Evidence map›Paper›PMID 33342482›Full record

Observational studyAtencion primaria2021

[Intensified epidemiological surveillance of arbovirosis: First case of native dengue fever in Catalonia (Spain), Northern Metropolitan Area of Barcelona, 2018-2019].

Lluís Valerio, Sílvia Roure Díez, Rosa Benítez, Gema Fernández-Rivas, Belén Rivaya, Carme Expósito, Carme Saperas, Fernando Salvador, Bonaventura Clotet

Open access · goldAbstract readCase ReportsObservational Study
In one paragraph

Observational study in Atencion primaria, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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

9 authors at 4 institutions in 1 country.

Lluís ValerioPrograma de Salut Internacional (PROSICS) Metropolitana Norte, Universitat Autònoma de Barcelona, Institut Català de la Salut, Barcelona, España. Electronic address: lvalerio.bnm.ics@gencat.cat.
Sílvia Roure DíezPrograma de Salut Internacional (PROSICS) Metropolitana Norte, Servicio de Enfermedades Infecciosas, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Institut Català de la Salut, Badalona, Barcelona, España.
Rosa BenítezServicio de Medicina Interna, Hospital Municipal de Badalona, Badalona Serveis Assistencials, Badalona, Barcelona, España.
Gema Fernández-RivasServicio de Microbiología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Institut Català de la Salut, Badalona, Barcelona, España.
Belén RivayaServicio de Microbiología, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Institut Català de la Salut, Badalona, Barcelona, España.
Carme ExpósitoÁrea Básica de Salud Sabadell Centre, Dirección de Atención Primaria Metropolitana Norte, Institut Català de la Salut, Sabadell, Barcelona, España.
Carme SaperasÁrea Básica de Salud Mollet - CAP Plana Lledó, Dirección de Atención Primaria Metropolitana Norte, Institut Català de la Salut, Mollet del Vallés, Barcelona, España.
Fernando SalvadorPrograma de Salut Internacional (PROSICS) Barcelona Ciudad, Servicio de Enfermedades Infecciosas, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Institut Català de la Salut, Barcelona, España.
Bonaventura ClotetServicio de Enfermedades Infecciosas, Hospital Universitari Germans Trias i Pujol, Universitat Autònoma de Barcelona, Institut Català de la Salut, Badalona, Barcelona, España.
Institut Català de la Salut · ESHospital Universitari Germans Trias i Pujol · ESBadalona Serveis Assistencials · ESUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate the results obtained by a surveillance network on arbovirosis composed by doctors and nurses located at hospitals and Primary Care trained in their identification, diagnostic confirmation and clinical management. LOCATION: North Metropolitan Area of Barcelona (1,400,000 inhabitants; Catalonia; Spain) during a calendar year.

participantsSeven Primary Care and 10 hospital physicians plus 4 Primary Care nurses. TYPE OF STUDY: A prospective observational study. MAIN MEASUREMENTS: Demographic, epidemiological (autochthonous/imported, suspect/probable/confirmed case) and healthcare variables (symptoms, serological profile, viral period) were defined.

resultsOf the 34 patients identified, 26 (76.5%) met study criteria. Among them, any arbovirosis was confirmed in 14 (53.8%): 13 dengue plus 1chikungunya fever. There were no cases of Zika fever. There was a history of travel to endemic areas 23 (88.4%), but not in 3cases (11.6%) in which the possibility of an indigenous transmission was considered; of them, a case of dengue was confirmed. The estimated incidence of arbovirosis was 0.4 (95%CI: 0.33-0.51) cases ×10,000hab/year which, when compared to the estimated incidence in the same geographical area during the period 2009-2013 (0.19cases ×10,000hab/year; 95%CI: 0.07-0.31), a significant increase was found (P=.044). Patients within viremia period at the time of their first medical visit were 11 (42.3%).

conclusionsAn intensified epidemiological surveillance program defined at Primary Care and hospital levels is able to detect significantly more cases of imported and autochthonous arbovirosis. Possibly we are witnessing an increase in the incidence of imported arbovirosis and, thus, measures aimed at their identification and confirmation should be reinforced.

Indexed as

DengueZika VirusZika Virus InfectionHumansIncidenceSpainTravelArbovirosisArbovirusChikungunyaDengueEpidemiologic surveillanceEspañaSpainVigilancia epidemiológicaZika

Identifiers

PMID33342482
PMCPMC7752977
OpenAlexW3094387987

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.