E Moffatt, Kirsten Weltmer, Daniel C Payne, Mary E Wikswo, Umesh Parashar, Rangaraj Selvarangan

Open access · greenAbstract read
In one paragraph

Article in The Journal of pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 41% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

10 authors at 3 institutions in 1 country.

Brian R LeeChildren's Mercy Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO. Electronic address: blee@cmh.edu.
Christopher J HarrisonChildren's Mercy Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO.
Ferdaus HassanChildren's Mercy Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO.
Anjana SasidharanChildren's Mercy Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO.
Mary E MoffattChildren's Mercy Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO.
Kirsten WeltmerChildren's Mercy Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO.
Daniel C PayneDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA.
Mary E WikswoDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA.
Umesh ParasharDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, GA.
Rangaraj SelvaranganChildren's Mercy Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO.
University of Missouri–Kansas City · USCenters for Disease Control and Prevention · USChildren's Mercy Hospital · US

Funding

Intramural CDC HHS CC999999NCIRD CDC HHS U01 IP000460NCIRD CDC HHS U01 IP001057NCIRD CDC HHS U01 IP001154
6 · The paper itself

Abstract

objectiveTo describe demographics, pathogen distribution/seasonality, and risk factors in children seeking care for acute gastroenteritis (AGE) at a midwestern US emergency department during 5 postrotavirus vaccine years (2011-2016), and further, to compare the same data with matched healthy controls (HC). STUDY

designAGE and HC participants <11 years old enrolled in the New Vaccine Surveillance Network study between December 2011 to June 2016 were included. AGE was defined as ≥3 diarrhea episodes or ≥1 vomiting episode. Each HC's age was similar to an AGE participant's age. Pathogens were analyzed for seasonality effects. Participant risk factors for AGE illness and pathogen detections were compared between HC and a matched subset of AGE cases.

resultsOne or more organisms was detected in 1159 of 2503 children (46.3%) with AGE compared with 99 of 537 HC (17.3%). Norovirus was detected most frequently among AGE (n = 568 [22.7%]) and second-most frequently in HC (n = 39 [6.8%]). Rotavirus was the second most frequently detected pathogen among AGE (n = 196 [7.8%]). Children with AGE were significantly more likely to have reported a sick contact compared with HC, both outside the home (15.6% vs 1.4%; P < .001) and inside the home (18.6% vs 2.1%; P < .001). Daycare attendance was higher among children with AGE (41.4%) compared with HC (29.5%; P < .001). The Clostridium difficile detection rate was slightly higher among HC (7.0%) than AGE (5.3%).

conclusionsNorovirus was the most prevalent pathogen among children with AGE. Norovirus was detected in some HC, suggesting potential asymptomatic shedding among HC. The proportion of AGE participants with a sick contact was approximately 10 times greater than that of HC.

Indexed as

GastroenteritisNorovirusRotavirusRotavirus InfectionsRotavirus VaccinesChildFecesHumansInfantRisk FactorsRotavirus Vaccinesnoroviruspediatric gastroenteritisrotavirus

Identifiers

PMID37315778
PMCPMC11215998
OpenAlexW4380301302

What OpenQuestion holds

Textmetadata
LicenceTDM
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.