Dengue and Other Common Causes of Acute Febrile Illness in Asia: An Active Surveillance Study in Children
Publication Date
July 25, 2013
Journal
PLoS Neglected Tropical Diseases
Authors
Maria Rosario Capeding, Mary Noreen Chua, Sri Rezeki Hadinegoro, Ismail I. H. M. Hussain, et al
Volume
7
Issue
7
Pages
e2331
DOI
https://dx.plos.org/10.1371/journal.pntd.0002331
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0002331
Web of Science
000322321500039
Scopus
84880859333
Mendeley
http://www.mendeley.com/research/dengue-other-common-causes-acute-febrile-illness-asia-active-surveillance-study-children-2
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Mendeley | Further Information

{"title"=>"Dengue and Other Common Causes of Acute Febrile Illness in Asia: An Active Surveillance Study in Children", "type"=>"journal", "authors"=>[{"first_name"=>"Maria Rosario", "last_name"=>"Capeding"}, {"first_name"=>"Mary Noreen", "last_name"=>"Chua"}, {"first_name"=>"Sri Rezeki", "last_name"=>"Hadinegoro"}, {"first_name"=>"Ismail I. H. M.", "last_name"=>"Hussain"}, {"first_name"=>"Revathy", "last_name"=>"Nallusamy"}, {"first_name"=>"Punnee", "last_name"=>"Pitisuttithum"}, {"first_name"=>"Kusnandi", "last_name"=>"Rusmil"}, {"first_name"=>"Usa", "last_name"=>"Thisyakorn"}, {"first_name"=>"Stephen J.", "last_name"=>"Thomas"}, {"first_name"=>"Ngoc", "last_name"=>"Huu Tran"}, {"first_name"=>"Dewa Nyoman", "last_name"=>"Wirawan"}, {"first_name"=>"In-Kyu", "last_name"=>"Yoon"}, {"first_name"=>"Alain", "last_name"=>"Bouckenooghe"}, {"first_name"=>"Yanee", "last_name"=>"Hutagalung"}, {"first_name"=>"Thelma", "last_name"=>"Laot"}, {"first_name"=>"Tram Anh", "last_name"=>"Wartel"}], "year"=>2013, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"doi"=>"10.1371/journal.pntd.0002331", "sgr"=>"84880859333", "issn"=>"1935-2735", "pui"=>"369444566", "isbn"=>"10.1371/journal.pntd.0002331", "pmid"=>"23936565"}, "id"=>"37cc17dd-7234-3a55-b6dd-c2b9b18a0541", "abstract"=>"BACKGROUND: Common causes of acute febrile illness in tropical countries have similar symptoms, which often mimic those of dengue. Accurate clinical diagnosis can be difficult without laboratory confirmation and disease burden is generally under-reported. Accurate, population-based, laboratory-confirmed incidence data on dengue and other causes of acute fever in dengue-endemic Asian countries are needed.\\n\\nMETHODS AND PRINCIPAL FINDINGS: This prospective, multicenter, active fever surveillance, cohort study was conducted in selected centers in Indonesia, Malaysia, Philippines, Thailand and Vietnam to determine the incidence density of acute febrile episodes (≥ 38 °C for ≥ 2 days) in 1,500 healthy children aged 2-14 years, followed for a mean 237 days. Causes of fever were assessed by testing acute and convalescent sera from febrile participants for dengue, chikungunya, hepatitis A, influenza A, leptospirosis, rickettsia, and Salmonella Typhi. Overall, 289 participants had acute fever, an incidence density of 33.6 per 100 person-years (95% CI: 30.0; 37.8); 57% were IgM-positive for at least one of these diseases. The most common causes of fever by IgM ELISA were chikungunya (in 35.0% of in febrile participants) and S. Typhi (in 29.4%). The overall incidence density of dengue per 100 person-years was 3.4 by nonstructural protein 1 (NS1) antigen positivity (95% CI: 2.4; 4.8) and 7.3 (95% CI: 5.7; 9.2) by serology. Dengue was diagnosed in 11.4% (95% CI: 8.0; 15.7) and 23.9% (95% CI: 19.1; 29.2) of febrile participants by NS1 positivity and serology, respectively. Of the febrile episodes not clinically diagnosed as dengue, 5.3% were dengue-positive by NS1 antigen testing and 16.0% were dengue-positive by serology.\\n\\nCONCLUSIONS: During the study period, the most common identified causes of pediatric acute febrile illness among the seven tested for were chikungunya, S. Typhi and dengue. Not all dengue cases were clinically diagnosed; laboratory confirmation is essential to refine disease burden estimates.", "link"=>"http://www.mendeley.com/research/dengue-other-common-causes-acute-febrile-illness-asia-active-surveillance-study-children-2", "reader_count"=>139, "reader_count_by_academic_status"=>{"Unspecified"=>6, "Professor > Associate Professor"=>3, "Librarian"=>1, "Student > Doctoral Student"=>5, "Researcher"=>23, "Student > Ph. D. Student"=>16, "Student > Postgraduate"=>16, "Student > Master"=>31, "Other"=>12, "Student > Bachelor"=>18, "Lecturer"=>6, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>6, "Professor > Associate Professor"=>3, "Librarian"=>1, "Student > Doctoral Student"=>5, "Researcher"=>23, "Student > Ph. D. Student"=>16, "Student > Postgraduate"=>16, "Student > Master"=>31, "Other"=>12, "Student > Bachelor"=>18, "Lecturer"=>6, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>11, "Agricultural and Biological Sciences"=>31, "Arts and Humanities"=>1, "Veterinary Science and Veterinary Medicine"=>5, "Chemistry"=>2, "Computer Science"=>2, "Economics, Econometrics and Finance"=>1, "Engineering"=>1, "Environmental Science"=>2, "Biochemistry, Genetics and Molecular Biology"=>9, "Nursing and Health Professions"=>3, "Mathematics"=>1, "Medicine and Dentistry"=>51, "Pharmacology, Toxicology and Pharmaceutical Science"=>2, "Social Sciences"=>8, "Immunology and Microbiology"=>9}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>51}, "Social Sciences"=>{"Social Sciences"=>8}, "Mathematics"=>{"Mathematics"=>1}, "Unspecified"=>{"Unspecified"=>11}, "Environmental Science"=>{"Environmental Science"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>2}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Engineering"=>{"Engineering"=>1}, "Chemistry"=>{"Chemistry"=>2}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>9}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>31}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>3}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>9}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>5}}, "reader_count_by_country"=>{"Republic of Singapore"=>1, "Vietnam"=>1, "Brazil"=>3, "France"=>1, "Germany"=>1, "India"=>2, "Indonesia"=>1}, "group_count"=>13}

CrossRef

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/1130880"], "description"=>"<p>Laboratory-confirmed dengue: NS1 antigen positive; Probable dengue: IgM positive and/or fourfold rise in IgG.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Disease mapping", "Infectious disease epidemiology", "Survey methods", "Infectious diseases", "Bacterial diseases", "Salmonella", "neglected tropical diseases", "Dengue fever", "Tropical diseases (non-neglected)", "flavivirus", "Viral diseases", "influenza", "virologically", "serologically", "diagnosed", "dengue", "cases", "amongst", "had", "acute", "febrile"], "article_id"=>754985, "categories"=>["Medicine"], "users"=>["Maria Rosario Capeding", "Mary Noreen Chua", "Sri Rezeki Hadinegoro", "Ismail I. H. M. Hussain", "Revathy Nallusamy", "Punnee Pitisuttithum", "Kusnandi Rusmil", "Usa Thisyakorn", "Stephen J. Thomas", "Ngoc Huu Tran", "Dewa Nyoman Wirawan", "In-Kyu Yoon", "Alain Bouckenooghe", "Yanee Hutagalung", "Thelma Laot", "Tram Anh Wartel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0002331.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Percentage_of_virologically_and_serologically_diagnosed_dengue_cases_amongst_participants_who_had_at_least_one_acute_febrile_episode_during_the_study_/754985", "title"=>"Percentage of virologically and serologically diagnosed dengue cases amongst participants who had at least one acute febrile episode during the study.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-07-25 02:03:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/1130881"], "description"=>"<p>Data are the percentage of participants who had at least one acute febrile episode during the study, for whom IgM antibodies to these pre-specified infections were detected in acute or convalescent sera.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Disease mapping", "Infectious disease epidemiology", "Survey methods", "Infectious diseases", "Bacterial diseases", "Salmonella", "neglected tropical diseases", "Dengue fever", "Tropical diseases (non-neglected)", "flavivirus", "Viral diseases", "influenza", "non-dengue", "infections", "febrile"], "article_id"=>754986, "categories"=>["Medicine"], "users"=>["Maria Rosario Capeding", "Mary Noreen Chua", "Sri Rezeki Hadinegoro", "Ismail I. H. M. Hussain", "Revathy Nallusamy", "Punnee Pitisuttithum", "Kusnandi Rusmil", "Usa Thisyakorn", "Stephen J. Thomas", "Ngoc Huu Tran", "Dewa Nyoman Wirawan", "In-Kyu Yoon", "Alain Bouckenooghe", "Yanee Hutagalung", "Thelma Laot", "Tram Anh Wartel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0002331.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Frequency_of_most_commonly_detected_non_dengue_infections_in_febrile_participants_/754986", "title"=>"Frequency of most commonly detected non-dengue infections in febrile participants.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-07-25 02:03:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/1130882"], "description"=>"<p>Acute infections were determined by IgM positivity.</p>†<p>For each participant, only the first occurrence of an infection was used to calculate incidence density.