{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:37:39Z","timestamp":1792787859199,"version":"4.5.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T00:00:00Z","timestamp":1718150400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Programme d\u2019Appui \u00e0 l\u2019Enseignement Sup\u00e9rieur"},{"name":"Fonds National de la Recherche et de l\u2019Innovation pour le D\u00e9veloppement"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Infect Dis Poverty"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In 2023, Burkina Faso experienced the largest dengue epidemic ever in Africa. This study aimed to estimate the prevalence of symptomatic, subclinical, and asymptomatic dengue and determine the associated factors among adult contacts of dengue in the Central Region, Burkina Faso.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This cross-sectional study included contacts of dengue probable cases through cluster sampling in 2022\u20132023. These suspected cases that tested positive were identified from the five health facilities (Pissy CMA, Saaba CM, Kossodo CMA, Samandin CM, and Marcoussis CSPS) that reported the highest number of cases in 2021 per district. All participants underwent dengue and malaria rapid diagnostic tests (RDT). Samples positive for non-structural 1 protein antigen (AgNS1) and\/or immunoglobulin M (IgM) were tested for serotype detection by reverse transcription polymerase chain reaction (RT-PCR). Binary logistic regression was done to identify the determinants of asymptomatic, subclinical, and symptomatic dengue among contacts of probable dengue cases.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A\u00a0total of 484 contacts were included, mostly in 2023 (75.2%). Most participants were females (58.6%), residing (24.3%) and passing their daytime (23.1%) in Saaba. The overall prevalence of dengue was estimated at 15.1% [95% confidence interval (<jats:italic>CI<\/jats:italic>): 12.0\u201318.6%], representing cases not seeking care in hospitals. Asymptomatic cases represented 2.9% (95% <jats:italic>CI<\/jats:italic>: 1.6\u20134.8%). Subclinical and symptomatic cases accounted for 6.0% (95% <jats:italic>CI<\/jats:italic>: 4.1\u20138.5%) and 6.2% (95% <jats:italic>CI<\/jats:italic>: 4.2\u20138.7%), respectively. Of the 58 samples tested by RT-PCR, 10 were confirmed for serotype 3 in 2023. Malaria cases were estimated at 5.6% (95% <jats:italic>CI<\/jats:italic>: 3.7\u20138.0%). After adjustment, participants claiming that a virus transmits dengue were likelier to have asymptomatic dengue [adjusted odds ratio <jats:italic>(<\/jats:italic>a<jats:italic>OR)<\/jats:italic>\u2009=\u20097.1, 95% <jats:italic>CI<\/jats:italic>: 2.4\u201321.0]. From the multivariable analysis, subclinical dengue was statistically associated with being included in the study in 2023 (a<jats:italic>OR<\/jats:italic>\u2009=\u200930.2, 95% <jats:italic>CI<\/jats:italic>: 2.0\u2013455.5) and spending the daytime at Arrondissement 4 (a<jats:italic>OR<\/jats:italic>\u2009=\u200911.5, 95% <jats:italic>CI<\/jats:italic>: 1.0\u2013131.0). After adjustment, symptomatic dengue was associated with living less than 50 m away from cultivated land (a<jats:italic>OR<\/jats:italic>\u2009=\u20092.8, 95% <jats:italic>CI<\/jats:italic>: 1.1\u20136.9) and living less than 50 m from a stretch of water (a<jats:italic>OR<\/jats:italic>\u2009=\u20090.1, 95% <jats:italic>CI<\/jats:italic>: 0.0\u20130.6).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The overall burden of dengue among populations not seeking care in hospitals was quite high, with few asymptomatic cases. Efforts to manage dengue cases should also target non-hospital cases and raise population awareness. The 2023 epidemic could be due to dengue virus (DENV)-3.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical Abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1186\/s40249-024-01212-5","type":"journal-article","created":{"date-parts":[[2024,6,12]],"date-time":"2024-06-12T09:01:55Z","timestamp":1718182915000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Estimating dengue burden among family contacts through cluster investigation around probable cases in 2022 and 2023 in the Central Region, Burkina Faso"],"prefix":"10.1186","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9017-0123","authenticated-orcid":false,"given":"Jean Claude Romaric Pingdwind\u00e9","family":"Ou\u00e9draogo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvain","family":"Ilboudo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prosper","family":"Bado","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tegwind\u00e9 Rebeca","family":"Compaor\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alix","family":"Tougma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Niti\u00e9ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdou Azaque","family":"Zour\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lazare","family":"Belemnaba","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvin","family":"Ou\u00e9draogo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L\u00e9on Gueswend\u00e9 Blaise","family":"Savadogo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,12]]},"reference":[{"key":"1212_CR1","unstructured":"WHO. 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Participants aged 16 to 18 years had to sign an informed assent in addition to their parents or caregivers consent.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"45"}}