Evidence map›Paper›PMID 35320293›Full record

ArticlePloS one2022

Brucellosis testing patterns at health facilities in Arusha region, northern Tanzania.

AbdulHamid Settenda Lukambagire, Gabriel Mkulima Shirima, Damas Davis Shayo, Coletha Mathew, Richard B Yapi, Christopher Julius Kasanga, Blandina Theophile Mmbaga, Rudovick Reuben Kazwala, Jo E B Halliday

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 20% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 4 countries.

AbdulHamid Settenda LukambagireCollege of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.ORCID 0000-0002-0560-5565
Gabriel Mkulima ShirimaThe Nelson Mandela African Institution for Science and Technology, Arusha, Tanzania.
Damas Davis ShayoRegional Health Management Team, Arusha Regional Medical Office, Arusha, Tanzania.
Coletha MathewCollege of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.
Richard B YapiCentre d'Entomologie Médicale et Vétérinaire Université Alassane Ouattara, Bouaké, Côte d'Ivoire.
Christopher Julius KasangaCollege of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.
Blandina Theophile MmbagaKilimanjaro Christian Medical University College-Kilimanjaro Clinical Research Institute, Moshi, Tanzania.
Rudovick Reuben KazwalaCollege of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, Morogoro, Tanzania.
Jo E B HallidayInstitute of Biodiversity, Animal Health & Comparative Medicine, College of Medical Veterinary and Life Sciences, University of Glasgow, Glasgow, United Kingdom.ORCID 0000-0002-1329-9035
Sokoine University of Agriculture · TZDuke Institute for Health Innovation · USKilimanjaro Christian Medical Centre · TZNelson Mandela African Institution of Science and Technology · TZUniversité Alassane Ouattara · CIUniversity of Glasgow · GB

Funding

Biotechnology and Biological Sciences Research Council BB/L018845/1EPA EP-C-15-008
6 · The paper itself

Abstract

backgroundBrucellosis is listed as one of six priority zoonoses in Tanzania's One Health strategic plan which highlights gaps in data needed for the surveillance and estimation of human brucellosis burdens. This study collected data on current testing practices and test results for human brucellosis in Arusha region, northern Tanzania.

methodsRetrospective data were extracted from records at 24 health facilities in Arusha region for the period January 2012 to May 2018. Data were captured on: the test reagents used for brucellosis, procurement and testing protocols, the monthly number of patients tested for brucellosis and the monthly number testing positive. Generalised linear mixed models were used to evaluate relationships between health facility characteristics and the probability that brucellosis testing was conducted in a given month, and the proportion of individuals testing positive.

resultsFour febrile Brucella agglutination tests were used widely. The probability of testing for brucellosis in a given month was significantly associated with an interaction between year of testing and facility ownership. Test probability increased over time with more pronounced increases in privately owned as compared to government facilities. The proportion of individuals testing positive for brucellosis was significantly associated with facility type and district, with individuals tested in hospitals in Meru, Monduli and Ngorongoro districts more likely to test positive.

conclusionsFebrile Brucella agglutination tests, known for their poor performance, were the mainstay of brucellosis testing at health facilities in northern Tanzania. The study indicates that historical data on human brucellosis in Arusha and other regions are likely to provide an inaccurate measure of true disease burden due to poor performance of the tests used and variation in testing practices. Measures to address these identified shortcomings could greatly improve quality of testing and surveillance data on brucellosis and ultimately inform prevention and control of this priority disease.

Indexed as

BrucellaBrucellosisAnimalsHealth FacilitiesHumansRetrospective StudiesTanzania

Identifiers

PMID35320293
PMCPMC8942238
OpenAlexW4221077656

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.