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
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 | |
|---|---|
| Authenticity of the source | verified |
| Methodological quality | low |
| Risk of bias | some concerns |
| Precision of results | low |
| Directness | direct |
| Reproducibility | partly replicated |
| Consistency with the overall evidence | consistent |
| Regional transferability | low |
| Adequacy of the interpretation (by the archive) | not applicable |
14. Open questions
15. Linked fact checks
- Chicken carries Campylobacter and Salmonella, which cause human infections. – Studies supporting the claim