Evidence map›Paper›PMID 23824774›Full record

ReviewJournal of clinical microbiology2013

A literature review of laboratory-acquired brucellosis.

Rita M Traxler, Mark W Lehman, Elizabeth A Bosserman, Marta A Guerra, Theresa L Smith

Open access · bronzeAbstract readReview
In one paragraph

Review in Journal of clinical microbiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
14.0field-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

74 citing papers in PubMed, 160 citations in OpenAlex.

  1. Pathogens (Basel, Switzerland) · 2026
    Review
  2. Review
  3. Laboratory-AcquiredPathogens (Basel, Switzerland) · 2026
    Article
  4. Article
  5. A Review of Accidental Aerosol Generation in Laboratories and Laboratory-associated Infections.Applied biosafety : journal of the American Biological Safety Association · 2025
    Article
  6. Review
  7. A detailed review of bovine brucellosis.Open veterinary journal · 2025
    Review
  8. Pseudo-squared: Pseudomonas pseudo-outbreak lab investigation.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2025
    Article
  9. Review
  10. The Brief Case: Incidental finding ofJournal of clinical microbiology · 2024
    Review
  11. Periprosthetic hip infections caused byThe Journal of international medical research · 2024
    Review
  12. Article
  13. Review
  14. The Biosafety Research Road Map: The Search for Evidence to Support Practices in the Laboratory-Applied biosafety : journal of the American Biological Safety Association · 2023
    Review
  15. Periprosthetic knee joint infection caused byWorld journal of clinical cases · 2023
    Article
  16. Article
  17. Article
  18. The Retrospective on AtypicalMicroorganisms · 2022
    Review
  19. Review
  20. Article

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

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

5 authors at 2 institutions in 1 country.

Rita M TraxlerDivision of High-Consequence Pathogens and Pathology, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. RTraxler@cdc.gov
Mark W Lehman
Elizabeth A Bosserman
Marta A Guerra
Theresa L Smith
Centers for Disease Control and Prevention · USEpidemic Intelligence Service · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Brucellosis is a bacterial zoonotic disease which has been associated with laboratory-acquired infections. No recent reviews have addressed the characteristics of laboratory-acquired brucellosis (LAB). English-language literature was reviewed to identify reports of laboratory exposures to Brucella spp. and LAB cases between 1982 and 2007. Evaluation of 28 case reports identified 167 potentially exposed laboratory workers, of whom 71 had LAB. Nine reports were identified that summarized an additional 186 cases of LAB. Only 18 (11%) exposures were due to laboratory accidents, 147 (88%) exposures were due to aerosolization of organisms during routine identification activities, and the circumstances of 2 (1%) exposures were unknown. Brucella melitensis was the causative agent in 80% (135/167) of the exposures. Workers with high-risk exposures were 9.3 times more likely to develop LAB than workers with low-risk exposures (95% confidence interval [CI], 3.0 to 38.6; P < 0.0001); they were also 0.009 times likelier to develop LAB if they took antimicrobial PEP than if they did not (95% CI, 0 to 0.042; P < 0.0001). The median incubation period in case and summary reports was 8 weeks (range 1 to 40 weeks). Antimicrobial PEP is effective in preventing LAB. The incubation period may be used to identify appropriate serological and symptom surveillance time frames for exposed laboratory workers.

Indexed as

Health PersonnelLaboratoriesOccupational ExposureBrucellosisHumansOccupational Diseases

Identifiers

PMID23824774
PMCPMC3754682
OpenAlexW2172003431

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.