Evidence map›Paper›PMID 39494449›Full record

ArticleOpen forum infectious diseases2024

Etiology of Severely Dehydrating Diarrheal Illness in Infants and Young Children Residing in Low- and Middle-Income Countries.

Anna Jones, Sharia M Ahmed, James A Platts-Mills, Karen L Kotloff, Adam C Levine, Eric J Nelson, Andrew T Pavia, Ashraful I Khan, Daniel T Leung

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Recent progress in enterotoxigenicInfection and immunity · 2025
    Review
  5. Article
  6. Article
  7. Physicians' Perspectives Regarding Informal Health Practitioners in Bangladesh.The American journal of tropical medicine and hygiene · 2025
    Article
  8. EnteroaggregativeFrontiers in microbiology · 2025
    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

9 authors.

Anna JonesDepartment of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0003-3578-213X
Sharia M AhmedDivision of Epidemiology, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.
James A Platts-MillsDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USA.
Karen L KotloffDepartment of Pediatrics, Center for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, Maryland, USA.
Adam C LevineDepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Eric J NelsonDepartment of Pediatrics and Environmental and Global Health, Emerging Pathogens Institute, University of Florida, Gainesville, Florida, USA.
Andrew T PaviaDivision of Pediatric Infectious Diseases, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.
Ashraful I KhanInfectious Diseases Division, International Center for Diarrhoeal Disease Research, Bangladesh (icddr,b), Dhaka, Bangladesh.
Daniel T LeungDivision of Infectious Diseases, Department of Internal Medicine, University of Utah School of Medicine, Salt Lake City, Utah, USA.

Funding

Development of clinical decision tools for management of diarrhea of children in high and low resource settingsR01AI135114 · NIAID · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI LEUNG, DANIEL TED · 2018 to 2025
$4.0M
Utah Stimulating Access to Research in ResidencyR38HL167282 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Margaret B Conroy, JOSEPH BARNEY STANFORD · 2023 to 2026
$924k
Mentoring patient-oriented researchers in pediatric diarrheaK24AI166087 · NIAID · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Daniel Ted Leung · 2023 to 2026
$688k
NHLBI NIH HHS R38 HL167282NIAID NIH HHS K24 AI166087NIAID NIH HHS R01 AI135114
6 · The paper itself

Abstract

Background: Severe dehydration due to acute infectious diarrhea remains a leading cause of death among young children worldwide. Diarrhea with severe dehydration is a clinical syndrome with distinct management per the World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) and the WHO Global Task Force on Cholera Control (GTFCC) guidelines. We sought to characterize the pathogens causing severe dehydration using data from the Global Enteric Multicenter Study. Methods: We used the IMCI and GTFCC guidelines to define severe dehydration and quantitative polymerase chain reaction-based attribution models to assign the etiology of diarrhea associated with severe dehydration. Results: The IMCI or GTFCC guidelines classified 2284 of the 5304 (43%) cases with moderate-to-severe diarrhea as having severe dehydration. In one-third of the cases with severe dehydration, no pathogens were attributed. The top pathogens attributed to children with guidelines-classified severe dehydration varied by age and were similar among those requiring intravenous hydration and hospitalization. Rotavirus (30.9%), Conclusions: The findings inform prioritization of pathogens, in addition to

Indexed as

dehydrationdiarrheapediatric

Identifiers

PMID39494449
PMCPMC11530959

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.