Evidence map›Paper›PMID 27682156›Full record

ArticleParasites & vectors2016

The geographical distribution and prevalence of Echinococcus multilocularis in animals in the European Union and adjacent countries: a systematic review and meta-analysis.

Antti Oksanen, Mar Siles-Lucas, Jacek Karamon, Alessia Possenti, Franz J Conraths, Thomas Romig, Patrick Wysocki, Alice Mannocci, Daniele Mipatrini, Giuseppe La Torre and 2 more

Abstract read
In one paragraph

Article in Parasites & vectors, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed, 3 pooled it
–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

107 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Presence of red foxes and contamination withFood and waterborne parasitology · 2026
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  5. How can environmental fecal sampling supportFood and waterborne parasitology · 2026
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  6. Annual assessment ofEFSA journal. European Food Safety Authority · 2026
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  10. An update on the prevalence ofOne health (Amsterdam, Netherlands) · 2025
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  12. First detection ofInternational journal for parasitology. Parasites and wildlife · 2025
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  13. Chasing intermediate hosts ofInternational journal for parasitology. Parasites and wildlife · 2025
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  14. Annual assessment ofEFSA journal. European Food Safety Authority · 2025
    Article
  15. Article
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  17. Genetic diversity and genotyping ofFrontiers in parasitology · 2025
    Review
  18. Article
  19. Helminth diversity of nutria (Parasitology · 2025
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  20. Article

47 more citing papers are in PubMed but not listed here.

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

12 authors.

Antti OksanenFinnish Food Safety Authority Evira (FINPAR), Elektroniikkatie 3, FI-90590, Oulu, Finland.
Mar Siles-LucasDepartment of Parasitic Zoonoses, IRNASA, CSIC, Cordel de Merinas, 40-52, 37008, Salamanca, Spain.
Jacek KaramonDepartment of Parasitology, National Veterinary Research Institute, 57 Partyzantów Avenue, 24-100, Puławy, Poland.
Alessia PossentiDepartment of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanitá, Viale Regina Elena, 299, 00161, Rome, Italy.
Franz J ConrathsFriedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Institute of Epidemiology, Südufer 10, 17493, Greifswald-Insel Riems, Germany.
Thomas RomigUniversität Hohenheim, FG Parasitologie 220 B, 70599, Stuttgart, Germany.
Patrick WysockiFriedrich-Loeffler-Institut, Federal Research Institute for Animal Health, Institute of Epidemiology, Südufer 10, 17493, Greifswald-Insel Riems, Germany.
Alice MannocciDipartimento di Sanità Pubblica e Malattie Infettive, Sapienza University of Roma, Piazzale Aldo Moro 5, 00185, Rome, Italy.
Daniele MipatriniDipartimento di Sanità Pubblica e Malattie Infettive, Sapienza University of Roma, Piazzale Aldo Moro 5, 00185, Rome, Italy.
Giuseppe La TorreDipartimento di Sanità Pubblica e Malattie Infettive, Sapienza University of Roma, Piazzale Aldo Moro 5, 00185, Rome, Italy.
Belgees BoufanaDepartment of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanitá, Viale Regina Elena, 299, 00161, Rome, Italy.
Adriano CasulliDepartment of Infectious, Parasitic and Immunomediated Diseases, Istituto Superiore di Sanitá, Viale Regina Elena, 299, 00161, Rome, Italy. adriano.casulli@iss.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to provide a systematic review on the geographical distribution of Echinococcus multilocularis in definitive and intermediate hosts in the European Union (EU) and adjacent countries (AC). The relative importance of the different host species in the life-cycle of this parasite was highlighted and gaps in our knowledge regarding these hosts were identified.

methodsSix databases were searched for primary research studies published from 1900 to 2015. From a total of 2,805 identified scientific papers, 244 publications were used for meta-analyses.

resultsStudies in 21 countries reported the presence of E. multilocularis in red foxes, with the following pooled prevalence (PP): low (≤ 1 %; Denmark, Slovenia and Sweden); medium (> 1 % to < 10 %; Austria, Belgium, Croatia, Hungary, Italy, the Netherlands, Romania and the Ukraine); and high (> 10 %; Czech Republic, Estonia, France, Germany, Latvia, Lithuania, Poland, Slovakia, Liechtenstein and Switzerland). Studies from Finland, Ireland, the United Kingdom and Norway reported the absence of E. multilocularis in red foxes. However, E. multilocularis was detected in Arctic foxes from the Arctic Archipelago of Svalbard in Norway.

conclusionsRaccoon dogs (PP 2.2 %), golden jackals (PP 4.7 %) and wolves (PP 1.4 %) showed a higher E. multilocularis PP than dogs (PP 0.3 %) and cats (PP 0.5 %). High E. multilocularis PP in raccoon dogs and golden jackals correlated with high PP in foxes. For intermediate hosts (IHs), muskrats (PP 4.2 %) and arvicolids (PP 6.0 %) showed similar E. multilocularis PP as sylvatic definitive hosts (DHs), excluding foxes. Nutrias (PP 1.0 %) and murids (PP 1.1 %) could play a role in the life-cycle of E. multilocularis in areas with medium to high PP in red foxes. In areas with low PP in foxes, no other DH was found infected with E. multilocularis. When fox E. multilocularis PP was >3 %, raccoon dogs and golden jackals could play a similar role as foxes. In areas with high E. multilocularis fox PP, the wolf emerged as a potentially important DH. Dogs and cats could be irrelevant in the life-cycle of the parasite in Europe, although dogs could be important for parasite introduction into non-endemic areas. Muskrats and arvicolids are important IHs. Swine, insectivores, murids and nutrias seem to play a minor or no role in the life-cycle of the parasite within the EU and ACs.

Indexed as

Echinococcus multilocularisEuropeGeographical distributionPrevalenceSystematic review

Identifiers

PMID27682156
PMCPMC5039905

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.