</p>‡<p>Incidence density per 100 person-years of follow-up. NC: not calculated.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Disease mapping", "Infectious disease epidemiology", "Survey methods", "Infectious diseases", "Bacterial diseases", "Salmonella", "neglected tropical diseases", "Dengue fever", "Tropical diseases (non-neglected)", "flavivirus", "Viral diseases", "influenza", "non-dengue", "infections", "febrile"], "article_id"=>754987, "categories"=>["Medicine"], "users"=>["Maria Rosario Capeding", "Mary Noreen Chua", "Sri Rezeki Hadinegoro", "Ismail I. H. M. Hussain", "Revathy Nallusamy", "Punnee Pitisuttithum", "Kusnandi Rusmil", "Usa Thisyakorn", "Stephen J. Thomas", "Ngoc Huu Tran", "Dewa Nyoman Wirawan", "In-Kyu Yoon", "Alain Bouckenooghe", "Yanee Hutagalung", "Thelma Laot", "Tram Anh Wartel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0002331.t004"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Incidence_density_of_non_dengue_infections_in_febrile_participants_/754987", "title"=>"Incidence density of non-dengue infections in febrile participants.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-25 02:03:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/1130883"], "description"=>"†<p>Where a participant was enrolled the day before his/her birthday, the age was rounded to 15.0 years. N is the number of participants present at Visit 1.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Disease mapping", "Infectious disease epidemiology", "Survey methods", "Infectious diseases", "Bacterial diseases", "Salmonella", "neglected tropical diseases", "Dengue fever", "Tropical diseases (non-neglected)", "flavivirus", "Viral diseases", "influenza"], "article_id"=>754988, "categories"=>["Medicine"], "users"=>["Maria Rosario Capeding", "Mary Noreen Chua", "Sri Rezeki Hadinegoro", "Ismail I. H. M. Hussain", "Revathy Nallusamy", "Punnee Pitisuttithum", "Kusnandi Rusmil", "Usa Thisyakorn", "Stephen J. Thomas", "Ngoc Huu Tran", "Dewa Nyoman Wirawan", "In-Kyu Yoon", "Alain Bouckenooghe", "Yanee Hutagalung", "Thelma Laot", "Tram Anh Wartel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0002331.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Baseline_demographic_characteristics_of_the_study_cohort_/754988", "title"=>"Baseline demographic characteristics of the study cohort.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-25 02:03:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/1130884"], "description"=>"†<p>For each participant, only the first occurrence of a dengue-positive acute febrile episode was used to calculate incidence density.</p>‡<p>Incidence density per 100 person-years of study follow-up. Laboratory-confirmed dengue: NS1 positive; Probable dengue: IgM positive and/or fourfold rise in IgG.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Disease mapping", "Infectious disease epidemiology", "Survey methods", "Infectious diseases", "Bacterial diseases", "Salmonella", "neglected tropical diseases", "Dengue fever", "Tropical diseases (non-neglected)", "flavivirus", "Viral diseases", "influenza", "dengue", "febrile"], "article_id"=>754989, "categories"=>["Medicine"], "users"=>["Maria Rosario Capeding", "Mary Noreen Chua", "Sri Rezeki Hadinegoro", "Ismail I. H. M. Hussain", "Revathy Nallusamy", "Punnee Pitisuttithum", "Kusnandi Rusmil", "Usa Thisyakorn", "Stephen J. Thomas", "Ngoc Huu Tran", "Dewa Nyoman Wirawan", "In-Kyu Yoon", "Alain Bouckenooghe", "Yanee Hutagalung", "Thelma Laot", "Tram Anh Wartel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0002331.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Incidence_density_of_dengue_in_febrile_participants_/754989", "title"=>"Incidence density of dengue in febrile participants.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-25 02:03:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/1130885"], "description"=>"†<p>For each participant, only the first occurrence of an acute febrile episode was used to calculate the incidence density.</p>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Disease mapping", "Infectious disease epidemiology", "Survey methods", "Infectious diseases", "Bacterial diseases", "Salmonella", "neglected tropical diseases", "Dengue fever", "Tropical diseases (non-neglected)", "flavivirus", "Viral diseases", "influenza", "incidence", "acute", "febrile", "episodes"], "article_id"=>754990, "categories"=>["Medicine"], "users"=>["Maria Rosario Capeding", "Mary Noreen Chua", "Sri Rezeki Hadinegoro", "Ismail I. H. M. Hussain", "Revathy Nallusamy", "Punnee Pitisuttithum", "Kusnandi Rusmil", "Usa Thisyakorn", "Stephen J. Thomas", "Ngoc Huu Tran", "Dewa Nyoman Wirawan", "In-Kyu Yoon", "Alain Bouckenooghe", "Yanee Hutagalung", "Thelma Laot", "Tram Anh Wartel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0002331.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Proportion_and_incidence_density_of_acute_febrile_episodes_in_the_study_cohort_/754990", "title"=>"Proportion and incidence density of acute febrile episodes in the study cohort.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-07-25 02:03:32"}
