Evidence map›Paper›PMID 22029477›Full record

ArticleMalaria journal2011

Decreasing incidence of severe malaria and community-acquired bacteraemia among hospitalized children in Muheza, north-eastern Tanzania, 2006-2010.

George Mtove, Ben Amos, Behzad Nadjm, Ilse C E Hendriksen, Arjen M Dondorp, Abraham Mwambuli, Deok Ryun Kim, R Leon Ochiai, John D Clemens, Lorenz von Seidlein and 2 more

Open access · goldAbstract read
In one paragraph

Article in Malaria journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
7.8field-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

47 citing papers in PubMed, 5 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
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  14. AlteredFrontiers in immunology · 2021
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  19. Invasive NontyphoidalEcoSal Plus · 2019
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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

12 authors at 5 institutions in 4 countries.

George MtoveNational Institute for Medical Research - Amani Centre, Tanga, Tanzania.
Ben Amos
Behzad Nadjm
Ilse C E Hendriksen
Arjen M Dondorp
Abraham Mwambuli
Deok Ryun Kim
R Leon Ochiai
John D Clemens
Lorenz von Seidlein
Hugh Reyburn
Jacqueline Deen
African Malaria Network Trust · TZInternational Vaccine Institute · KRMenzies School of Health Research · AULondon School of Hygiene & Tropical Medicine · GBNational Institute for Medical Research · TZ

Funding

Wellcome Trust 076908Wellcome Trust 082541
6 · The paper itself

Abstract

backgroundThe annual incidence and temporal trend of severe malaria and community-acquired bacteraemia during a four-year period in Muheza, Tanzania was assessed.

methodsData on severely ill febrile children aged 2 months to 14 years from three prospective studies conducted at Muheza District Hospital from 2006 to 2010 was pooled and analysed. On admission, each enrolled child had a thin and thick blood film and at least one rapid diagnostic test for falciparum malaria, as well as a blood culture. The annual incidence of bacteraemia and severe malaria among children coming from Muheza was calculated and their temporal trend was assessed.

resultsOverall, 1, 898 severe falciparum malaria and 684 bacteraemia cases were included. Of these, 1, 356 (71%) and 482 (71%), respectively, were from the referral population of Muheza. The incidence of falciparum malaria and all-cause bacteraemia in Muheza decreased five-fold and three-fold, respectively, from the first to the fourth year of surveillance (p < 0.0001). During this period, the median ages of children from Muheza admitted with severe malaria increased from 1.7 to 2.5 years (p < 0.0001). The reduction in all-cause bacteraemia was mainly driven by the 11-fold decline in the incidence of non-typhoidal salmonellosis. The annual incidences of Haemophilus influenzae and pneumococcal invasive bacterial infections decreased as well but were much fewer in number.

conclusionsThese results add to the growing evidence of the decline in malaria associated with a decrease in non-typhoidal salmonellosis and possibly other bacteraemias. Malarial prevention and control strategies may provide a greater benefit than the mere reduction of malaria alone.

Indexed as

AdolescentBacteremiaChildChild, HospitalizedChild, PreschoolCommunity-Acquired InfectionsFemaleHaemophilus InfectionsHumansIncidenceInfantMalariaMalePneumococcal InfectionsProspective StudiesSalmonella Infections

Identifiers

PMID22029477
PMCPMC3219788
OpenAlexW2162924863

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.