Evidence map›Paper›PMID 37462896›Full record

ArticleInfection2023

Strongyloides stercoralis infection: an underlying cause of invasive bacterial infections of enteric origin. Results from a prospective cross-sectional study of a northern Italian tertiary hospital.

Giulia Gardini, Guenter Froeschl, Francesca Gurrieri, Maria Antonia De Francesco, Chiara Cattaneo, Valentina Marchese, Giorgio Piccinelli, Silvia Corbellini, Chiara Pagani, Marzia Santagiuliana and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Infection, 2023. 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
0.8field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Anisakiasis: A Decade of Molecular and Diagnostic Advancements (2015-2026).International journal of molecular sciences · 2026
    Review
  2. Increased Levels of Anti-Antibodies (Basel, Switzerland) · 2024
    Article
  3. Dermatological Presentation ofPathogens (Basel, Switzerland) · 2024
    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

15 authors at 4 institutions in 2 countries.

Giulia GardiniDivision of Infectious and Tropical Diseases, University of Brescia and ASST Spedali Civili of Brescia, Brescia, Italy. giulia.gardini90@gmail.com.ORCID http://orcid.org/0000-0002-9244-3495
Guenter FroeschlDivision of Infectious Diseases and Tropical Medicine, Medical Center of the University of Munich (LMU), Munich, Germany.
Francesca GurrieriDepartment of Microbiology and Virology, University Hospital of Brescia, Brescia, Italy.
Maria Antonia De FrancescoDepartment of Microbiology and Virology, University Hospital of Brescia, Brescia, Italy.
Chiara CattaneoDivision of Hematology, ASST Spedali Civili of Brescia, Brescia, Italy.
Valentina MarcheseDivision of Infectious and Tropical Diseases, University of Brescia and ASST Spedali Civili of Brescia, Brescia, Italy.
Giorgio PiccinelliDepartment of Microbiology and Virology, University Hospital of Brescia, Brescia, Italy.
Silvia CorbelliniDepartment of Microbiology and Virology, University Hospital of Brescia, Brescia, Italy.
Chiara PaganiDivision of Hematology, ASST Spedali Civili of Brescia, Brescia, Italy.
Marzia SantagiulianaPostgraduate School of Internal Medicine, University of Brescia, Brescia, Italy.
Benedetta FumarolaDivision of Infectious and Tropical Diseases, University of Brescia and ASST Spedali Civili of Brescia, Brescia, Italy.
Maurizio GullettaDivision of Infectious and Tropical Diseases, University of Brescia and ASST Spedali Civili of Brescia, Brescia, Italy.
Francesca PerandinDepartment of Infectious-Tropical Diseases and Microbiology, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, Verona, Italy.
Francesco CastelliDivision of Infectious and Tropical Diseases, University of Brescia and ASST Spedali Civili of Brescia, Brescia, Italy.
Alberto MatteelliDivision of Infectious and Tropical Diseases, University of Brescia and ASST Spedali Civili of Brescia, Brescia, Italy.
University of Brescia · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITLudwig-Maximilians-Universität München · DEOspedale Sacro Cuore Don Calabria · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of the studyWe assessed the prevalence of S. stercoralis in a cohort of inpatients with invasive bacterial infections of enteric origin to investigate whether the parasite may facilitate these bacterial infections even in the absence of larval hyperproliferation.

methodsWe performed a prospective cross-sectional study in a hospital in northern Italy. Subjects admitted due to invasive bacterial infection of enteric origin and potential previous exposure to S. stercoralis were systematically enrolled over a period of 10 months. S. stercoralis infection was investigated with an in-house PCR on a single stool sample and with at least one serological method (in-house IFAT and/or ELISA Bordier). Univariate, bi-variate and logistic regression analyses were performed.

resultsStrongyloidiasis was diagnosed in 14/57 patients (24.6%; 95% confidence interval 14.1-37.8%) of which 10 were Italians (10/49, 20.4%) and 4 were migrants (4/8, 50.0%). Stool PCR was performed in 43/57 patients (75.4%) and no positive results were obtained. Strongyloidiasis was found to be significantly associated (p ≤ 0.05) with male gender, long international travels to areas at higher endemicity, deep extra-intestinal infectious localization and solid tumors. In the logistic regression model, increased risk remained for the variables deep extra-intestinal infectious localization and oncologic malignancy.

conclusionsOur findings suggest a new role of chronic strongyloidiasis in favoring invasive bacterial infections of enteric origin even in the absence of evident larval dissemination outside the intestinal lumen. Further well-designed studies should be conducted to confirm our results, and possibly establish the underlying mechanisms.

Indexed as

Bacterial InfectionsStrongyloides stercoralisStrongyloidiasisAnimalsCross-Sectional StudiesFecesHumansMaleProspective StudiesTertiary Care CentersEnteric sepsisIntestinal bacteriaIntestinal helminthsIntestinal parasitosisStrongyloides stercoralisStrongyloidiasis

Identifiers

PMID37462896
PMCPMC10545639
OpenAlexW4384627053

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.