Evidence map›Paper›PMID 33830980›Full record

ArticleMMWR. Morbidity and mortality weekly report2021

Use of Real-Time PCR for Chlamydia psittaci Detection in Human Specimens During an Outbreak of Psittacosis - Georgia and Virginia, 2018.

Olivia L McGovern, Miwako Kobayashi, Kelly A Shaw, Christine Szablewski, Julie Gabel, Caroline Holsinger, Cherie Drenzek, Skyler Brennan, Jennifer Milucky, Jennifer L Farrar and 6 more

Abstract read
In one paragraph

Article in MMWR. Morbidity and mortality weekly report, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Clinical management and pharmaceutical care of severeFrontiers in cellular and infection microbiology · 2026
    Review
  6. Review
  7. Article
  8. Community-AcquiredCase reports in infectious diseases · 2025
    Article
  9. Clinical characteristics ofFrontiers in medicine · 2025
    Article
  10. Virulence · 2024
    Review
  11. Clinical Characteristics ofInfection and drug resistance · 2024
    Article
  12. Pneumonia Caused byInternational medical case reports journal · 2024
    Article
  13. Review
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
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

16 authors.

Olivia L McGovern
Miwako Kobayashi
Kelly A Shaw
Christine Szablewski
Julie Gabel
Caroline Holsinger
Cherie Drenzek
Skyler Brennan
Jennifer Milucky
Jennifer L Farrar
Bernard J Wolff
Alvaro J Benitez
Kathleen A Thurman
Maureen H Diaz
Jonas M Winchell
Stephanie Schrag

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psittacosis is typically a mild febrile respiratory illness caused by infection with the bacterium Chlamydia psittaci and usually transmitted to humans by infected birds (1). On average, 11 psittacosis cases per year were reported in the United States during 2000-2017. During August-October 2018, the largest U.S. psittacosis outbreak in 30 years (82 cases identified*) occurred in two poultry slaughter plants, one each in Virginia and Georgia, that shared source farms (2). CDC used C. psittaci real-time polymerase chain reaction (PCR) to test 54 human specimens from this outbreak. This was the largest number of human specimens from a single outbreak ever tested for C. psittaci using real-time PCR, which is faster and more sensitive than commercially available serologic tests. This represented a rare opportunity to assess the utility of multiple specimen types for real-time PCR detection of C. psittaci. C. psittaci was detected more frequently in lower respiratory specimens (59% [10 of 17]) and stool (four of five) than in upper respiratory specimens (7% [two of 28]). Among six patients with sputum and nasopharyngeal swabs tested, C. psittaci was detected only in sputum in five patients. Cycle threshold (Ct) values suggested bacterial load was higher in lower respiratory specimens than in nasopharyngeal swabs. These findings support prioritizing lower respiratory specimens for real-time PCR detection of C. psittaci. Stool specimens might also have utility for diagnosis of psittacosis.

Indexed as

Disease OutbreaksReal-Time Polymerase Chain ReactionAdultChlamydophila psittaciFecesFemaleGeorgiaHumansMaleMass ScreeningMiddle AgedPsittacosisSputumVirginiaYoung Adult

Identifiers

PMID33830980
PMCPMC8030988

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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.