  • {"files"=>["https://ndownloader.figshare.com/files/1130886", "https://ndownloader.figshare.com/files/1130887"], "description"=>"<div><p>Background</p><p>Common causes of acute febrile illness in tropical countries have similar symptoms, which often mimic those of dengue. Accurate clinical diagnosis can be difficult without laboratory confirmation and disease burden is generally under-reported. Accurate, population-based, laboratory-confirmed incidence data on dengue and other causes of acute fever in dengue-endemic Asian countries are needed.</p><p>Methods and principal findings</p><p>This prospective, multicenter, active fever surveillance, cohort study was conducted in selected centers in Indonesia, Malaysia, Philippines, Thailand and Vietnam to determine the incidence density of acute febrile episodes (≥38°C for ≥2 days) in 1,500 healthy children aged 2–14 years, followed for a mean 237 days. Causes of fever were assessed by testing acute and convalescent sera from febrile participants for dengue, chikungunya, hepatitis A, influenza A, leptospirosis, rickettsia, and <i>Salmonella</i> Typhi. Overall, 289 participants had acute fever, an incidence density of 33.6 per 100 person-years (95% CI: 30.0; 37.8); 57% were IgM-positive for at least one of these diseases. The most common causes of fever by IgM ELISA were chikungunya (in 35.0% of in febrile participants) and <i>S.</i> Typhi (in 29.4%). The overall incidence density of dengue per 100 person-years was 3.4 by nonstructural protein 1 (NS1) antigen positivity (95% CI: 2.4; 4.8) and 7.3 (95% CI: 5.7; 9.2) by serology. Dengue was diagnosed in 11.4% (95% CI: 8.0; 15.7) and 23.9% (95% CI: 19.1; 29.2) of febrile participants by NS1 positivity and serology, respectively. Of the febrile episodes not clinically diagnosed as dengue, 5.3% were dengue-positive by NS1 antigen testing and 16.0% were dengue-positive by serology.</p><p>Conclusions</p><p>During the study period, the most common identified causes of pediatric acute febrile illness among the seven tested for were chikungunya, <i>S.</i> Typhi and dengue. Not all dengue cases were clinically diagnosed; laboratory confirmation is essential to refine disease burden estimates.</p></div>", "links"=>[], "tags"=>["epidemiology", "Clinical epidemiology", "Disease mapping", "Infectious disease epidemiology", "Survey methods", "Infectious diseases", "Bacterial diseases", "Salmonella", "neglected tropical diseases", "Dengue fever", "Tropical diseases (non-neglected)", "flavivirus", "Viral diseases", "influenza", "causes", "acute", "febrile"], "article_id"=>754991, "categories"=>["Medicine"], "users"=>["Maria Rosario Capeding", "Mary Noreen Chua", "Sri Rezeki Hadinegoro", "Ismail I. H. M. Hussain", "Revathy Nallusamy", "Punnee Pitisuttithum", "Kusnandi Rusmil", "Usa Thisyakorn", "Stephen J. Thomas", "Ngoc Huu Tran", "Dewa Nyoman Wirawan", "In-Kyu Yoon", "Alain Bouckenooghe", "Yanee Hutagalung", "Thelma Laot", "Tram Anh Wartel"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0002331.s001", "https://dx.doi.org/10.1371/journal.pntd.0002331.s002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Dengue_and_Other_Common_Causes_of_Acute_Febrile_Illness_in_Asia_An_Active_Surveillance_Study_in_Children_/754991", "title"=>"Dengue and Other Common Causes of Acute Febrile Illness in Asia: An Active Surveillance Study in Children", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2013-07-25 02:03:32"}

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Relative Metric

{"start_date"=>"2013-01-01T00:00:00Z", "end_date"=>"2013-12-31T00:00:00Z", "subject_areas"=>[{"subject_area"=>"/Biology and life sciences", "average_usage"=>[269, 466, 588, 697, 800, 896, 988, 1076, 1165, 1254, 1340, 1417]}, {"subject_area"=>"/Biology and life sciences/Organisms", "average_usage"=>[281, 484, 611, 728, 835, 934, 1030, 1123, 1214, 1299, 1383, 1464]}, {"subject_area"=>"/People and places/Population groupings", "average_usage"=>[265, 456, 578, 682, 782, 881, 965, 1053, 1133, 1223, 1310, 1391, 1457]}]}

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