Evidence map›Paper›PMID 10894691›Full record

ArticleBMJ (Clinical research ed.)2000

Sources of toxoplasma infection in pregnant women: European multicentre case-control study. European Research Network on Congenital Toxoplasmosis.

A J Cook, R E Gilbert, W Buffolano, J Zufferey, E Petersen, P A Jenum, W Foulon, A E Semprini, D T Dunn

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in BMJ (Clinical research ed.), 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 287 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
287citing papers in PubMed, 9 pooled it
14.9field-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

287 citing papers in PubMed, 9 syntheses or guidelines pooled it, 1,009 citations in OpenAlex.

  1. Pooled it
  2. Systematic review and modelling ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2025
    Pooled it
  3. Pooled it
  4. The global seroprevalence ofParasitology · 2021
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Prenatal education for congenital toxoplasmosis.The Cochrane database of systematic reviews · 2015
    Pooled it
  10. Seroprevalence and associated risk factors ofVeterinary and animal science · 2026
    Article
  11. Article
  12. Article
  13. Bioassay of the infectivity of heat-treatedFood and waterborne parasitology · 2026
    Article
  14. Article
  15. Article
  16. Article
  17. Factors Associated WithBioMed research international · 2026
    Article
  18. Article
  19. High frequency of DNA detection ofFood and waterborne parasitology · 2025
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 1 institution in 2 countries.

A J CookDepartment of Farm Animal and Equine Medicine and Surgery, Royal Veterinary College, University of London, North Mimms, Hertfordshire AL9 7TA.
R E Gilbert
W Buffolano
J Zufferey
E Petersen
P A Jenum
W Foulon
A E Semprini
D T Dunn
University of London · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

objectiveTo determine the odds ratio and population attributable fraction associated with food and environmental risk factors for acute toxoplasmosis in pregnancy.

designCase-control study.

settingSix large European cities.

participantsPregnant women with acute infection (cases) detected by seroconversion or positive for anti-Toxoplasma gondii IgM were compared with pregnant women seronegative for toxoplasma (controls).

main outcome measuresOdds ratios for acute infection adjusted for confounding variables; the population attributable fraction for risk factors.

resultsRisk factors most strongly predictive of acute infection in pregnant women were eating undercooked lamb, beef, or game, contact with soil, and travel outside Europe and the United States and Canada. Contact with cats was not a risk factor. Between 30% and 63% of infections in different centres were attributed to consumption of undercooked or cured meat products and 6% to 17% to soil contact.

conclusionsInadequately cooked or cured meat is the main risk factor for infection with toxoplasma in all centres. Preventive strategies should aim to reduce prevalence of infection in meat, improve labelling of meat according to farming and processing methods, and improve the quality and consistency of health information given to pregnant women.

Indexed as

Case-Control StudiesCookingEuropeFemaleHumansLogistic ModelsMeat ProductsOdds RatioPregnancyPregnancy Complications, ParasiticRisk FactorsToxoplasmosis

Identifiers

PMID10894691
PMCPMC27431
OpenAlexW1526524284

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.