Evidence map›Paper›PMID 9665978›Full record

ReviewClinical microbiology reviews1998

Pathogenesis and diagnosis of Shiga toxin-producing Escherichia coli infections.

J C Paton, A W Paton

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical microbiology reviews, 1998. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 459 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
459citing papers in PubMed, 1 pooled it
20.6field-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

459 citing papers in PubMed, 1 synthesis or guideline pooled it, 1,410 citations in OpenAlex.

  1. Pooled it
  2. Article
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  14. Association ofFoods (Basel, Switzerland) · 2025
    Article
  15. Article
  16. Shiga toxin-producingFrontiers in microbiology · 2025
    Article
  17. Article
  18. Virulent shiga toxin-producing Escherichia coli (STEC) O157:H7 ST11 isolated from ground beef in Brazil.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2024
    Article
  19. Article
  20. Lipopolysaccharide Core Truncation in InvasiveInternational journal of molecular sciences · 2024
    Article

399 more citing papers are in PubMed but not listed here.

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

2 authors at 1 institution in 1 country.

J C PatonMolecular Microbiology Unit, Women's and Children's Hospital, North Adelaide, Australia. patonj@wch.sa.gov.au
A W Paton
Women's and Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since their initial recognition 20 years ago, Shiga toxin-producing Escherichia coli (STEC) strains have emerged as an important cause of serious human gastrointestinal disease, which may result in life-threatening complications such as hemolytic-uremic syndrome. Food-borne outbreaks of STEC disease appear to be increasing and, when mass-produced and mass-distributed foods are concerned, can involve large numbers of people. Development of therapeutic and preventative strategies to combat STEC disease requires a thorough understanding of the mechanisms by which STEC organisms colonize the human intestinal tract and cause local and systemic pathological changes. While our knowledge remains incomplete, recent studies have improved our understanding of these processes, particularly the complex interaction between Shiga toxins and host cells, which is central to the pathogenesis of STEC disease. In addition, several putative accessory virulence factors have been identified and partly characterized. The capacity to limit the scale and severity of STEC disease is also dependent upon rapid and sensitive diagnostic procedures for analysis of human samples and suspect vehicles. The increased application of advanced molecular technologies in clinical laboratories has significantly improved our capacity to diagnose STEC infection early in the course of disease and to detect low levels of environmental contamination. This, in turn, has created a potential window of opportunity for future therapeutic intervention.

Indexed as

Escherichia coliBacterial ToxinsBacterial VaccinesEnzyme-Linked Immunosorbent AssayEscherichia coli InfectionsGenes, BacterialHumansIntestinesPolymerase Chain ReactionSerotypingShiga Toxin 1VirulenceBacterial ToxinsBacterial VaccinesShiga Toxin 1

Identifiers

PMID9665978
PMCPMC88891
OpenAlexW2103798600

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.