Evidence map›Paper›PMID 40559609›Full record

ArticlePathogens (Basel, Switzerland)2025

Deploying Metagenomics to Characterize Microbial Pathogens During Outbreak of Acute Febrile Illness Among Children in Tanzania.

Shabani Ramadhani Mziray, George Githinji, Zaydah R de Laurent, Peter M Mbelele, Khadija S Mohammed, Boaz D Wadugu, Brian S Grundy, Scott K Heysell, Stellah G Mpagama, Jaffu O Chilongola

Abstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 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
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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

10 authors.

Shabani Ramadhani MzirayDepartment of Biochemistry and Molecular Biology, KCMC University, Moshi P.O. Box 2240, Tanzania.ORCID 0000-0001-8598-6400
George GithinjiKEMRI-Wellcome Trust Research Programme, Kilifi P.O. Box 230, Kenya.ORCID 0000-0001-9640-7371
Zaydah R de LaurentKEMRI-Wellcome Trust Research Programme, Kilifi P.O. Box 230, Kenya.
Peter M MbeleleKibong'oto Infectious Diseases Hospital, Kilimanjaro P.O. Box 12, Tanzania.ORCID 0000-0002-2693-187X
Khadija S MohammedKEMRI-Wellcome Trust Research Programme, Kilifi P.O. Box 230, Kenya.
Boaz D WaduguKilimanjaro Clinical Research Institute, Moshi P.O. Box 2236, Tanzania.ORCID 0009-0000-8632-859X
Brian S GrundyDivision of Infectious Diseases, University of Colorado, Aurora, CO 80045, USA.
Scott K HeysellDivision of Infectious Diseases and International Health, University of Virginia, Charlottesville, VA 22903, USA.
Stellah G MpagamaKibong'oto Infectious Diseases Hospital, Kilimanjaro P.O. Box 12, Tanzania.ORCID 0000-0002-0660-6930
Jaffu O ChilongolaDepartment of Biochemistry and Molecular Biology, KCMC University, Moshi P.O. Box 2240, Tanzania.

Funding

Urine Colorimetry for Tuberculosis Pharmacokinetics Evaluation in Children and AdultsR01AI137080 · NIAID · UNIVERSITY OF VIRGINIA · PI Scott K Heysell, Leonid Kagan · 2018 to 2026
$6.3M
Developing research leaders at the intersection of malnutrition and tuberculosis in TanzaniaD43TW012247 · FIC · UNIVERSITY OF VIRGINIA · PI Scott K Heysell, STELLAH GEORGE MPAGAMA · 2022 to 2026
$1.4M
A global Infectious diseases framework to grow interdisciplinary researchK24AI187675 · NIAID · UNIVERSITY OF VIRGINIA · PI Scott K Heysell · 2025 to 2026
$292k
European & Developing Countries Clinical Trials Partnership TMA2016SF-1463-REMODELTZFIC NIH HHS D43 TW012247NIAID NIH HHS K24 AI187675NIAID NIH HHS R01 AI137080
6 · The paper itself

Abstract

Outbreaks of infectious diseases contribute significantly to morbidity and mortality in resource-limited settings, yet the capacity to identify their etiology remains limited. We aimed to characterize microbes and antimicrobial resistance (AMR) genes in Tanzanian children affected by an acute febrile illness (AFI) outbreak using metagenomic next-generation sequencing (mNGS). A cross-sectional study was conducted on archived blood samples from children who presented with AFI between 2018 and 2019. Total nucleic acids were extracted from 200 µL of blood, and complementary DNA (cDNA), along with enriched pathogenic DNA, was sequenced using the Illumina MiSeq platform. mNGS data were analyzed using CZ-ID Illumina mNGS bioinformatics pipeline v7.0. Results were obtained from 25 participants (mean age: 11.6 years; SD ± 5), of whom 36% had a moderate to high-grade fever. The following five potential microbial causes of AFI were identified:

Indexed as

BacteriaDisease OutbreaksFeverMetagenomicsAcute DiseaseAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHigh-Throughput Nucleotide SequencingHumansMaleTanzaniaacute febrile illnessmetagenomic next-generation sequencingmNGS

Identifiers

PMID40559609
PMCPMC12196098

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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.