Evidence map›Paper›PMID 25773439›Full record

ReviewEpidemiology and health2015

Tularemia, a re-emerging infectious disease in Iran and neighboring countrie.

Afsaneh Zargar, Max Maurin, Ehsan Mostafavi

Open access · diamondAbstract readReview
In one paragraph

Review in Epidemiology and health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. First molecular detection ofVeterinary and animal science · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
  9. Review
  10. Genetic Determinants of Antibiotic Resistance inFrontiers in microbiology · 2021
    Review
  11. Review
  12. Seroepidemiology, Spatial Distribution, and Risk Factors ofThe American journal of tropical medicine and hygiene · 2020
    Article
  13. Article
  14. A case report of human tularemia from Iran.Iranian journal of microbiology · 2018
    Article
  15. Review
  16. The fauna and perspective of rodentia ectoparasites in Iran relying on their roles within public health and veterinary characteristics.Journal of parasitic diseases : official organ of the Indian Society for Parasitology · 2018
    Review
  17. Article
  18. Molecular Survey of Tularemia and Plague in Small Mammals From Iran.Frontiers in cellular and infection microbiology · 2018
    Article
  19. Respiratory Tularemia:The open microbiology journal · 2016
    Article
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

3 authors at 2 institutions in 2 countries.

Afsaneh ZargarDepartment of Epidemiology, Pasteur Institute of Iran, Tehran, Iran.
Max MaurinCentre National de Référence des Francisella, Laboratoire de Bactériologie, Département des Agents Infectieux, Institut de Biologie et Pathologie, Centre Hospitalier Universitaire de Grenoble, Université Joseph Fourier, Grenoble, France.
Ehsan MostafaviDepartment of Epidemiology, Pasteur Institute of Iran, Tehran, Iran.
Pasteur Institute of Iran · IRUniversité Grenoble Alpes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTularemia is a zoonotic disease transmitted by direct contact with infected animals and through arthropod bites, inhalation of contaminated aerosols, ingestion of contaminated meat or water, and skin contact with any infected material. It is widespread throughout the northern hemisphere, including Iran and its neighbors to the north, northeast, and northwest.

methodsIn this paper, the epidemiology of tularemia as a re-emerging infectious disease in the world with a focus on Iran and the neighboring countries is reviewed.

resultsIn Iran, positive serological tests were first reported in 1973, in wildlife and domestic livestock in the northwestern and southeastern parts of the country. The first human case was reported in 1980 in the southwest of Iran, and recent studies conducted among at-risk populations in the western, southeastern, and southwestern parts of Iran revealed seroprevalences of 14.4, 6.52, and 6%, respectively.

conclusionsSeveral factors may explain the absence of reported tularemia cases in Iran since 1980. Tularemia may be underdiagnosed in Iran because Francisella tularensis subspecies holarctica is likely to be the major etiological agent and usually causes mild to moderately severe disease. Furthermore, tularemia is not a disease extensively studied in the medical educational system in Iran, and empirical therapy may be effective in many cases. Finally, it should be noted that laboratories capable of diagnosing tularemia have only been established in the last few years. Since both recent and older studies have consistently found tularemia antibodies in humans and animals, the surveillance of this disease should receive more attention. In particular, it would be worthwhile for clinical researchers to confirm tularemia cases more often by isolating F. tularensis from infected humans and animals.

Indexed as

Bacterial infectionsFrancisella tularensisRodentiaTularemia

Identifiers

PMID25773439
PMCPMC4430760
OpenAlexW1996968332

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.