Evidence map›Paper›PMID 40616155›Full record

ArticleParasites & vectors2025

Triatoma dimidiata, domestic animals and acute Chagas disease: a 10-year follow-up after an eco-bio-social intervention.

Jose G Juarez, Andrea M Moller-Vasquez, María Granados-Presa, Pamela Pennington, Norma Padilla, Sujata Balasubramanian, Lisa D Auckland, Elsa Berganza, Estuardo Alvarado Liberato, Henry Esquivel and 5 more

Abstract read
In one paragraph

Article in Parasites & vectors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Who Feeds theMicroorganisms · 2026
    Article
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4 · The record

Corrections and comments

  • Update of
    2025
5 · Who and what money

Authors and funding

15 authors.

Jose G JuarezCollege of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, USA. jjuarez@icsnicaragua.org.
Andrea M Moller-VasquezCentro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala.
María Granados-PresaCentro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala.
Pamela PenningtonCentro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala.
Norma PadillaCentro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala.
Sujata BalasubramanianCollege of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, USA.
Lisa D AucklandCollege of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, USA.
Elsa BerganzaDepartamento de Epidemiología de la Dirección Departamental de Redes de Servicios Integrados de Salud Jutiapa, Ministerio de Salud Pública y Asistencia Social, Jutiapa, Guatemala.
Estuardo Alvarado LiberatoDepartamento de Epidemiología de la Dirección Departamental de Redes de Servicios Integrados de Salud Jutiapa, Ministerio de Salud Pública y Asistencia Social, Jutiapa, Guatemala.
Henry EsquivelSección de Vectores de Jutiapa de Redes de Servicios Integrados de Salud Jutiapa, Ministerio de Salud Pública y Asistencia Social, Jutiapa, Guatemala.
Ranferi TrampeDepartamento de Epidemiología de la Dirección Departamental de Redes de Servicios Integrados de Salud Jutiapa, Ministerio de Salud Pública y Asistencia Social, Jutiapa, Guatemala.
Louisa A MessengerParasitology and Vector Biology Laboratory (PARAVEC Lab), School of Public Health, University of Nevada, Las Vegas, NV, USA.
Celia Cordón-RosalesCentro de Estudios en Salud, Universidad del Valle de Guatemala, Guatemala City, Guatemala.
Gabriel L HamerDepartment of Entomology, Texas A&M University, College Station, USA.
Sarah A HamerCollege of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, USA. shamer@cvm.tamu.edu.

Funding

Kissing bug kill trap for control of Trypanosoma cruzi infectionR21AI166446 · NIAID · TEXAS A&M AGRILIFE RESEARCH · PI BANFIELD, MICHAEL GILBERT, HAMER, GABRIEL LEE · 2021 to 2022
$398k
NIAID NIH HHS R21 AI166446NIH HHS R21AI166446-01
6 · The paper itself

Abstract

backgroundTrypanosoma cruzi, the causative agent of Chagas disease, is primarily transmitted by triatomine insects, including Triatoma dimidiata. In Central America, vector control programs have significantly reduced transmission; however, certain regions, such as Comapa municipality, department of Jutiapa, Guatemala, continue to experience persistent T. dimidiata infestation. This study presents a 10-year follow-up assessment of triatomine infestation, T. cruzi infection and acute Chagas disease cases after an eco-bio-social intervention.

methodsBetween June and August 2022, entomological surveys were conducted in four communities of Comapa municipality. Seventy-six households were systematically searched for triatomines using the one-person hour method. Triatomines were collected and processed for T. cruzi detection using real-time PCR (qPCR), and blood meal analysis was performed to assess host feeding patterns. Dog samples and environmental DNA from household surfaces were also processed for T. cruzi detection. Additionally, surveillance for acute Chagas disease cases was carried out in collaboration with the Ministry of Health.

resultsPersistent household infestation by T. dimidiata was observed across all four communities, with infestation rates ranging from 17% to 38% and colonization levels ranging from 9% to 29%. The mean household triatomine density remained low, suggesting a possible reduction in transmission risk. A total of 86 triatomines were collected, of which 26% tested positive for T. cruzi (all TcI strain). Amplicon deep-sequencing analysis of the blood meals from triatomines identified seven vertebrate species and one insect family as hosts upon which triatomines had previously fed, with chickens and dogs being the most common blood meal sources (occurring in 85% of triatomines). Of the 132 dogs processed, 22% were positive for T. cruzi (all TcI strain). Two acute Chagas disease cases in children were detected in the surveillance period, including one child in 2015 who remained seropositive in 2022, emphasizing the need for continued surveillance.

conclusionsDespite the multiple interventions that have been carried out for over a decade in Comapa municipality, T. dimidiata infestation remains high in the area, with sustained evidence of acute Chagas disease in humans, necessitating continued vector control efforts. The persistence of T. cruzi transmission among triatomines and dogs and the predominant role of chickens and dogs in supporting the vector population highlight the need for innovative control strategies, including those that target domestic animals, to mitigate Chagas disease risk.

Indexed as

Animals, DomesticChagas DiseaseInsect VectorsTriatomaAnimalsDogsFollow-Up StudiesGuatemalaHumansTrypanosoma cruziAcute casesChagas diseaseFollow-upPersistentTreatmentTriatomines

Identifiers

PMID40616155
PMCPMC12228295

What OpenQuestion holds

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LicenceCC BY
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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.