Evidence map›Paper›PMID 26161658›Full record

ArticlePloS one2015

Long-Term Serological Follow-Up of Acute Q-Fever Patients after a Large Epidemic.

Cornelia C H Wielders, Joris A F van Loenhout, Gabriëlla Morroy, Ariene Rietveld, Daan W Notermans, Peter C Wever, Nicole H M Renders, Alexander C A P Leenders, Wim van der Hoek, Peter M Schneeberger

Abstract read
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
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

21 citing papers in PubMed.

  1. Public health challenges · 2026
    Article
  2. Review
  3. Frontiers in immunology · 2024
    Article
  4. Review
  5. Case report:Frontiers in medicine · 2023
    Article
  6. Article
  7. Article
  8. No Influence of PreviousJournal of clinical medicine · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Pediatric Q Fever.Current infectious disease reports · 2020
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Should Acute Q-Fever Patients be Screened for Valvulopathy to Prevent Endocarditis?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  19. Review
  20. Frontiers in cellular and infection microbiology · 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

10 authors.

Cornelia C H WieldersDepartment of Medical Microbiology and Infection Control, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Joris A F van LoenhoutAcademic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud university medical center (Radboudumc), Nijmegen, the Netherlands.
Gabriëlla MorroyAcademic Collaborative Centre AMPHI, Department of Primary and Community Care, Radboud university medical center (Radboudumc), Nijmegen, the Netherlands; Department of Infectious Disease Control, Municipal Health Service (GGD) Hart voor Brabant, 's-Hertogenbosch, the Netherlands.
Ariene RietveldDepartment of Infectious Disease Control, Municipal Health Service (GGD) Hart voor Brabant, 's-Hertogenbosch, the Netherlands.
Daan W NotermansCentre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Peter C WeverDepartment of Medical Microbiology and Infection Control, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
Nicole H M RendersDepartment of Medical Microbiology and Infection Control, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
Alexander C A P LeendersDepartment of Medical Microbiology and Infection Control, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands.
Wim van der HoekCentre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.
Peter M SchneebergerDepartment of Medical Microbiology and Infection Control, Jeroen Bosch Hospital, 's-Hertogenbosch, the Netherlands; Centre for Infectious Disease Control, National Institute for Public Health and the Environment (RIVM), Bilthoven, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSerological follow-up of acute Q-fever patients is important for detection of chronic infection but there is no consensus on its frequency and duration. The 2007-2009 Q-fever epidemic in the Netherlands allowed for long-term follow-up of a large cohort of acute Q-fever patients. The aim of this study was to validate the current follow-up strategy targeted to identify patients with chronic Q-fever.

methodsA cohort of adult acute Q-fever patients, diagnosed between 2007 and 2009, for whom a twelve-month follow-up sample was available, was invited to complete a questionnaire and provide a blood sample, four years after the acute episode. Antibody profiles, determined by immunofluorescence assay in serum, were investigated with a special focus on high titres of IgG antibodies against phase I of Coxiella burnetii, as these are considered indicative for possible chronic Q-fever.

resultsOf the invited 1,907 patients fulfilling inclusion criteria, 1,289 (67.6%) were included in the analysis. At any time during the four-year follow-up period, 58 (4.5%) patients were classified as possible, probable, or proven chronic Q-fever according to the Dutch Q-fever Consensus Group criteria (which uses IgG phase I ≥1:1,024 to as serologic criterion for chronic Q-fever). Fifty-two (89.7%) of these were identified within the first year after the acute episode. Of the six patients that were detected for the first time at four-year follow-up, five had an IgG phase I titre of 1:512 at twelve months.

conclusionsA twelve-month follow-up check after acute Q-fever is recommended as it adequately detects chronic Q-fever in patients without known risk factors. Additional serological and clinical follow-up is recommended for patients with IgG phase I ≥1:512, as they showed the highest risk to progress to chronic Q-fever.

Indexed as

EpidemicsAdultAntibodies, BacterialCoxiella burnetiiFemaleFollow-Up StudiesHumansImmunoglobulin GImmunoglobulin MMaleMiddle AgedNetherlandsQ FeverSurveys and QuestionnairesAntibodies, BacterialImmunoglobulin GImmunoglobulin M

Identifiers

PMID26161658
PMCPMC4498618

What OpenQuestion holds

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Registered trials

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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.