Evidence map›Paper›PMID 41291885›Full record

ArticleBMC research notes2025

Syndromic presentation by patients with malaria and respiratory symptoms in a malaria-endemic urban-and-peri-urban setting.

Haruna Muwonge, Roselyne Akugizibwe, Godfrey Bbosa, Ali Moses Damani, Brenda Nakidde, Richard Mugahi, Pauline Byakika-Kibwika

Abstract read
In one paragraph

Article in BMC research notes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Haruna MuwongeMakerere University College of Health Sciences, Kampala, Uganda. harunamuwonge@gmail.com.
Roselyne AkugizibweMakerere University College of Health Sciences, Kampala, Uganda.
Godfrey BbosaMakerere University College of Health Sciences, Kampala, Uganda.
Ali Moses DamaniMakerere University College of Health Sciences, Kampala, Uganda.
Brenda NakiddeMakerere University Lung Institute, Kampala, Uganda.
Richard MugahiMinistry of Health, Kampala, Uganda.
Pauline Byakika-KibwikaMakerere University Lung Institute, Kampala, Uganda.

Funding

Training in malaria surveillance, epidemiology and implementation science research to strengthen malaria policy and control in UgandaD43TW010526 · FIC · MAKERERE UNIVERSITY COLLEGE OF HEALTH SCIENCES · PI MATTHEW G DORSEY, MOSES Robert KAMYA · 2017 to 2026
$2.3M
NIH HHS D43TW010526
6 · The paper itself

Abstract

objectiveIn malaria-endemic areas, adults frequently present with symptoms resembling upper respiratory infections such as fever, cough, and sore throat, complicating clinical diagnosis. This study aimed to determine the prevalence of malaria among adults presenting with upper respiratory symptoms in an urban and peri-urban Ugandan setting, identify predictive symptom patterns, and assess a simple symptom-based score for malaria risk. The analysis was derived from screening data collected as part of an ongoing malaria treatment study.

resultsAmong 332 adults evaluated at six outpatient clinics, malaria was confirmed in 16.0% by both rapid diagnostic test and microscopy. Fever and cough were the most frequent symptoms and the strongest independent predictors of malaria. Malaria positivity increased with the number of symptoms; from 0.8% among those with one symptom to 100% among those with four. Combinations that included fever, particularly fever with cough or sore throat, yielded the highest malaria positivity. A four-point symptom score (fever, cough, nasal symptoms, sore throat) showed 98.1% sensitivity and 47.3% specificity at a threshold of two or more symptoms. Incorporating this score into triage could optimize malaria testing in resource-limited outpatient settings.

Indexed as

CoughEndemic DiseasesFeverMalariaPharyngitisRespiratory Tract InfectionsUrban PopulationAdolescentAdultFemaleHumansMaleMiddle AgedPrevalenceUgandaYoung AdultCoughDecision treeDiagnostic algorithmFeverMalariaOutpatient careSyndromic presentationTriage scoreUgandaUpper respiratory tract infection

Identifiers

PMID41291885
PMCPMC12645743

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.