Evidence map›Paper›PMID 35036977›Full record

ArticleThe Lancet regional health. Western Pacific2022

Etiological and epidemiological features of acute meningitis or encephalitis in China: a nationwide active surveillance study.

Li-Ping Wang, Yang Yuan, Ying-Le Liu, Qing-Bin Lu, Lu-Sha Shi, Xiang Ren, Shi-Xia Zhou, Hai-Yang Zhang, Xiao-Ai Zhang, Xin Wang and 29 more

Open access · goldAbstract read
In one paragraph

Article in The Lancet regional health. Western Pacific, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
5.1field-weighted citation impact, top 4% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Strengthening preparedness and response to emerging henipavirus diversity.Frontiers in cellular and infection microbiology · 2026
    Review
  6. [Infectious and inflammatory diseases of the central nervous system 2014-2024].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Observational
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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

39 authors at 13 institutions in 3 countries.

Li-Ping WangChinese Center for Disease Control and Prevention, Beijing, China.
Yang YuanBeijing Institute of Microbiology and Epidemiology, Beijing, China.
Ying-Le LiuWuhan University, Wuhan, China.
Qing-Bin LuPeking University, Beijing, China.
Lu-Sha ShiChinese Center for Disease Control and Prevention, Beijing, China.
Xiang RenChinese Center for Disease Control and Prevention, Beijing, China.
Shi-Xia ZhouBeijing Institute of Microbiology and Epidemiology, Beijing, China.
Hai-Yang ZhangBeijing Institute of Microbiology and Epidemiology, Beijing, China.
Xiao-Ai ZhangBeijing Institute of Microbiology and Epidemiology, Beijing, China.
Xin WangChinese Center for Disease Control and Prevention, Beijing, China.
Yi-Fei WangChinese Center for Disease Control and Prevention, Beijing, China.
Sheng-Hong LinChinese Center for Disease Control and Prevention, Beijing, China.
Cui-Hong ZhangChinese Center for Disease Control and Prevention, Beijing, China.
Meng-Jie GengChinese Center for Disease Control and Prevention, Beijing, China.
Jun LiSun Yat-sen University, Guangzhou, China.
Shi-Wen ZhaoYunnan Center for Disease Control and Prevention, Kunming, China.
Zhi-Gang YiShanghai Public Health Clinical Center, Shanghai, China.
Xiao ChenZhejiang University, Hangzhou, China.
Zuo-Sen YangLiaoning Provincial Center for Disease Control and Prevention, Shenyang, China.
Lei MengGansu Provincial Center for Disease Control and Prevention, Lanzhou, China.
Xin-Hua WangGansu Provincial Center for Disease Control and Prevention, Lanzhou, China.
Ai-Li CuiChinese Center for Disease Control and Prevention, Beijing, China.
Sheng-Jie LaiUniversity of Southampton, Southampton, UK.
Meng-Yang LiuBeijing Institute of Microbiology and Epidemiology, Beijing, China.
Yu-Liang ZhuChinese Center for Disease Control and Prevention, Beijing, China.
Wen-Bo XuChinese Center for Disease Control and Prevention, Beijing, China.
Yu ChenZhejiang University, Hangzhou, China.
Zheng-Hong YuanFudan University, Shanghai, China.
Meng-Feng LiSun Yat-sen University, Guangzhou, China.
Liu-Yu HuangThe Institute for Disease Prevention and Control of PLA, Beijing, China.
Huai-Qi JingChinese Center for Disease Control and Prevention, Beijing, China.
Zhong-Jie LiChinese Center for Disease Control and Prevention, Beijing, China.
Wei LiuBeijing Institute of Microbiology and Epidemiology, Beijing, China.
Li-Qun FangBeijing Institute of Microbiology and Epidemiology, Beijing, China.
Jian-Guo WuWuhan University, Wuhan, China.
Simon I HayDepartment of Health Metrics Sciences, School of Medicine, University of Washington.
Wei-Zhong YangChinese Center for Disease Control and Prevention, Beijing, China.
George F GaoChinese Center for Disease Control and Prevention, Beijing, China.
Chinese Centers for Disease Control and Prevention (CDC) Etiology of Acute Meningitis and Encephalitis Surveillance Study Team
Chinese Center For Disease Control and Prevention · CNInstitute of Microbiology · CNAnhui Medical University · CNFudan University · CNSun Yat-sen University · CNWuhan University · CNZhejiang University · CNGansu Provincial Center for Disease Control and Prevention · CNPeking University · CNShanghai Public Health Clinical Center · CNShenyang Center for Disease Control and Prevention · CNUniversity of Washington · USYunnan Center for Disease Control And Prevention · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute meningitis or encephalitis (AME) results from a neurological infection causing high case fatality and severe sequelae. AME lacked comprehensive surveillance in China.

methodsNation-wide surveillance of all-age patients with AME syndromes was conducted in 144 sentinel hospitals of 29 provinces in China. Eleven AME-causative viral and bacterial pathogens were tested with multiple diagnostic methods.

findingsBetween 2009 and 2018, 20,454 AME patients were recruited for tests. Based on 9,079 patients with all-four-virus tested, 28.43% (95% CI: 27.50%‒29.36%) of them had at least one virus-positive detection. Enterovirus was the most frequently determined virus in children <18 years, herpes simplex virus and Japanese encephalitis virus were the most frequently determined in 18-59 and ≥60 years age groups, respectively. Based on 6,802 patients with all-seven-bacteria tested, 4.43% (95% CI: 3.94%‒4.91%) had at least one bacteria-positive detection,

interpretationThe current findings allow enhanced identification of the predominant AME-related pathogen candidates for diagnosis in clinical practice and more targeted application of prevention and control measures in China, and a possible reassessment of vaccination strategy.

fundingChina Mega-Project on Infectious Disease Prevention and the National Natural Science Funds.

Indexed as

Chinaencephalitisetiologymeningitissentinel surveillance

Identifiers

PMID35036977
PMCPMC8743210
OpenAlexW4205341893

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.