Evidence map›Paper›PMID 30845336›Full record

SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2019

Global Typhoid Fever Incidence: A Systematic Review and Meta-analysis.

Christian S Marchello, Chuen Yen Hong, John A Crump

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
10.1field-weighted citation impact, top 2% 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

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 112 citations in OpenAlex.

  1. Typhoid Fever in the Eastern Mediterranean Region: A Systematic Review, 1990-2021.The American journal of tropical medicine and hygiene · 2023
    Pooled it
  2. Pooled it
  3. A Systematic Review on Antimicrobial Resistance amongThe American journal of tropical medicine and hygiene · 2020
    Pooled it
  4. Pooled it
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  13. SHASI-ML: a machine learning-based approach for immunogenicity prediction inFrontiers in cellular and infection microbiology · 2025
    Article
  14. Article
  15. Review
  16. Epidemiology of Multidrug-ResistantJournal of tropical medicine · 2024
    Article
  17. Fecal Shedding, Antimicrobial Resistance andInternational journal of clinical microbiology · 2024
    Article
  18. Typhoid fever.Nature reviews. Disease primers · 2023
    Review
  19. Article
  20. Nifuratel reducesMicrobiology spectrum · 2023
    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

3 authors at 1 institution in 1 country.

Christian S MarchelloCentre for International Health, University of Otago, New Zealand.
Chuen Yen HongCentre for International Health, University of Otago, New Zealand.
John A CrumpCentre for International Health, University of Otago, New Zealand.
University of Otago · NZ

Funding

Investigating Febrile Deaths in Tanzania (INDITe)R01AI121378 · NIAID · DUKE UNIVERSITY · PI RUBACH, MATTHEW P · 2016 to 2020
$2.7M
NIAID NIH HHS R01 AI121378
6 · The paper itself

Abstract

backgroundContemporary incidence estimates of typhoid fever are needed to guide policy decisions and control measures and to improve future epidemiological studies.

methodsWe systematically reviewed 3 databases (Ovid Medline, PubMed, and Scopus) without restriction on age, country, language, or time for studies reporting the incidence of blood culture-confirmed typhoid fever. Outbreak, travel-associated, and passive government surveillance reports were excluded. We performed a meta-analysis using a random-effects model to calculate estimates of pooled incidence, stratifying by studies that reported the incidence of typhoid fever and those that estimated incidence by using multipliers.

resultsThirty-three studies were included in the analysis. There were 26 study sites from 16 countries reporting typhoid cases from population-based incidence studies, and 17 sites in 9 countries used multipliers to account for underascertainment in sentinel surveillance data. We identified Africa and Asia as regions with studies showing high typhoid incidence while noting considerable variation of typhoid incidence in time and place, including in consecutive years at the same location. Overall, more recent studies reported lower typhoid incidence compared to years prior to 2000. We identified variation in the criteria for collecting a blood culture, and among multiplier studies we identified a lack of a standardization for the types of multipliers being used to estimate incidence.

conclusionsTyphoid fever incidence remains high at many sites. Additional and more accurate typhoid incidence studies are needed to support country decisions about typhoid conjugate vaccine adoption. Standardization of multiplier types applied in multiplier studies is recommended.

Indexed as

AfricaAsiaGlobal HealthHumansIncidenceSalmonella typhiTravelTyphoid FeverTyphoid-Paratyphoid VaccinesTyphoid-Paratyphoid Vaccinesincidence studiesmeta-analysisSalmonella enterica serovar Typhisystematic reviewtyphoid fever

Identifiers

PMID30845336
PMCPMC6405273
OpenAlexW2921443207

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.