Evidence map›Paper›PMID 41524234›Full record

SynthesisJournal of global health2026

Invasive non-typhoidal Salmonella infections in China (1961-2024): a retrospective systematic analysis of multicentre case reports.

Haiyang Zhou, Chenghao Jia, Qianzhe Cao, Linlin Huang, Lin Teng, Zining Wang, Chenghu Huang, Fang He, Yan Li, Guoping Zhao and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of global health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Persistence of non-typhoidalFrontiers in microbiology · 2026
    Review
  8. Mediterranean journal of hematology and infectious diseases · 2026
    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

11 authors.

Haiyang Zhou *Department of Veterinary Medicine, College of Animal Sciences, Zhejiang University, Hangzhou, China.
Chenghao Jia *School of Life Science, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou, China.
Qianzhe CaoDepartment of Veterinary Medicine, College of Animal Sciences, Zhejiang University, Hangzhou, China.
Linlin HuangDepartment of Veterinary Medicine, College of Animal Sciences, Zhejiang University, Hangzhou, China.
Lin TengSchool of Life Science, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou, China.
Zining WangDepartment of Veterinary Medicine, College of Animal Sciences, Zhejiang University, Hangzhou, China.
Chenghu HuangDepartment of Veterinary Medicine, College of Animal Sciences, Zhejiang University, Hangzhou, China.
Fang HeDepartment of Veterinary Medicine, College of Animal Sciences, Zhejiang University, Hangzhou, China.
Yan LiDepartment of Veterinary Medicine, College of Animal Sciences, Zhejiang University, Hangzhou, China.
Guoping ZhaoSchool of Life Science, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou, China.
Min YueSchool of Life Science, Hangzhou Institute for Advanced Study, University of Chinese Academy of Sciences, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Salmonella can be classified as either typhoidal or non-typhoidal. The former primarily causes invasive infections, while the latter typically results in self-limiting diarrhoea. Infections caused by invasive non-typhoidal Salmonella (iNTS) are becoming an emerging global health burden, particularly in low- and middle-income regions. While they account for thousands of deaths each year, we still lack systematic analysis on their burden and epidemiology in Asia, particularly in China. Methods: We searched Web of Science, PubMed, China National Knowledge Infrastructure, Wanfang Data, Airiti Library, and the China Science and Technology Journal Database on 31 March 2024. The primary outcomes of interest included the spatiotemporal distribution of iNTS infection cases, patients' characteristics, and clinical outcomes. The secondary outcomes encompassed characterisation of isolates, medical histories, and medication usage. We used the Open Meta-Analyst software to estimate the case fatality rate. Results: We included 199 publications for analysis. Eastern regions of China were identified as hotspots for infection, males and children were especially susceptible populations, while trauma and metabolic diseases emerged as major risk factors associated with infection. Typhimurium, Choleraesuis, and Enteritidis were the top three serovars responsible for infections, with the bloodstream being the most frequent site of invasion. The overall case-fatality rate of iNTS in China was 8.6% (95% confidence interval = 6.8-10.4). Conclusions: In exploring the epidemiological trends of iNTS infections in China, we observed significant risk associations with both patient characteristics and pathogen-specific determinants. There is an urgent need to establish enhanced surveillance systems and implement geographically tailored interventions+, particularly in economically underdeveloped regions. Registration: PROSPERO (CRD42024569499).

Indexed as

Salmonella InfectionsAdolescentAdultChildChild, PreschoolChinaFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsSalmonella

Identifiers

PMID41524234
PMCPMC12796866

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.