Evidence map›Paper›PMID 33784364›Full record

ArticlePloS one2021

High prevalence of extrapulmonary tuberculosis in dairy farms: Evidence for possible gastrointestinal transmission.

Fang Xu, Lili Tian, Yan Li, Xuelian Zhang, Yayin Qi, Zhigang Jing, Yangyang Pan, Li Zhang, Xiaoxu Fan, Meng Wang and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Infectious disease reports · 2025
    Article
  6. Article
  7. Review
  8. Article
  9. Will we ever eradicate animal tuberculosis?Irish veterinary journal · 2023
    Article
  10. Article
  11. 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

12 authors at 5 institutions in 1 country.

Fang XuCollege of Veterinary Medicine, Gansu Agricultural University, Lanzhou, Gansu, China.
Lili TianNational Animal Tuberculosis Reference Laboratory, Division of Zoonoses Surveillance, China Animal Health and Epidemiology Center, Qingdao, Shandong, China.
Yan LiAnimal Husbandry and Veterinary Station, Xinjiang Production and Construction Corps, Urumqi, Xinjiang, China.
Xuelian ZhangState Key Laboratory of Genetic Engineering, School of Life Science, Fudan University, Shanghai, China.
Yayin QiCollege of Animal Science and Technology, Shihezi University, Shihezi, Xinjiang, China.
Zhigang JingNational Animal Tuberculosis Reference Laboratory, Division of Zoonoses Surveillance, China Animal Health and Epidemiology Center, Qingdao, Shandong, China.
Yangyang PanCollege of Veterinary Medicine, Gansu Agricultural University, Lanzhou, Gansu, China.
Li ZhangAnimal Husbandry and Veterinary Station, Xinjiang Production and Construction Corps, Urumqi, Xinjiang, China.
Xiaoxu FanNational Animal Tuberculosis Reference Laboratory, Division of Zoonoses Surveillance, China Animal Health and Epidemiology Center, Qingdao, Shandong, China.
Meng WangCollege of Veterinary Medicine, Gansu Agricultural University, Lanzhou, Gansu, China.
Qiaoying ZengCollege of Veterinary Medicine, Gansu Agricultural University, Lanzhou, Gansu, China.ORCID 0000-0003-1826-6838
Weixing FanNational Animal Tuberculosis Reference Laboratory, Division of Zoonoses Surveillance, China Animal Health and Epidemiology Center, Qingdao, Shandong, China.
China Animal Health and Epidemiology Center · CNGansu Agricultural University · CNXinjiang Production and Construction Corps · CNFudan University · CNShihezi University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bovine tuberculosis (bTB) caused by Mycobacterium bovis (M. bovis) represents one of major zoonotic diseases among cattle, it also affects the health of human, other domestic animals and wild life populations. Inhalation of infected aerosol droplets is considered as the most frequent route of the infection. This study aims to investigate the current forms of tuberculosis in cattle and identify the possible transmission modes in dairy farms of China. 13,345 cows from eight dairy farms in three provinces were comprehensively diagnosed by a multitude of assays, including SIT, CIT, IFN-γ assay and ELISA. It has been indicated that advanced infection of bTB was found in 752 (5.64%) cattle, suggesting a high prevalence of tuberculosis in these dairy farms. In the necropsy examination of 151 positive cattle, typical bTB lesions were observed in 131 cattle (86.75%), of which, notably, 90.84% lesions appeared in liver, spleen, mesenteric lymph nodes, mammary lymph nodes and other organs, taking up a large proportion among cattle with advanced bTB infection. 71.26% extrapulmonary tuberculosis (EPTB) was related to gastrointestinal system. M. bovis nucleic acid was further found in milk and feces samples and M. bovis was even isolated from milk samples. Phylogenetic analysis based on whole genome sequencing unraveled that six isolates were closely related to M. bovis AF2122/97 originated from UK, whereas four isolates shared close relation to M. bovis 30 from China, respectively. Our data demonstrate that the increase of EPTB transmitted by digestive tract is implicated in the current high prevalence rate of bTB in China, which also provides leads for bTB control in other countries with high prevalence of bTB in the future.

Indexed as

DairyingMycobacterium bovisTuberculosis, BovineAnimalsCattleChinaFarmsFecesFemaleMilkPhylogenyPrevalence

Identifiers

PMID33784364
PMCPMC8009431
OpenAlexW3141873521

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.