Evidence map›Paper›PMID 38627472›Full record

ArticleScientific reports2024

Field evaluation of a simple and rapid diagnostic test, RLDT to detect Shigella and enterotoxigenic E. coli in Indian children.

Goutam Chowdhury, Debjani Ghosh, Yiyi Zhou, Alok K Deb, Asish Kumar Mukhopadhyay, Shanta Dutta, Subhra Chakraborty

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07433426 (The Impact of Shigellosis and Recommended Treatment in Children), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT07433426 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

The Impact of Shigellosis and Recommended Treatment in Children

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2026 to 2030Enrolled700ConditionsDiarrhea Infectious, Shigella, Growth & DevelopmentArmsAzithromycin, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Evaluation of the performance and feasibility of RLDT in detectingmedRxiv : the preprint server for health sciences · 2025
    Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Goutam ChowdhuryDivision of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases, P33 CIT Road, Scheme XM, Beliaghata, Kolkata, 700010, India.
Debjani GhoshDivision of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases, P33 CIT Road, Scheme XM, Beliaghata, Kolkata, 700010, India.
Yiyi ZhouDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Alok K DebDivision of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases, P33 CIT Road, Scheme XM, Beliaghata, Kolkata, 700010, India.
Asish Kumar MukhopadhyayDivision of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases, P33 CIT Road, Scheme XM, Beliaghata, Kolkata, 700010, India. asish_mukhopadhyay@yahoo.com.
Shanta DuttaDivision of Bacteriology, ICMR-National Institute of Cholera and Enteric Diseases, P33 CIT Road, Scheme XM, Beliaghata, Kolkata, 700010, India.
Subhra ChakrabortyDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. schakr11@jhu.edu.

Funding

A novel diagnostic tool to aid vaccine evaluation and surveillance of enterotoxigenic E. coli and ShigellaR21AI137804 · NIAID · JOHNS HOPKINS UNIVERSITY · PI CHAKRABORTY, SUBHRA · 2018 to 2019
$368k
NIAID NIH HHS R21 AI137804
6 · The paper itself

Abstract

The diagnostic assays currently used to detect Shigella spp. (Shigella) and enterotoxigenic Escherichia coli (ETEC) are complex or elaborate which make them difficult to apply in resource poor settings where these diseases are endemic. The simple and rapid nucleic acid amplification-based assay "Rapid LAMP-based Diagnostic Test (RLDT)" was evaluated to detect Shigella spp (Shigella) and enterotoxigenic Escherichia coli (ETEC) and determine the epidemiology of these pathogens in Kolkata, India. Stool samples (n = 405) from children under five years old with diarrhea seeking care at the hospitals were tested, and 85(21%) and 68(17%) by RLDT, 91(23%) and 58(14%) by quantitative PCR (qPCR) and 35(9%) and 15(4%) by culture, were positive for Shigella and ETEC, respectively. The RLDT showed almost perfect agreement with qPCR, Kappa 0.96 and 0.89; sensitivity 93% and 98%; specificity 100% and 97% for Shigella and ETEC, respectively. While RLDT detected additional 12% Shigella and 13% ETEC than culture, all culture positives for Shigella and ETEC except one each were also positive by the RLDT, sensitivity 97% and 93% respectively. RLDT is a simple, sensitive, and rapid assay that could be implemented with minimum training in the endemic regions to strengthen the disease surveillance system and rapid outbreak detection.

Indexed as

Enterotoxigenic Escherichia coliEscherichia coli InfectionsShigellaChildChild, PreschoolDiarrheaHumansRapid Diagnostic TestsCultureDiagnosticsDiarrheaETECqPCRRLDTShigella

Identifiers

PMID38627472
PMCPMC11021469

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Registered trials

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.