Evidence map›Paper›PMID 32131753›Full record

SynthesisBMC infectious diseases2020

Animal sources for zoonotic transmission of psittacosis: a systematic review.

Lenny Hogerwerf, Inge Roof, Marianne J K de Jong, Frederika Dijkstra, Wim van der Hoek

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 2 pooled it
8.1field-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

61 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Targeted next-generation sequencing improves diagnosis and antimicrobial stewardship in Chlamydia psittaci pneumonia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. The relationship betweenFrontiers in medicine · 2026
    Article
  12. Long-Term Surveillance ofMicroorganisms · 2025
    Article
  13. Article
  14. Article
  15. Zoonotic potential ofFrontiers in veterinary science · 2025
    Article
  16. Article
  17. SevereFrontiers in medicine · 2025
    Article
  18. Article
  19. Chlamydiosis in Animals.Animals : an open access journal from MDPI · 2024
    Review
  20. Outbreak ofAnimals : an open access journal from MDPI · 2024
    Article

1 more citing papers are in PubMed but not listed here.

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 at 2 institutions in 1 country.

Lenny HogerwerfCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Inge RoofCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands. inge.roof@rivm.nl.ORCID http://orcid.org/0000-0002-7173-0110
Marianne J K de JongCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Frederika DijkstraCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Wim van der HoekCentre for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
National Institute for Public Health and the Environment · NLUtrecht University · NL

Funding

Rijksinstituut voor Volksgezondheid en Milieu V/150207ZonMw 522001002
6 · The paper itself

Abstract

backgroundHuman psittacosis, caused by Chlamydia (C.) psittaci, is likely underdiagnosed and underreported, since tests for C. psittaci are often not included in routine microbiological diagnostics. Source tracing traditionally focuses on psittacine pet birds, but recently other animal species have been gaining more attention as possible sources for human psittacosis. This review aims to provide an overview of all suspected animal sources of human psittacosis cases reported in the international literature. In addition, for each animal species the strength of evidence for zoonotic transmission was estimated.

methodsA systematic literature search was conducted using four databases (Pubmed, Embase, Scopus and Proquest). Articles were included when there was mention of at least one human case of psittacosis and a possible animal source. Investigators independently extracted data from the included articles and estimated strength of evidence for zoonotic transmission, based on a self-developed scoring system taking into account number of human cases, epidemiological evidence and laboratory test results in human, animals, and the environment.

resultsEighty articles were included, which provided information on 136 different situations of possible zoonotic transmission. The maximum score for zoonotic transmission was highest for turkeys, followed by ducks, owls, and the category 'other poultry'. Articles reporting about zoonotic transmission from unspecified birds, psittaciformes and columbiformes provided a relatively low strength of evidence. A genotypical match between human and animal samples was reported twenty-eight times, including transmission from chickens, turkeys, guinea fowl, peafowl, pigeons, ducks, geese, songbirds, parrot-like birds and owls.

conclusionsStrong evidence exists for zoonotic transmission from turkeys, chickens and ducks, in addition to the more traditionally reported parrot-like animal sources. Based on our scoring system, the evidence was generally stronger for poultry than for parrot-like birds. Psittaciformes should not be disregarded as an important source of human psittacosis, still clinicians and public health officials should include poultry and birds species other than parrots in medical history and source tracing.

Indexed as

AnimalsChlamydophila psittaciColumbidaeGenotypeHumansPoultryPoultry DiseasesPsittacosisPublic HealthPublic Health AdministrationSongbirdsStrigiformesZoonosesAnimal sourcesChlamydia psittaciPsittacosisStrength of evidenceZoonosis

Identifiers

PMID32131753
PMCPMC7057575
OpenAlexW3012361881

What OpenQuestion holds

Textmetadata
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.