Evidence map›Paper›PMID 40378369›Full record

ArticlePloS one2025

The impact of serological testing implementation on tick-borne encephalitis detection in Poland.

Joanna Zajkowska, Elżbieta Waluk, Renata Świerzbińska, Justyna Dunaj, Olga Zajkowska, Dominik Wawrzuta, Jolanta Niścigorska-Olsen, Marek Matukiewicz, Barbara Oczko-Grzesik, Daniel Veltze and 13 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. 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

23 authors.

Joanna ZajkowskaDepartment of Infectious Diseases and Neuroinfections, Medical University in Białystok, Białystok, Poland.
Elżbieta WalukDepartment of Infectious Diseases and Neuroinfections, Medical University in Białystok, Białystok, Poland.
Renata ŚwierzbińskaDepartment of Infectious Diseases and Neuroinfections, Medical University in Białystok, Białystok, Poland.
Justyna DunajDepartment of Infectious Diseases and Neuroinfections, Medical University in Białystok, Białystok, Poland.
Olga ZajkowskaFaculty of Economic Sciences, University of Warsaw, Warsaw, Poland.
Dominik WawrzutaDepartment of Radiotherapy, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland.ORCID https://orcid.org/0000-0002-0846-8906
Jolanta Niścigorska-OlsenDepartment of Infectious, Tropical Diseases and Immune Deficiency, Pomeranian Medical University, Szczecin, Poland.
Marek MatukiewiczInfectious Diseases Department, University Hospital of Karol Marcinkowski in Zielona Góra, Zielona Góra, Poland.
Barbara Oczko-GrzesikDepartment of Infectious Diseases and Hepatology, Medical University of Silesia, Bytom, Poland.
Daniel VeltzeProvincial Sanitary and Epidemiological Station in Gdańsk, Gdańsk, Poland.
Katarzyna Bernacka-AndrzejewskaDepartment of Infectious Diseases, Ludwik Perzyna Complex Hospital, Kalisz, Poland.
Katarzyna Burchart-AdamczykDepartment of Infectious Diseases, Ludwik Perzyna Complex Hospital, Kalisz, Poland.
Ewa DutkiewiczInfectious Diseases Department, Healthcare Team Hospital in Busko-Zdrój, Busko-Zdrój, Poland.
Jadwiga MaciukajćInfectious Diseases Department, Healthcare Team Hospital in Busko-Zdrój, Busko-Zdrój, Poland.
Krystyna KoniecznyObservation and Infectious Diseases and Viral Hepatitis Department, Specialist Hospital in Jasło, Jasło, Poland.
Danuta Malcher-BoberObservation and Infectious Diseases Department, Provincial Hospital in Przemyśl, Przemyśl, Poland.
Dorota DybowskaDepartment of Infectious Diseases and Hepatology, Faculty of Medicine, Nicolaus Copernicus University, Bydgoszcz, Poland.
Małgorzata Hapyn-RochaObservation and Infectious Diseases Department, Ludwik Rydygier Voivodship Polyclinical Hospital, Toruń, Poland.
Monika Marsik-StyrkoszPediatric and Pediatric Neurology Department, The John Paul II Specialist Hospital in Kraków, Kraków, Poland.
Grzegorz KmakPediatric and Pediatric Neurology Department, The John Paul II Specialist Hospital in Kraków, Kraków, Poland.
Monika Bociąga-JasikDepartment of Infectious and Tropical Diseases, Jagiellonian University Medical College, Kraków, Poland.ORCID https://orcid.org/0000-0002-6474-0177
Magdalena Byś-ChrzanowskaClinical Infectious Diseases Department, Medical Center in Łańcut, Łańcut, Poland.
Iwona Paradowska-StankiewiczDepartment of Epidemiology, National Institute of Public Health-National Institute of Hygiene in Warsaw, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTick-borne encephalitis virus (TBEV) infections remain underreported in Poland, leading to inadequate public awareness of the potential severity of the disease and its preventive measures.

aimThis study aims to assess the incidence of tick-borne encephalitis (TBE) in non-endemic regions of Poland by analyzing serum or cerebrospinal fluid (CSF) samples from patients with neuroinfections of unknown origin. MATERIALS AND

methodsIn this study, 29 departments specializing in neuroinfections were involved. Hospitals were chosen from regions classified as non-endemic with limited TBE reporting. Patients treated between April 1, and December 31, who had neuroinfections of unknown origin, were enrolled. Their CSF or serum samples underwent serological diagnosis of TBE using the Virotech ELISA kit at the Immunoserology Laboratory of the Medical University of Białystok. In addition, we used questionnaires to collect clinical and epidemiological data from patients.

resultsAmong 766 patients, 124 exhibited serum or CSF antibodies against TBEV. None of them were vaccinated against TBE. The highest positivity rates were observed in Małopolskie (31%), Świętokrzyskie (24%), and Dolnośląskie (22%) voivodeships. In contrast, the Kujawsko-Pomorskie (2%), Pomorskie (3%), and Zachodniopomorskie (7.5%) voivodeships showed the lowest ratios. All patients reported their place of residence as a potential source of infection, some also mentioning outdoor activities, travel, work, and unpasteurized dairy consumption.

conclusionsThis study reveals a notable incidence of TBE infections in patients with nonspecific neuroinfections residing in regions historically seen as non-endemic. These findings emphasize the need for improved reporting and educational initiatives to raise awareness of the risk of TBE.

Indexed as

Encephalitis, Tick-BorneEncephalitis Viruses, Tick-BorneSerologic TestsAdolescentAdultAgedAntibodies, ViralChildChild, PreschoolEnzyme-Linked Immunosorbent AssayFemaleHumansIncidenceMaleMiddle AgedPolandAntibodies, Viral

Identifiers

PMID40378369
PMCPMC12084051

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.