Evidence map›Paper›PMID 30556330›Full record

ArticleZoonoses and public health2019

Human tularaemia associated with exposure to domestic dogs-United States, 2006-2016.

Natalie A Kwit, Amy Schwartz, Kiersten J Kugeler, Paul S Mead, Christina A Nelson

Abstract read
In one paragraph

Article in Zoonoses and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Tularemia Antimicrobial Treatment and Prophylaxis: CDC Recommendations for Naturally Acquired Infections and Bioterrorism Response - United States, 2025.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2025
    Guideline
  2. Review
  3. Review
  4. Review
  5. Tularemia From Veterinary Occupational Exposure.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2024
    Article
  6. Non-vaccinal prophylaxis of tularemia.Frontiers in microbiology · 2024
    Review
  7. Article
  8. Article
  9. Pharyngeal tularemia acquired in an urban setting in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    Article
  10. Article
  11. Article
  12. Review
  13. Oculoglandular Tularemia From Crushing an Engorged Tick.Open forum infectious diseases · 2020
    Article
  14. Article
  15. Article
  16. Ticks and Tularemia: Do We Know What We Don't Know?Frontiers in cellular and infection microbiology · 2019
    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

5 authors.

Natalie A KwitDivision of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado.ORCID 0000-0002-2501-3591
Amy SchwartzDivision of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado.ORCID 0000-0001-8244-7225
Kiersten J KugelerDivision of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado.ORCID 0000-0002-5702-6688
Paul S MeadDivision of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado.ORCID 0000-0003-2545-8360
Christina A NelsonDivision of Vector-Borne Diseases, Centers for Disease Control and Prevention, Fort Collins, Colorado.ORCID 0000-0003-2271-8737

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

Dogs have been implicated in the zoonotic transmission of numerous pathogens. Whereas cats are known to transmit Francisella tularensis to humans via bite and other routes, the role of dogs in facilitating infection is much less understood. We reviewed tularaemia case investigation records collected through national surveillance during 2006-2016 to summarize those with dog involvement, characterize the nature of dog-related exposure and describe associated clinical characteristics. Among 1,814 human tularaemia cases, 735 (41%) supplemental case investigation records were available for review; and of those, 24 (3.3%) were classified as dog-related. Median age of patients was 51 years (range: 1-82); 54% were female. Two thirds (67%) of cases presented with ulceroglandular/glandular tularaemia; pneumonic (13%) and oropharyngeal (13%) illness occurred less frequently. Dog-related exposures were classified as follows: direct contact via bite, scratch or face snuggling/licking (n = 12; 50%); direct contact with dead animals retrieved by domestic dogs (n = 8; 33%); and contact with infected ticks acquired from domestic dogs (n = 4; 17%). Prevention of dog-related tularaemia necessitates enhanced tularaemia awareness and tick avoidance among pet owners, veterinarians, health care providers and the general public.

Indexed as

AdolescentAdultAgedAged, 80 and overAnimalsBites and StingsChildChild, PreschoolDogsFemaleHumansInfantMaleMiddle AgedPetsTicksdogepidemiologyFrancisella tularensisOne Healthtularaemiazoonoses

Identifiers

PMID30556330
PMCPMC7122577

What OpenQuestion holds

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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.