Evidence map›Paper›PMID 27590009›Full record

Observational studyBMC infectious diseases2016

Brucellosis in pregnant women from Pakistan: an observational study.

Shahzad Ali, Shamim Akhter, Heinrich Neubauer, André Scherag, Miriam Kesselmeier, Falk Melzer, Iahtasham Khan, Hosny El-Adawy, Asima Azam, Saima Qadeer and 1 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study 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 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
6.6field-weighted citation impact, top 3% 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

28 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. International journal of molecular sciences · 2025
    Article
  3. Seroprevalence of Brucella Infection and Its Determinants Among Pregnant Women Attending Antenatal Care in Burao City: At the Human Livestock Interface in Northeast Somaliland, Somalia.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Expression ofArchives of Razi Institute · 2022
    Article
  10. Serological Prevalence of and Risk Factors forInternational journal of environmental research and public health · 2022
    Article
  11. Review
  12. Serosurvey and Risk Factors Associated withPathogens (Basel, Switzerland) · 2021
    Article
  13. Review
  14. Article
  15. Animal and Human Brucellosis in Pakistan.Frontiers in public health · 2021
    Review
  16. Article
  17. Prevalence of Anti-Frontiers in reproductive health · 2021
    Article
  18. Article
  19. Human brucellosis in pregnancy - an overview.Bosnian journal of basic medical sciences · 2020
    Review
  20. 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 4 institutions in 2 countries.

Shahzad AliUniversity of Veterinary and Animal Sciences, Lahore, Pakistan. shahzaduaar772@gmail.com.
Shamim AkhterPir Mehr Ali Shah Arid Agriculture University, Rawalpindi, Pakistan.
Heinrich NeubauerFriedrich-Loeffler-Institut, Institute of Bacterial Infections and Zoonoses, Naumburger Str. 96a, 07743, Jena, Germany.
André ScheragClinical Epidemiology, Integrated Research and Treatment Center, Center for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.
Miriam KesselmeierClinical Epidemiology, Integrated Research and Treatment Center, Center for Sepsis Control and Care (CSCC), Jena University Hospital, Jena, Germany.
Falk MelzerFriedrich-Loeffler-Institut, Institute of Bacterial Infections and Zoonoses, Naumburger Str. 96a, 07743, Jena, Germany.
Iahtasham KhanUniversity of Veterinary and Animal Sciences, Lahore, Pakistan.
Hosny El-AdawyFriedrich-Loeffler-Institut, Institute of Bacterial Infections and Zoonoses, Naumburger Str. 96a, 07743, Jena, Germany.
Asima AzamPir Mehr Ali Shah Arid Agriculture University, Rawalpindi, Pakistan.
Saima QadeerPir Mehr Ali Shah Arid Agriculture University, Rawalpindi, Pakistan.
Qurban AliNational Veterinary Laboratories, Islamabad, Pakistan.
Friedrich-Loeffler-Institut · DEPir Mehr Ali Shah Arid Agriculture University · PKJena University Hospital · DEUniversity of Veterinary and Animal Sciences · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBrucella species occasionally cause spontaneous human abortion. Brucella can be transmitted commonly through the ingestion of raw milk or milk products. The objective of this study was to determine the sero-prevalence of and to identify potential risk factors for brucellosis in pregnant women from Rawalpindi, Pakistan.

methodsWe conducted a cross-sectional study at the Gynecology Outdoor Patient department of the Benazir Bhutto Hospital, Rawalpindi, Pakistan from March to June 2013. Data related to potential risk factors and clinical history was collected by individual interviews on the blood sampling day. The 429 serum samples collected were initially screened by Rose Bengal Plate Agglutination test for the detection of Brucella antibodies. We applied standard descriptive statistics and logistic regression analyses.

resultsTwenty five (5.8 %; 95 % confidence interval (CI): 3.8 % -8.5 %) serum samples were found to be seropositive. Brucellosis-related clinical symptoms were recorded in various seropositive cases. Animal contact, raw milk consumption, having an abortion history and the experience of an intrauterine fetal death were associated with seropositivity for brucellosis in univariate analyses (all p <0.05). In multiple logistic regression models only the contact with animals remained as independent and robust risk factor (odds ratio 5.21; 95 % CI: 1.88-13.75; p = 0.001) for seropositivity.

conclusionBrucellosis is a serious threat for pregnant women and their unborn children in Pakistan. Pregnant women having brucellosis-related symptoms or previous history of abortions, miscarriages, intrauterine fetal death and other brucellosis-related manifestations should be screened for brucellosis - especially those exposed to animals given the increased risk - and medication should be administered according to state of the art.

Indexed as

AdolescentAdultAgglutination TestsAnimalsAntibodies, BacterialBrucellaBrucellosisChildCross-Sectional StudiesFemaleHumansLogistic ModelsMaleMiddle AgedPakistanPregnancyAntibodies, BacterialAbortionBrucellosisPakistanPregnant womenSerology

Identifiers

PMID27590009
PMCPMC5010707
OpenAlexW2513023916

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.