Evidence map›Paper›PMID 27935664›Full record

ArticleTropical medicine & international health : TM & IH2017

Point-of-care assessment of C-reactive protein and white blood cell count to identify bacterial aetiologies in malaria-negative paediatric fevers in Tanzania.

Helena Hildenwall, Florida Muro, Jaqueline Jansson, George Mtove, Hugh Reyburn, Ben Amos

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Tropical medicine & international health : TM & IH, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  10. Incidence and Risk Factors for Severe Pneumonia in Children Hospitalized with Pneumonia in Ujjain, India.International journal of environmental research and public health · 2020
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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

6 authors at 6 institutions in 3 countries.

Helena HildenwallGlobal Health, Health Systems and Policy, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
Florida MuroKilimanjaro Christian Medical University College, Moshi, Tanzania.
Jaqueline JanssonGlobal Health, Health Systems and Policy, Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden.
George MtoveJoint Malaria Programme, St Augustine's Hospital, Muheza, Tanzania.
Hugh ReyburnLondon School of Hygiene and Tropical Medicine, London, UK.
Ben AmosJoint Malaria Programme, St Augustine's Hospital, Muheza, Tanzania.
Karolinska Institutet · SEKarolinska University Hospital · SEKilimanjaro Christian Medical Centre · TZLondon School of Hygiene & Tropical Medicine · GBNational Institute for Medical Research · TZRajabu St Augustine's, Hospitali Teule · TZ

Funding

Wellcome Trust 087540
6 · The paper itself

Abstract

objectiveTo assess the role of point-of-care (PoC) assessment of C-reactive protein (CRP) and white blood cell (WBC) count to identify bacterial illness in Tanzanian children with non-severe non-malarial fever.

methodsFrom the outpatient department of a district hospital in Tanzania, 428 patients between 3 months and 5 years of age who presented with fever and a negative malaria test were enrolled. All had a physical examination and bacterial cultures from blood and urine. Haemoglobin, CRP and WBC were measured by PoC devices.

resultsPositive blood cultures were detected in 6/428 (1.4%) children and urine cultures were positive in 24/401 (6.0%). Mean WBC was similar in children with or without bacterial illness (14.0 × 10

conclusionWBC and CRP levels had limited value in identifying children with bacterial infections. The positive predictive values for both tests were too low to be used as single tools for treatment decisions.

Indexed as

BacteriaLeukocyte CountPoint-of-Care SystemsBacterial InfectionsChild, PreschoolC-Reactive ProteinFemaleFeverHumansInfantLeukocytesMalariaMalePediatricsReference ValuesROC CurveC-Reactive ProteinchildrenC-reactive proteinfeverinfectionleucocytespoint-of-care test

Identifiers

PMID27935664
PMCPMC5336187
OpenAlexW2560062754

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.