Evidence map›Paper›PMID 26384483›Full record

ArticleBMC research notes2015

Estimation of acute and chronic Q fever incidence in children during a three-year outbreak in the Netherlands and a comparison with international literature.

Edwin N E Slok, Frederika Dijkstra, Esther de Vries, Ariene Rietveld, Albert Wong, Daan W Notermans, Jim E van Steenbergen

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 34% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Pediatric Q Fever.Current infectious disease reports · 2020
    Article
  5. Review
  6. 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

7 authors at 3 institutions in 1 country.

Edwin N E SlokNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. edwin.slok@rivm.nl.
Frederika DijkstraNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. Frederika.Dijkstra@rivm.nl.
Esther de VriesDepartment of Paediatrics, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. e.d.vries@jbz.nl.
Ariene RietveldDepartment of Infectious Disease Control, Municipal Health Service 'Hart voor Brabant', 's-Hertogenbosch, The Netherlands. a.rietveld@ggdhvb.nl.
Albert WongNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. Albert.Wong@rivm.nl.
Daan W NotermansNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. Daan.Notermans@rivm.nl.
Jim E van SteenbergenNational Institute for Public Health and the Environment, Centre for Infectious Disease Control, P.O. Box 1, 3720 BA, Bilthoven, The Netherlands. J.E.van_Steenbergen@lumc.nl.
National Institute for Public Health and the Environment · NLGGD Hart voor Brabant · NLJeroen Bosch Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the Dutch 2007-2009 Q fever outbreak Coxiella burnetii was transmitted aerogenically from dairy goat farms to those living in the surrounding areas. Relatively few children were reported. The true number of pediatric infections is unknown. In this study, we estimate the expected number of acute and chronic childhood infections.

methodsAs Coxiella was transmitted aerogenic to those living near infected dairy goat farms, we could use adult seroprevalence data to estimate infection risk for inhabitants, children and adults alike. Using Statistics Netherlands data we estimated the number of children at (high) risk for developing chronic Q fever. Literature was reviewed for childhood (0-15 years) Q fever reports and disease rates. We compared this with Dutch reported and our estimated data for 2007-2009.

resultsIn The Netherlands epidemic, 44 children were reported (1.2 % of total notifications). The childhood incidence was 0.15 compared to 2.6 per 10,000 inhabitants for adults. No complications were reported. Based on the expected similarity in childhood and adult exposure we assume that 9.8 % of children in the high-risk area had Q fever infection, resulting in 1562 acute infections during the Q fever epidemic interval. Based on the prevalence of congenital heart disease, at least 13 children are at high risk for developing chronic Q fever. In medical literature, 42 case reports described 140 childhood Q fever cases with a serious outcome (four deaths). In chronic Q fever, cardiac infections were predominant. Four outbreaks were reported involving children, describing 11 childhood cases. 36 National and/or regional studies reported seroprevalences varying between 0 and 70 %.

conclusionIn the 3-year Dutch epidemic, few childhood cases were reported, with pulmonary symptoms leading, and none with a serious presentation. With an estimated 13 high-risk children for chronic infection in the high exposure area, and probably forty in the whole country, we may expect several chronic Q fever complications in the coming years in paediatric practice.

Indexed as

Disease OutbreaksAcute DiseaseChildChronic DiseaseHumansIncidenceNetherlandsQ Fever

Identifiers

PMID26384483
PMCPMC4575485
OpenAlexW1747399585

What OpenQuestion holds

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LicenceCC BY
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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.