Evidence map›Paper›PMID 40689249›Full record

ArticleOpen forum infectious diseases2025

Epidemiological and Clinical Features of Enterotoxigenic

Fahima Chowdhury, Md Taufiqul Islam, Faisal Ahmmed, Afroza Akter, Martin Bundi Mwebia, Justin Im, Natasha Y Rickett, Cecilia Kathure Mbae, Asma Binte Aziz, Beatrice Ongadi and 16 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2025. 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. Review
  2. Review
  3. Review
  4. Recent progress in enterotoxigenicInfection and immunity · 2025
    Review
  5. Building a Broader Understanding of EnterotoxigenicOpen forum infectious diseases · 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

26 authors.

Fahima ChowdhuryInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0002-7082-0720
Md Taufiqul IslamInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Faisal AhmmedInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Afroza AkterInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Martin Bundi MwebiaKenya Medical Research Institute (KEMRI), Nairobi, Kenya.ORCID https://orcid.org/0000-0001-9932-2453
Justin ImResearch Investment for Global Health Technology (RIGHT) Foundation, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-3762-084X
Natasha Y RickettInternational Vaccine Institute, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0002-3172-1877
Cecilia Kathure MbaeKenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Asma Binte AzizInternational Vaccine Institute, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-0203-5744
Beatrice OngadiKenya Medical Research Institute (KEMRI), Nairobi, Kenya.ORCID https://orcid.org/0000-0001-6687-6927
Farhana KhanamInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0002-4158-5995
Ashraful Islam KhanInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Md Golam FirojInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Sadia Isfat Ara RahmanInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Se Eun ParkInternational Vaccine Institute, Seoul, Republic of Korea.
Kassa HaileArmauer Hansen Research Institute, Addis Ababa, Ethiopia.
Moses MwangiKenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Benjamin NgugiKenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Meseret Gebre BehuteInternational Vaccine Institute, Seoul, Republic of Korea.
Kelvin KeringKenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Suneth AgampodiInternational Vaccine Institute, Seoul, Republic of Korea.
Suman KanungoICMR-National Institute for Research in Bacterial Infections, Kolkata, India.
K ZamanInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
Samuel KariukiKenya Medical Research Institute (KEMRI), Nairobi, Kenya.ORCID https://orcid.org/0000-0003-3209-9503
Firdausi QadriInternational Centre for Diarrhoeal Disease Research, Bangladesh, Dhaka, Bangladesh.
John D ClemensInternational Vaccine Institute, Seoul, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Enterotoxigenic Methods: We analyzed data from a cluster-randomized controlled trial of an oral cholera vaccine conducted in an urban slum in Dhaka, Bangladesh. The study covers 90 geographical clusters with an average population of 2988 households/cluster (baseline population 268 896). Two cohort analyses were conducted, 1 as dynamic cohort that included all subjects at vaccination, in-migrants, and births over 4 years and a closed cohort, which included only individuals present at baseline. We evaluated individuals placed under treatment center-based diarrheal surveillance between 2011 and 2015. Results: In the dynamic cohort, the ETEC incidence was 150/100 000 person-years (PY; 95% CI, 141-159), with seasonal peaks during warmer months, and in the closed cohort, the incidence was 153/100 000 PY (95% CI, 140, 166). The highest rate was seen in children aged <1 year (2007; 95% CI, 1664-2402), then in those aged 1-4 years (314; 95% CI, 252-386), and again the rate rose in those aged >45 years (219/100 000 PY; 95% CI, 177-267). The rate of severe ETEC was ≤35/100 000 PY for persons aged ≤45 years (95% CI, 27-44), but rose to 82 for adults aged >45 years (95% CI, 58-113). Conclusions: ETEC diarrhea is a major health problem in young children and older adults, prevention through vaccination and improved water, sanitation, and hygiene should target both age groups.

Indexed as

Bangladeshclinical featuresenterotoxigenic Escherichia coli (ETEC)epidemiology

Identifiers

PMID40689249
PMCPMC12272338

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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.