Evidence map›Paper›PMID 30999894›Full record

ArticleBMC infectious diseases2019

Invasive Salmonella infections among children in Bintulu, Sarawak, Malaysian Borneo: a 6-year retrospective review.

Anand Mohan, Chandran Munusamy, Yee-Chin Tan, Sobana Muthuvelu, Rohaidah Hashim, Su-Lin Chien, Ming-Kui Wong, Nurul Aiman Khairuddin, Yuwana Podin, Peter Sie-Teck Lau and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  9. Intracranial infection and sepsis in infants caused byWorld journal of clinical cases · 2023
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  11. Multidrug-ResistantAntibiotics (Basel, Switzerland) · 2023
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  12. Clinical profiles and antimicrobial resistance patterns of invasive Salmonella infections in children in China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2022
    Article
  13. Article
  14. Non-TyphoidalAntibiotics (Basel, Switzerland) · 2021
    Review
  15. Article
  16. Review
  17. Article
  18. Article
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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

12 authors at 4 institutions in 2 countries.

Anand MohanDepartment of Paediatrics, Bintulu Hospital, Bintulu, Sarawak, Malaysia. anand_bintulu@yahoo.com.ORCID http://orcid.org/0000-0001-6796-9885
Chandran MunusamyDepartment of Paediatrics, Bintulu Hospital, Bintulu, Sarawak, Malaysia.
Yee-Chin TanDepartment of Paediatrics, Bintulu Hospital, Bintulu, Sarawak, Malaysia.
Sobana MuthuveluDepartment of Paediatrics, Bintulu Hospital, Bintulu, Sarawak, Malaysia.
Rohaidah HashimBacteriology Unit, Infectious Disease Research Centre, Institute for Medical Research, Kuala Lumpur, Malaysia.
Su-Lin ChienDepartment of Pathology, Bintulu Hospital, Bintulu, Sarawak, Malaysia.
Ming-Kui WongDepartment of Pathology, Bintulu Hospital, Bintulu, Sarawak, Malaysia.
Nurul Aiman KhairuddinDepartment of Pathology, Bintulu Hospital, Bintulu, Sarawak, Malaysia.
Yuwana PodinInstitute of Health and Community Medicine, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
Peter Sie-Teck LauDepartment of Paediatrics, Bintulu Hospital, Bintulu, Sarawak, Malaysia.
David Chun-Ern NgDepartment of Paediatrics, Bintulu Hospital, Bintulu, Sarawak, Malaysia.
Mong-How OoiInstitute of Health and Community Medicine, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia.
Sarawak General Hospital · MYInstitute for Medical Research · MYOulu University Hospital · FIUniversiti Malaysia Sarawak · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive Salmonella infections result in significant morbidity and mortality in developing countries. In Asia, typhoid and paratyphoid fever are reported to be the major invasive Salmonella infections, while invasive non-typhoidal Salmonella (iNTS) infections are believed to be uncommon. Data from Sarawak, in Malaysian Borneo, are limited.

methodsA retrospective study identifying all children aged < 15 years with invasive Salmonella infections from 2011 to 2016 was conducted in Bintulu Hospital in Sarawak. Population incidences, clinical and bacterial characteristics were examined.

resultsForty-four patients were identified during the 6-year study period: 43 had iNTS infection and 1 had typhoid fever. The average annual iNTS incidence was 32.4 per 100,000 children aged < 5 years. None of the children had malaria or HIV infection, and only 7% were severely malnourished. Salmonella Enteritidis and Salmonella Java were the commonest NTS serovars identified. Pneumonia was the most common manifestation of iNTS disease, present in 20 (47%) children. Other manifestations included gastroenteritis, fever without a source, septic arthritis and meningitis. Salmonella Enteritidis was identified in 76% of those with pneumonia, significantly more frequently than in children with other manifestations. Over 25% of children with iNTS developed severe disease and nearly 10% suffered long term morbidity or mortality. While 78% of Salmonella Java isolates were multi-drug resistant, nearly all other isolates were susceptible to most antimicrobials, including ampicillin.

conclusionsBintulu Division in Sarawak observed a very high incidence of childhood iNTS infections. Enteric fever was uncommon. The epidemiology of invasive Salmonella infections in Malaysian Borneo differs considerably from that of neighbouring countries in Asia.

Indexed as

AdolescentAnti-Infective AgentsBorneoChildChild, PreschoolDrug Resistance, Multiple, BacterialFemaleHumansInfantMalaysiaMaleMicrobial Sensitivity TestsPneumoniaRetrospective StudiesSalmonellaSalmonella enteritidisAnti-Infective AgentsBorneoChildrenInvasiveMalaysiaNon-typhoidalSalmonella

Identifiers

PMID30999894
PMCPMC6471830
OpenAlexW2945951865

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.