Evidence map›Paper›PMID 38291399›Full record

ArticleBMC infectious diseases2024

Cryptosporidium species and subtypes identified in human domestic cases through the national microbiological surveillance programme in Sweden from 2018 to 2022.

Ioana Bujila, Karin Troell, Jessica Ögren, Anette Hansen, Gustav Killander, Lady Agudelo, Marianne Lebbad, Jessica Beser

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
12.4field-weighted citation impact, top 1% 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

28 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Monitoring of cryptosporidiosis: a shift in circulatingEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
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  8. Large-scale molecular epidemiological survey ofJournal of clinical microbiology · 2026
    Article
  9. Article
  10. Article
  11. Emergence of zoonoticFrontiers in microbiology · 2026
    Article
  12. Molecular Epidemiological Survey ofAnimals : an open access journal from MDPI · 2025
    Article
  13. ConcurrentEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Prevalence and Molecular Characterization ofPathogens (Basel, Switzerland) · 2025
    Article
  19. Article
  20. A review of recentCurrent research in parasitology & vector-borne diseases · 2025
    Review
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

8 authors at 3 institutions in 2 countries.

Ioana BujilaDepartment of Microbiology, Unit of Parasitology, Public Health Agency of Sweden, Solna, Sweden. ioana.bujila@folkhalsomyndigheten.se.
Karin TroellDepartment of Microbiology, National Veterinary Agency, Uppsala, Sweden.
Jessica ÖgrenDivision of Clinical Microbiology, Laboratory Medicine, Jönköping County, Jönköping, Sweden.
Anette HansenDepartment of Communicable Disease Control and Health Protection, Unit of Zoonoses and Antibiotic Resistance, Public Health Agency of Sweden, Solna, Sweden.
Gustav KillanderDepartment of Microbiology, Unit of Parasitology, Public Health Agency of Sweden, Solna, Sweden.
Lady AgudeloDepartment of Microbiology, Unit of Parasitology, Public Health Agency of Sweden, Solna, Sweden.
Marianne LebbadDepartment of Microbiology, Unit of Parasitology, Public Health Agency of Sweden, Solna, Sweden.
Jessica BeserDepartment of Microbiology, Unit of Parasitology, Public Health Agency of Sweden, Solna, Sweden.
Public Health Agency of Sweden · SENorwegian Veterinary Institute · NORegion Jönköpings län · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe intestinal protozoan parasite Cryptosporidium is an important cause of diarrheal disease worldwide. A national microbiological surveillance programme was implemented in Sweden in 2018 in order to increase knowledge of the molecular epidemiology of human cryptosporidiosis to better understand transmission patterns and potential zoonotic sources. This article summarises the results of the first five years of the surveillance programme.

methodsCryptosporidium-positive faecal and DNA samples from domestically acquired infections were collected from clinical microbiological laboratories in Sweden. Species and subtype determination was performed using 60 kDa glycoprotein and/or small subunit ribosomal RNA gene analysis.

resultsBetween 2018 and 2022, 1654 samples were analysed and 11 different species were identified: C. parvum (n = 1412), C. mortiferum (n = 59), C. hominis (n = 56), C. erinacei (n = 11), C. cuniculus (n = 5), C. meleagridis (n = 3), C. equi (n = 2), C. ubiquitum (n = 2), and one each of C. canis, C. ditrichi and C. felis. Subtyping revealed seven subtype families of C. parvum (new subtype families IIy and IIz) and 69 different subtypes (11 new subtypes). The most common C. parvum subtypes were IIdA22G1c, IIdA24G1, IIdA15G2R1 and IIaA16G1R1b. For C. hominis, four different subtype families and nine different subtypes (two new subtypes) were identified. For additional species, two new subtype families (IIIk and VId) and nine new subtypes were identified. All successfully subtyped C. mortiferum cases were subtype XIVaA20G2T1, confirming previous findings in Sweden. Several outbreaks were identified of which the majority were foodborne and a few were due to direct contact with infected animals.

conclusionInfection with C. parvum is the leading cause of human cryptosporidiosis acquired in Sweden, where more than 90% of domestic cases are caused by this zoonotic species and only a small proportion of cases are due to infection with other species. The rodent-associated C. mortiferum is considered an emerging zoonotic species in Sweden and the number of domestically acquired human cases has surpassed that of infection with C. hominis. A high diversity of species and subtypes, as well as diversity within the same subtype, was detected. Also, cryptosporidiosis appears to affect adults to a great extent in Sweden.

Indexed as

CryptosporidiosisCryptosporidiumAdultAnimalsDNA, ProtozoanFecesGenotypeHumansSequence Analysis, DNASwedenDNA, ProtozoanCryptosporidiumEpidemiologyMolecular typingProtozoaSurveillanceZoonosis

Identifiers

PMID38291399
PMCPMC10826111
OpenAlexW4391352292

What OpenQuestion holds

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LicenceCC BY
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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.