Evidence map›Paper›PMID 33176708›Full record

Observational studyBMC infectious diseases2020

Dengue in Western Uganda: a prospective cohort of children presenting with undifferentiated febrile illness.

Ross M Boyce, Matthew Collins, Rabbison Muhindo, Regina Nakakande, Emily J Ciccone, Samantha Grounds, Daniel Espinoza, Yerun Zhu, Michael Matte, Moses Ntaro and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study 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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Vector competence acrossJournal of virology · 2026
    Review
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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

13 authors at 3 institutions in 2 countries.

Ross M BoyceDivision of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, USA. roboyce@med.unc.edu.ORCID http://orcid.org/0000-0002-9489-6324
Matthew CollinsDivision of Infectious Diseases, Emory University, Atlanta, GA, 30322, USA.
Rabbison MuhindoDepartment of Community Health, Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda.
Regina NakakandeDepartment of Community Health, Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda.
Emily J CicconeDivision of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, USA.
Samantha GroundsDivision of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, USA.
Daniel EspinozaDivision of Infectious Diseases, Emory University, Atlanta, GA, 30322, USA.
Yerun ZhuDivision of Infectious Diseases, Emory University, Atlanta, GA, 30322, USA.
Michael MatteDepartment of Community Health, Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda.
Moses NtaroDepartment of Community Health, Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda.
Dan NyehanganeDepartment of Community Health, Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda.
Jonathan J JulianoDivision of Infectious Diseases, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, USA.
Edgar M MulogoDepartment of Community Health, Faculty of Medicine, Mbarara University of Science & Technology, Mbarara, Uganda.
Mbarara University of Science and Technology · UGUniversity of North Carolina at Chapel Hill · USEmory University · US

Funding

TRAINING IN RESPIRATORY AND ENVIRONMENTAL MEDICINET32HL007106 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOUCHER, RICHARD CHARLES, DOERSCHUK, CLAIRE M · 1985 to 2021
$7.3M
Serial Killers to Mosquitos: The Spatial Targeting of Larval habitats in rural Uganda using geographic ProfilingK23AI141764 · NIAID · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BOYCE, ROSS MATHEW · 2019 to 2023
$944k
National Institute of Allergy and Infectious Diseases K23AI141764National Institute of Allergy and Infectious Diseases K24AI13499NHLBI NIH HHS T32HL007106
6 · The paper itself

Abstract

backgroundThe spatial distribution and burden of dengue in sub-Saharan Africa remains highly uncertain, despite high levels of ecological suitability. The goal of this study was to describe the epidemiology of dengue among a cohort of febrile children presenting to outpatient facilities located in areas of western Uganda with differing levels of urbanicity and malaria transmission intensity.

methodsEligible children were first screened for malaria using rapid diagnostic tests. Children with a negative malaria result were tested for dengue using a combination NS1/IgM/IgG rapid test (SD Bioline Dengue Duo). Confirmatory testing by RT-PCR was performed in a subset of participants. Antigen-capture ELISA was performed to estimate seroprevalence.

resultsOnly 6 of 1416 (0.42%) children had a positive dengue rapid test, while none of the RT-PCR results were positive. ELISA testing demonstrated reactive IgG antibodies in 28 (2.2%) participants with the highest prevalence seen at the urban site in Mbarara (19 of 392, 4.9%, p < 0.001).

conclusionsOverall, these findings suggest that dengue, while present, is an uncommon cause of non-malarial, pediatric febrile illness in western Uganda. Further investigation into the eocological factors that sustain low-level transmission in urban settings are urgently needed to reduce the risk of epidemics.

Indexed as

AdolescentChildChild, PreschoolDengueDengue VirusDiagnostic Tests, RoutineEnzyme-Linked Immunosorbent AssayFemaleFeverHumansImmunoglobulin GImmunoglobulin MMalariaMalePlasmodiumPrevalenceImmunoglobulin GImmunoglobulin MArbovirusDengueEpidemiologyFeverUganda

Identifiers

PMID33176708
PMCPMC7661220
OpenAlexW3105967390

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.