Evidence map›Paper›PMID 31809504›Full record

ArticlePLoS neglected tropical diseases2019

Clinical and epidemiologic characteristics associated with dengue during and outside the 2016 outbreak identified in health facility-based surveillance in Ouagadougou, Burkina Faso.

Jacqueline K Lim, Yaro Seydou, Mabel Carabali, Ahmed Barro, Desire Lucien Dahourou, Kang Sung Lee, Teguewende Nikiema, Suk Namkung, Jung-Seok Lee, Mee Young Shin and 9 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. Chikungunya outbreak in eastern Senegal, 2023.BMC infectious diseases · 2026
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  6. [Clinical aspects of dengue fever in the Savanna region of Togo in 2023].Medecine tropicale et sante internationale · 2025
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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

19 authors.

Jacqueline K LimGlobal Dengue and Aedes-transmitted diseases Consortium, International Vaccine Institute, Seoul, Korea.ORCID 0000-0001-6744-7825
Yaro SeydouDepartment of public health epidemiology, Centre MURAZ, Bobo-Dioulasso, Burkina Faso, Africa.
Mabel CarabaliGlobal Dengue and Aedes-transmitted diseases Consortium, International Vaccine Institute, Seoul, Korea.
Ahmed BarroAction-Gouvernance-Integration-Renforcement (AGIR), Program Equité, Ouagadougou, Burkina Faso, Africa.
Desire Lucien DahourouDepartment of public health epidemiology, Centre MURAZ, Bobo-Dioulasso, Burkina Faso, Africa.
Kang Sung LeeGlobal Dengue and Aedes-transmitted diseases Consortium, International Vaccine Institute, Seoul, Korea.
Teguewende NikiemaDepartment of public health epidemiology, Centre MURAZ, Bobo-Dioulasso, Burkina Faso, Africa.
Suk NamkungGlobal Dengue and Aedes-transmitted diseases Consortium, International Vaccine Institute, Seoul, Korea.
Jung-Seok LeeDepartment Of Zoology, University of Oxford, Oxford, United Kingdom.
Mee Young ShinGlobal Dengue and Aedes-transmitted diseases Consortium, International Vaccine Institute, Seoul, Korea.
Emmanuel BonnetInstitute for Research on Sustainable Development (IRD), UMI Résilience, Bondy, France.
Therese KagoneDepartment of public health epidemiology, Centre MURAZ, Bobo-Dioulasso, Burkina Faso, Africa.
Losseni KabaCentre National de Transfusion Sanguine, Ouagadougou, Burkina Faso, Africa.
Tansy EdwardsFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
Paul-André SoméAction-Gouvernance-Integration-Renforcement (AGIR), Program Equité, Ouagadougou, Burkina Faso, Africa.
Jae Seung YangGlobal Dengue and Aedes-transmitted diseases Consortium, International Vaccine Institute, Seoul, Korea.
Neal AlexanderFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, United Kingdom.
In-Kyu YoonGlobal Dengue and Aedes-transmitted diseases Consortium, International Vaccine Institute, Seoul, Korea.
Valéry RiddeInstitute for Research on Sustainable Development (IRD), CEPED, Université de Paris, ERL INSERM SAGESUD, Paris, France.

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
CIHR ROH-115213Medical Research Council MR/R010161/1NCATS NIH HHS UL1 TR001863
6 · The paper itself

Abstract

backgroundIn Africa, the magnitude of dengue virus (DENV) transmission is largely unknown. In Burkina Faso, several outbreaks have been reported and data are often based on findings from outbreak investigations.

methodsTo better understand dengue epidemiology and clinical characteristics in Burkina Faso, a fever surveillance study was conducted among patients aged 1-55 years, who presented with non-malarial febrile illness at five primary healthcare facilities in Ouagadougou, Burkina Faso from December 2014 to February 2017, encompassing a 3-month dengue outbreak in September-November 2016. Acute and convalescent blood samples were collected within an interval of 10-21 days between visits. Acute samples were tested with dengue rapid diagnostic tests (RDT) and a selected subset with RT-PCR, and all acute/convalescent samples with IgM/IgG ELISA.

resultsAmong 2929 non-malarial febrile patients, 740 (25%) were dengue-positive based on RT-PCR and/or IgM/IgG ELISA; 428 out of 777 patients (55%) and 312 out of 2152 (14%) were dengue-positive during outbreak and non-outbreak periods, respectively. There were 11% (316/2929) and 4% (129/2929) patients showing positive for NS1 and IgM, on the RDT, respectively. DENV 2 predominated during the outbreak, whereas DENV 3 predominated before the outbreak. Only 25% of dengue-positive cases were clinically diagnosed with suspected dengue. The odds of requiring observation for ≤3 days (versus routine outpatient care) were 11 times higher among dengue-positive cases than non-dengue cases. In adjusted analyses, dengue-positivity was associated with rash and retro-orbital pain (OR = 2.6 and 7.4, respectively) during the outbreak and with rash and nausea/vomiting (OR = 1.5 and 1.4, respectively) during the non-outbreak period.

conclusionDengue virus is an important pathogen in Burkina Faso, accounting for a substantial proportion of non-malarial fevers both during and outside outbreak, but is only infrequently suspected by clinicians. Additional longitudinal data would help to further define characteristics of dengue for improved case detection and surveillance.

Indexed as

Disease OutbreaksHealth FacilitiesAdolescentAdultAntibodies, ViralBurkina FasoChildChild, PreschoolDengueDengue VirusEnzyme-Linked Immunosorbent AssayEpidemiological MonitoringFemaleFeverHumansImmunoglobulin GAntibodies, ViralImmunoglobulin GImmunoglobulin M

Identifiers

PMID31809504
PMCPMC6897397

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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.