Evidence map›Paper›PMID 37258852›Full record

ArticleJournal of epidemiology and global health2023

Aetiology of Acute Undifferentiated Fever Among Children Under the Age of Five in Vietnam: A Prospective Study.

Xuan Duong Tran, Van Thuan Hoang, Thi Thuy Duong Dang, Thi Phuong Vu, Minh Manh To, Trong Kiem Tran, Manh Dung Do, Duy Cuong Nguyen, Quoc Tien Nguyen, Philippe Colson and 3 more

Open access · goldAbstract read
In one paragraph

Article in Journal of epidemiology and global health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Association betweenFrontiers in microbiology · 2026
    Article
  3. Article
  4. Article
  5. 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

13 authors at 3 institutions in 2 countries.

Xuan Duong Tran *Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
Van Thuan Hoang *Thai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
Thi Thuy Duong DangThai Binh Paediatric Hospital, Thai Binh, Vietnam.
Thi Phuong VuThai Binh Paediatric Hospital, Thai Binh, Vietnam.
Minh Manh ToThai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
Trong Kiem TranThai Binh Paediatric Hospital, Thai Binh, Vietnam.
Manh Dung DoThai Binh Paediatric Hospital, Thai Binh, Vietnam.
Duy Cuong NguyenThai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
Quoc Tien NguyenThai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam.
Philippe ColsonIHU-Méditerranée Infection, Marseille, France.
Philippe ParolaIHU-Méditerranée Infection, Marseille, France.
Pierre MartyUniversité Côte D'Azur, Inserm, C3M, Nice Cedex 3, France.
Philippe GautretThai Binh University of Medicine and Pharmacy, Thai Binh, Vietnam. philippe.gautret@club-internet.fr.ORCID 0000-0002-4126-9167
Thai Binh University of Medicine and Pharmacy · VNAix-Marseille Université · FRInserm · FR

Funding

National Research Agency ANR-10-IAHU-03
6 · The paper itself

Abstract

backgroundTo investigate the aetiology of acute undifferentiated fever (AUF) among children under the age of five in Vietnam.

methodsThis prospective study was conducted in the Thai Binh paediatric hospital, between July 2020 and July 2021 among children with AUF at admission. Real-time PCR testing 18 microbial pathogens were done on blood samples.

results286 children were included, with median age of 16 months. 64.7% were male. 53.9% were positive for at least one pathogen by PCR. Enterovirus, human herpesvirus 6, adenovirus, and varicella zoster virus PCR were positive for 31.1, 12.6, 1.4, and 1.0% patients, respectively. Other pathogens tested negative by PCR. During the hospital stay, based on clinical criteria 47.2% children secondarily presented with signs of respiratory tract infections, 18.9% had hand, foot and mouth disease, 4.6% had chickenpox. 4.2% presented signs of central nervous system infections, 1.0% had dengue (antigenic test) and 1.0% had signs of gastrointestinal infection. Finally, 23.1% patients presented a fever with or without a rash and no other symptoms and ultimately received a diagnosis of AUF.

conclusionReal-time PCR of blood is useful for detecting pathogens and diagnosing infectious causes of AUF. Further prospective studies with blood and urine culture testing and PCR investigation of not only blood but also cerebrospinal fluid, throat, and skin samples according to symptoms would be of interest to confirm the predominance of viral infections in children with AUF and to guide therapeutic options.

Indexed as

Enterovirus InfectionsChildFemaleHospitalizationHumansInfantLength of StayMaleProspective StudiesVietnamChildrenEnterovirusFever without a sourceRash

Identifiers

PMID37258852
PMCPMC10231849
OpenAlexW4378901763

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.