Evidence map›Paper›PMID 42189446›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2026

Optimization of stool culture protocol in a tertiary hospital in Bangkok, Thailand: a prospective cohort study.

Nanapol Ongworawut, Usa Kijsinthopchai, Samaporn Yongyod, Thidarat Wensanthia, Pawinee Kumpiranon, Pensiri Disthaporn, Yizhe Song, Korakrit Imwattana

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Nanapol OngworawutDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.ORCID http://orcid.org/0009-0001-2232-6306
Usa KijsinthopchaiDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Samaporn YongyodDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Thidarat WensanthiaDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Pawinee KumpiranonDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Pensiri DisthapornDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Yizhe SongDepartment of Medicine, Washington University in St. Louis, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-8760-6432
Korakrit ImwattanaDepartment of Microbiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. korakrit.imw@mahidol.ac.th.ORCID http://orcid.org/0000-0002-2538-9775

Funding

Faculty of Medicine Siriraj Hospital, Mahidol University R016735009
6 · The paper itself

Abstract

purposeStool culture protocols are resource-intensive, and the necessity of specific selective media is frequently debated. We aimed to determine the prevalence of bacterial enteric pathogens in a Thai tertiary hospital and optimize routine culture protocols by evaluating various diagnostic methods.

methodsWe evaluated 597 diarrheal stool samples using standard protocols for Salmonella enterica, Shigella spp., Vibrio spp., Aeromonas spp., and Plesiomonas shigelloides. Additional protocols evaluated the detection of Campylobacter spp. (selective medium and membrane filtration) and enteric Yersinia spp. (cefsulodin-irgasan-novobiocin [CIN] agar). To estimate S. enterica method sensitivities, we applied Bayesian latent class analysis (LCA). Additionally, analytical limit of detection (LOD) studies using spiked stool matrices were performed for S. enterica, Campylobacter spp., and Yersinia spp.

resultsEnteric pathogens were isolated from 12.7% of the samples, predominantly S. enterica (10.4%) and Campylobacter spp. (2.2%); no Yersinia spp. were detected. For S. enterica, LCA estimated sensitivities of Gram-negative (GN) broth (97.4%) and modified semisolid Rappaport Vassiliadis (MSRV) agar (89.4%), significantly outperforming other solid media. Campylobacter membrane filtration and selective agar showed near-perfect clinical agreement (99.8%); however, spiked LOD testing revealed that selective agar was 10

conclusionGN broth and MSRV agar are needed to maximize S. enterica yield. Routine CIN agar for Yersinia spp. is not cost-efficient, and Campylobacter selective agar should replace membrane filtration to prevent false-negative reporting in low-shedding patients.

Indexed as

Bacteriological TechniquesDiarrheaFecesCulture MediaHumansLimit of DetectionPrevalenceProspective StudiesSensitivity and SpecificityTertiary Care CentersThailandCulture MediaBacterial diarrheaBayesian latent class analysisCultureLimit of detectionThailand

Identifiers

PMID42189446
PMCPMC13593619

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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.