Evidence map›Paper›PMID 27059657›Full record

ReviewJournal of the Pediatric Infectious Diseases Society2016

Challenges in the Etiology and Diagnosis of Acute Febrile Illness in Children in Low- and Middle-Income Countries.

Pui-Ying Iroh Tam, Stephen K Obaro, Gregory Storch

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Journal of the Pediatric Infectious Diseases Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06122259 (Multidisciplinary Surveillance and Investigation of Febrile Illness in Guinea), which is not on this map. Cited by 55 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT06122259 recruitingnot on this mapstarted 2023, after this paper: background citation

Multidisciplinary Surveillance and Investigation of Febrile Illness in Guinea

Typeobservational_patient_registrySponsorCentre National de Formation et de Recherche en Sante RuraleRan2023 to 2026Enrolled2,500ConditionsFebrile Illness
3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 2 syntheses or guidelines pooled it, 92 citations in OpenAlex.

  1. Pooled it
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  18. Re-emergence of Oropouche virus as a novel global threat.Current research in microbial sciences · 2025
    Review
  19. Observational
  20. Review
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 3 institutions in 1 country.

Pui-Ying Iroh TamDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis.
Stephen K ObaroDepartment of Pediatrics, University of Nebraska Medical Center, Omaha.
Gregory StorchDepartment of Pediatrics, Washington University School of Medicine, St Louis, Missouri.
University of Minnesota Medical Center · USUniversity of Nebraska Medical Center · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute febrile illness is a common cause of hospital admission, and its associated infectious causes contribute to substantial morbidity and death among children worldwide, especially in low- and middle-income countries. Declining transmission of malaria in many regions, combined with the increasing use of rapid diagnostic tests for malaria, has led to the increasing recognition of leptospirosis, rickettsioses, respiratory viruses, and arboviruses as etiologic agents of fevers. However, clinical discrimination between these etiologies can be difficult. Overtreatment with antimalarial drugs is common, even in the setting of a negative test result, as is overtreatment with empiric antibacterial drugs. Viral etiologies remain underrecognized and poorly investigated. More-sensitive diagnostics have led to additional dilemmas in discriminating whether a positive test result reflects a causative pathogen. Here, we review and summarize the current epidemiology and focus particularly on children and the challenges for future research.

Indexed as

AdolescentAnti-Bacterial AgentsAntimalarialsBacterial InfectionsChildChild, PreschoolDeveloping CountriesFeverHospitalizationHumansInfantMalariaMedical OveruseVirus DiseasesAnti-Bacterial AgentsAntimalarialsantimicrobial stewardshipclinical algorithmdiagnosticsepidemiologyetiologymanagementmolecularresource-limited settingsserologyundifferentiated fever

Identifiers

PMID27059657
PMCPMC7107506
OpenAlexW2313841546

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.