Otherindependent cross-checkabstract checked I-CHK-129 standard review

In Egypt, chicken is a main source of Campylobacter infection

A pilot study revealing host-associated genetic signatures for source attribution of sporadic Campylobacter jejuni infection in Egypt.

Overview

Saif NA et al.. Transbound Emerg Dis 2022 · PMID 34033263 · DOI 10.1111/tbed.14165

Half to two thirds of patient isolates matched retail chicken; the rest matched cattle/dairy.

Does the study support the specific claim? Yes · Methodological quality: low

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Which sources contribute to human C. jejuni infection in Egypt?

How was the study done?

Whole-genome sequencing and probabilistic source attribution (pilot)

How many people, animals or samples were studied?

90 isolates

What was actually found?

Retail chicken: 64.2% (HS markers) and 52.3% (cgMLST) of clinical isolates; cattle reservoir 35.8% and 47.7%.

How large was the observed effect?

Retail chicken: 64.2% (HS markers) and 52.3% (cgMLST) of clinical isolates; cattle reservoir 35.8% and 47.7%.

What do the results mean in everyday life?

Chicken is also a main Campylobacter source in Egypt; dairy and cattle matter too.

What are the study's limitations?

Pilot; small sample; Only two candidate sources

What does it say about Elawady's specific claim?

Supports the claim for Egypt.

Do the results apply to Germany and Europe?

Pattern similar to EU attribution studies.

What can explicitly not be concluded from this study?

Pilot; not precise.

Scientific in-depth review

1. Full reference

Authors
Saif NA et al.
Journal
Transbound Emerg Dis
Year
2022
Identifier
PMID 34033263 DOI 10.1111/tbed.14165
Verification
verified – PubMed efetch 2026-10-26; Crossref 2026-10-26
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

Zewail City internal fund; ASRT/BA grant (PubMed grant list)

2. Research question

Which sources contribute to human C. jejuni infection in Egypt?

3. Study design and population

Study design
Other – Whole-genome sequencing and probabilistic source attribution (pilot)
Population

C. jejuni isolates from clinical cases, retail chicken and dairy products

Country

Egypt

Period

2017-2018

Sample size

90 isolates

Inclusion and exclusion criteria

as described in the abstract

4. Methods and endpoints

Exposure / intervention

Retail chicken and cattle/dairy reservoirs

Comparator

Other sources

Endpoints

Proportion of clinical isolates attributed to each source

Statistical methods

as reported in the abstract

5. Actual results

Results

Retail chicken: 64.2% (HS markers) and 52.3% (cgMLST) of clinical isolates; cattle reservoir 35.8% and 47.7%.

Absolute risks

not reported

Authors' conclusion

Retail chicken and also non-poultry (cattle) sources contribute to campylobacteriosis in Egypt.

6. Strengths

  • Egyptian data
  • High-resolution typing

7. Weaknesses

  • Pilot; small sample
  • Only two candidate sources

8. Risk of bias

Orienting tool
none applicable
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
some concerns
Rationale

Pilot attribution study.

9. Assessment of the statistical interpretation

Chicken is a main, but not the only, source in Egypt.

10. Relevance to the specific claim

Egyptian evidence that chicken is a major source of Campylobacter infections.

11. Independent contrary findings

12. Transferability to Germany and Europe

13. Overall methodological judgement

Half to two thirds of patient isolates matched retail chicken; the rest matched cattle/dairy.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualitylow
Risk of biassome concerns
Precision of resultslow
Directnessdirect
Reproducibilitypartly replicated
Consistency with the overall evidenceconsistent
Regional transferabilitylow
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

15. Linked fact checks