Evidence map›Paper›PMID 27553785›Full record

ArticleBMC infectious diseases2016

A retrospective chart review study to describe selected zoonotic and arboviral etiologies in hospitalized febrile patients in the Republic of Armenia.

Lusine Paronyan, Eduard Zardaryan, Vahe Bakunts, Zaruhi Gevorgyan, Vigen Asoyan, Hripsime Apresyan, Alvard Hovhannisyan, Karo Palayan, Christian T Bautista, Tinatin Kuchuloria and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. 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

11 authors at 2 institutions in 1 country.

Lusine ParonyanNational Center for Disease Control and Prevention, Ministry of Health of Armenia, Yerevan, Armenia. lusineparonyan@yahoo.com.
Eduard ZardaryanNork Infectious Diseases Clinical Hospital, Ministry of Health of Armenia, Yerevan, Armenia.
Vahe BakuntsNational Center for Disease Control and Prevention, Ministry of Health of Armenia, Yerevan, Armenia.
Zaruhi GevorgyanNork Infectious Diseases Clinical Hospital, Ministry of Health of Armenia, Yerevan, Armenia.
Vigen AsoyanNork Infectious Diseases Clinical Hospital, Ministry of Health of Armenia, Yerevan, Armenia.
Hripsime ApresyanNork Infectious Diseases Clinical Hospital, Ministry of Health of Armenia, Yerevan, Armenia.
Alvard HovhannisyanNork Infectious Diseases Clinical Hospital, Ministry of Health of Armenia, Yerevan, Armenia.
Karo PalayanNational Center for Disease Control and Prevention, Ministry of Health of Armenia, Yerevan, Armenia.
Christian T BautistaWalter Reed Army Institute of Research, Silver Spring, MD, USA.
Tinatin KuchuloriaUS Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD, USA.
Robert G RivardUS Army Medical Research Institute of Infectious Diseases, Fort Detrick, MD, USA.
United States Army Medical Research Institute of Infectious Diseases · USWalter Reed Army Institute of Research · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScant information is available on the infectious causes of febrile illnesses in Armenia. The goal of this study was to describe the most common causes, with a focus on zoonotic and arboviral infections and related epidemiological and clinical patterns for hospitalized patients with febrile illnesses of infectious origin admitted to Nork Infectious Diseases Clinical Hospital, the referral center for infectious diseases in the capital city, Yerevan.

methodA chart review study was conducted in 2014. Data were abstracted from medical charts of adults (≥18 years) with a fever (≥38 °C), who were hospitalized (for ≥24 h) in 2010-2012.

resultsOf the 600 patients whose charts were analyzed, 76 % were from Yerevan and 51 % were male; the mean age (± standard deviation) was 35.5 (±16) years. Livestock exposure was recorded in 5 % of charts. Consumption of undercooked meat and unpasteurized dairy products were reported in 11 and 8 % of charts, respectively. Intestinal infections (51 %) were the most frequently reported final medical diagnoses, followed by diseases of the respiratory system (11 %), infectious mononucleosis (9.5 %), chickenpox (8.3 %), brucellosis (8.3 %), viral hepatitis (3.2 %), and erysipelas (1.5 %). Reviewed medical charts included two cases of fever of unknown origin (FUO), two cutaneous anthrax cases, two leptospirosis cases, three imported malaria cases, one case of rickettsiosis, and one case of rabies. Engagement in agricultural activities, exposure to animals, consumption of raw or unpasteurized milk, and male gender were significantly associated with brucellosis.

conclusionOur analysis indicated that brucellosis was the most frequently reported zoonotic disease among hospitalized febrile patients. Overall, these study results suggest that zoonotic and arboviral infections were not common etiologies among febrile adult patients admitted to the Nork Infectious Diseases Clinical Hospital in Armenia.

Indexed as

AdolescentAdultAnimalsArbovirus InfectionsArmeniaBrucellosisCommunicable DiseasesFemaleFever of Unknown OriginHospitalizationHumansLeptospirosisLivestockMalariaMaleMiddle AgedArmeniaEpidemiologyFebrileHospitalZoonotic

Identifiers

PMID27553785
PMCPMC4995752
OpenAlexW2518495885

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.