Evidence map›Paper›PMID 38251470›Full record

ArticleThe Journal of infection2023

Differences in risk factors for transmission among Shiga toxin-producing Escherichia coli serogroups and stx profiles.

Gillian A M Tarr, Joshua Rounds, Madhura S Vachon, Kirk Smith, Carlota Medus, Craig W Hedberg

Abstract read
In one paragraph

Article in The Journal of infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Redefining Shiga toxin-induced human cell death as NLRP1- and gasdermin E-mediated pyroptosis.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  4. Article
  5. 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.

Gillian A M TarrDivision of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN 55455, United States. Electronic address: gtarr@umn.edu.
Joshua RoundsFoodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health, St. Paul, MN 55164, United States.
Madhura S VachonDivision of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN 55455, United States.
Kirk SmithFoodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health, St. Paul, MN 55164, United States.
Carlota MedusFoodborne, Waterborne, Vectorborne, and Zoonotic Diseases Section, Minnesota Department of Health, St. Paul, MN 55164, United States.
Craig W HedbergDivision of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, MN 55455, United States.

Funding

Phylodynamics of Shiga Toxin-Producing Escherichia coli from Local SourcesK01AI168499 · NIAID · UNIVERSITY OF MINNESOTA · PI Gillian Tarr · 2022 to 2026
$688k
NIAID NIH HHS K01 AI168499
6 · The paper itself

Abstract

objectivesTrends in the incidence of O157 and non-O157 serogroups of Shiga toxin-producing Escherichia coli (STEC) infections have markedly diverged. Here, we estimate the extent to which STEC serogroups share the same transmission routes and risk factors, potentially explaining these trends.

methodsWith 3048 STEC cases reported in Minnesota from 2010 to 2019, we used lasso penalized regression to estimate pooled odds ratios (pOR) for the association between STEC risk factors and specific STEC serogroups and Shiga toxin gene profiles. We used random forests as a confirmatory analysis.

resultsAcross an extended period of time, we found evidence for person-to-person transmission associated with the O26 serogroup, relative to other serogroups (pOR = 1.32 for contact with an individual with diarrhea). Rurality was less associated with non-O157 serogroups than O157 (pOR = 1.21 for each increasing level of rurality). We also found an association between unpasteurized juice and strains carrying only stx1 (pOR = 1.41).

conclusionsCollectively, these results show differences in risk factors across STEC types, which suggest differences in the most effective routes of transmission. Serogroup-specific disease control strategies should be explored. Specifically, preventative measures for non-O157 STEC need to extend beyond those we have employed for O157 STEC.

Indexed as

Shiga-Toxigenic Escherichia coliDiarrheaHumansOdds RatioRisk FactorsSerogroupEscherichia coli O157Risk factorsShiga-toxigenic Escherichia coliShiga toxins

Identifiers

PMID38251470
PMCPMC10803930

What OpenQuestion holds

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Registered trials

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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.