Evidence map›Paper›PMID 21408132›Full record

ArticlePloS one2011

Risk factors of Streptococcus suis infection in Vietnam. A case-control study.

Ho Dang Trung Nghia, Dang Trung Nghia Ho, Le Thi Phuong Tu, Thi Phuong Tu Le, Marcel Wolbers, Cao Quang Thai, Quang Thai Cao, Nguyen Van Minh Hoang, Van Minh Hoang Nguyen, Tran Vu Thieu Nga and 28 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 68 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 5 pooled it
6.9field-weighted citation impact, top 3% 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

68 citing papers in PubMed, 5 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Review
  8. Article
  9. Pyogenic Spondylitis with Epidural Abscess Caused byPathogens (Basel, Switzerland) · 2026
    Article
  10. IDCases · 2026
    Article
  11. Article
  12. Microorganisms · 2025
    Article
  13. Streptococcus suis-Associated Meningitis in a Southern Region of Vietnam.The American journal of tropical medicine and hygiene · 2024
    Article
  14. Article
  15. Article
  16. Article
  17. Identification of plasminogen-binding sites inFrontiers in cellular and infection microbiology · 2024
    Article
  18. Screening ofVeterinary world · 2024
    Article
  19. Article
  20. Article

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

4 · The record

Corrections and comments

  • Erratum issued
    Hoang, Truong [removed]; Campbell, James [removed]; multiple author names corrected
  • Erratum issued
    Truong, Hoang [added]; Campbell, James [added].
5 · Who and what money

Authors and funding

38 authors at 5 institutions in 3 countries.

Ho Dang Trung NghiaOxford University Clinical Research Unit, Wellcome Trust Major Overseas Programme, Hospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Dang Trung Nghia Ho
Le Thi Phuong Tu
Thi Phuong Tu Le
Marcel Wolbers
Cao Quang Thai
Quang Thai Cao
Nguyen Van Minh Hoang
Van Minh Hoang Nguyen
Tran Vu Thieu Nga
Vu Thieu Nga Tran
Le Thi Phuong Thao
Thi Phuong Thao Le
Nguyen Hoan Phu
Hoan Phu Nguyen
Tran Thi Hong Chau
Thi Hong Chau Tran
Dinh Xuan Sinh
Xuan Sinh Dinh
To Song Diep
Song Diep To
Hoang Thi Thanh Hang
Thi Thanh Hang Hoang
Hoang Truong
James Campbell
Nguyen Van Vinh Chau
Van Vinh Chau Nguyen
Nguyen Tran Chinh
Tran Chinh Nguyen
Nguyen Van Dung
Van Dung Nguyen
Ngo Thi Hoa
Thi Hoa Ngo
Brian G Spratt
Tran Tinh Hien
Tinh Hien Tran
Jeremy Farrar
Constance Schultsz
Hospital for Tropical Diseases · VNOxford University Clinical Research Unit · VNAmsterdam Institute for Global Health and Development · NLImperial College London · GBPham Ngoc Thach University of Medicine · VN

Funding

Wellcome Trust 089472
6 · The paper itself

Abstract

backgroundStreptococcus suis infection, an emerging zoonosis, is an increasing public health problem across South East Asia and the most common cause of acute bacterial meningitis in adults in Vietnam. Little is known of the risk factors underlying the disease. METHODS AND

findingsA case-control study with appropriate hospital and matched community controls for each patient was conducted between May 2006 and June 2009. Potential risk factors were assessed using a standardized questionnaire and investigation of throat and rectal S. suis carriage in cases, controls and their pigs, using real-time PCR and culture of swab samples. We recruited 101 cases of S. suis meningitis, 303 hospital controls and 300 community controls. By multivariate analysis, risk factors identified for S. suis infection as compared to either control group included eating "high risk" dishes, including such dishes as undercooked pig blood and pig intestine (OR(1) = 2.22; 95%CI = [1.15-4.28] and OR(2) = 4.44; 95%CI = [2.15-9.15]), occupations related to pigs (OR(1) = 3.84; 95%CI = [1.32-11.11] and OR(2) = 5.52; 95%CI = [1.49-20.39]), and exposures to pigs or pork in the presence of skin injuries (OR(1) = 7.48; 95%CI = [1.97-28.44] and OR(2) = 15.96; 95%CI = [2.97-85.72]). S. suis specific DNA was detected in rectal and throat swabs of 6 patients and was cultured from 2 rectal samples, but was not detected in such samples of 1522 healthy individuals or patients without S. suis infection.

conclusionsThis case control study, the largest prospective epidemiological assessment of this disease, has identified the most important risk factors associated with S. suis bacterial meningitis to be eating 'high risk' dishes popular in parts of Asia, occupational exposure to pigs and pig products, and preparation of pork in the presence of skin lesions. These risk factors can be addressed in public health campaigns aimed at preventing S. suis infection.

Indexed as

AdultAge DistributionAnimalsCarrier StateCase-Control StudiesFemaleHospitalsHumansMaleMiddle AgedMultivariate AnalysisPolymerase Chain ReactionRisk FactorsStreptococcal InfectionsStreptococcus suisSus scrofa

Identifiers

PMID21408132
PMCPMC3050921
OpenAlexW2019970649

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.