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Systematic Review

Bibliometric analysis and network visualization mapping of global research in Q fever vaccine

[version 1; peer review: 2 approved with reservations]
PUBLISHED 29 Mar 2022
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This article is included in the Research on Research, Policy & Culture gateway.

Abstract

Background: Query fever (Q fever), caused by Coxiella burnetii, is a highly infectious zoonotic infection to humans and livestock. Despite extensive efforts to develop effective vaccines against this disease, only one vaccine is licensed and available. The aim of this study was to investigate the global research trends, keystone bibliometric parameters, and network visualization mapping in Q fever vaccine from 1941 to 2021.  
Methods: A retrospective bibliometric followed by a visualized study was conducted. The searches were conducted in the Science Citation Index Expanded (SCI-E) Edition of Web of Science Core Collection (WoSCC). The following keywords were used: "Q fever" OR "Query fever" OR "Coxiella burnetii" OR "Coxiella-burnetii" OR "C. burnetii" (Topic) AND "Vaccin*" OR "Immuniz*" OR "Immunis*" (Topic) without any limitation. The data were plotted for co-authorship countries, co-occurrence keywords plus, and bibliographic coupling sources network visualization mapping. The VOSviewer version 1.6.17 was used for network visualization.  
Results: The bibliographical search resulted in a total of 478 publications which were included in this study. The publications were mainly published in English (n=436), while the major document types were articles (n=391). The most productive year was 2014 (n=33), while the most cited year was 2020 (n=1026). The extensively studied research areas were immunology and veterinary science, and the most used keywords plus were Q-fever and Coxiella-burnetii. Kazar J (n=17) was the leading author, while the famous journal was Acta Virologica (n=23). The most active institution was the Slovak Academy of Sciences (n=32), and the leading country was the US (n=129).  
Conclusion: A rapid increase has been observed in Q fever vaccine publications and citations in the past 20 years. This study might be of great interest to provide standard bibliographic information and keystones parameters in Q fever vaccine research.

Keywords

Q fever, Q fever vaccine, Bibliometric analysis, Web of Science, Visualization mapping

Introduction

Query fever (Q fever) is a highly infectious zoonotic infection to humans and livestock caused by the etiological agent Coxiella burnetii, an intracellular gram-negative bacterium widespread throughout the world.1,2 Domestic ruminants are believed to be the primary source of Q fever in humans.3,4 In humans, the infection is primarily transmitted via inhalation of aerosols from contaminated soil and animal excrement, most notably parturient fluids.49 Consumption, particularly raw milk, is also likely a route of C. burnetii transmission. Although C. burnetii has been isolated from arthropods, primarily ticks, it is unlikely that arthropod-borne transmission of Q fever is significant in humans.5,10 However, C. burnetii can infect other animal species, including pets and birds and cause human cases of Q fever.3,6,8,11 The majority of animal species infected with C. burnetii exhibit no symptoms.4,6 However, in goats and sheep, Q fever's most common clinical manifestations are abortion and stillbirth. Q fever has been linked to sporadic abortion, infertility, and metritis in cattle.6,12 Abortion epidemics in livestock have been reported in endemic regions, resulting in severe economic consequences.1,13,14 Abortion can result in the excretion of up to 1 billion C. burnetii per gram of placenta.15

In humans, the disease presents as an acute flu-like illness with a debilitating headache and cyclic fever as its hallmark symptoms.1,5 The typical signs and symptoms of symptomatic infection include headache, pyrexia, and respiratory tract infection, including atypical pneumonia; hepatitis is also a possibility.16 Chronic infection is well-known, most commonly manifesting as Q fever endocarditis.5,1618 Correlations between C. burnetii infections and the onset of atherosclerosis, chronic fatigue syndrome, and other cerebrovascular events also have been suggested.1,5,18,19 Despite extensive efforts to develop an effective vaccine against human Q fever, only Q-Vax® is commercially available, and its licensed use is limited to Australia.2022 Thus, the current study was conducted to explore the global research outputs, research areas, and frontiers, and to establish the visualization mapping of research in the Q fever vaccine.

Methods

Study design and database searches

A bibliometric review followed by a visualized study was conducted (See underlying data).23 The review is reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping review (PRISMA-ScR) guidelines.23 The Science Citation Index Expanded (SCI-E) Edition of Web of Science Core Collection (WoSCC) was used to search for relevant publication on the Q fever vaccine as of October 16, 2021. The Web of Science (WoS) is the world's oldest database belonging to the commercial provider.24,25 Currently, the WoS is hosted by Clarivate Analytics.26 The WoSCC database is a selective citation index of scholarly and scientific publishing covering books, data compilations, proceedings, and journals.25 The WoSCC is a commonly used database for bibliometric studies.2733 Previously published bibliometric studies conducted in medical and health sciences and other areas used SCI-E Edition of the WoSCC.3437 Therefore, in the current study, SCI-E Edition was utilized.

Searching keywords

The following keywords were used: “Q fever” OR “Query fever” OR “Coxiella burnetii” OR “Coxiella-burnetii” OR “C. burnetii” (Topic) AND “Vaccine*” OR “Immunize*” OR “Immunis*” (Topic). The searches were performed without any limitation in the topic field. The Topic field searches title, abstract, author keywords, and keywords plus.

Data extraction and analysis

We extracted many attributes such as author name, year of publication, journal, document type, institution, and country. The data were downloaded both in Comma-separated value and Tab delimited files. The collected information was entered into a Microsoft Excel spreadsheet, and the values were presented in frequencies and percentages.

Network visualization mapping

The data were exported in Tab delimited file into VOSviewer software version 1.17.1 for macOS for network visualization mapping. VOSviewer is a widely available tool for network visualization, overlay visualization, and density visualization mapping.38 The retrieved data were plotted for co-authorship countries, co-occurrence keywords plus, and bibliographic coupling sources network visualization mapping. After plotting the data, clusters were formed, and each color designates a different cluster. The minimum cluster size for co-authorship countries was fixed at 10. The countries with zero total link strength (TLS) were excluded from the plotting. The thicker line between the countries represents the stronger collaboration, while the larger node or label represents the higher the weight vice versa.39 The co-occurrence of a keyword plus was selected at 5. The keywords plus terms are generated from the titles of articles/documents cited by the author of the article being indexed. The articles/documents whose references are not linked to source items will not have keywords plus.40 The data were further plotted for bibliographic coupling sources based on the cited references. The minimum number of items of a source was selected at 5. Alongside network visualization, the density visualization mapping was generated. In density visualization, same as network and overlay visualization, the items are represented by their label. In density visualization, each point has a color that represents the density of items at that point. In the neighborhood of a point in density visualization, the larger the number of items, and the weights of the neighboring items, the closer the color of the point is to yellow color.39

Results

Characteristics of the studies

The initial search retrieved a total of 478 documents, and all the documents were included in the final bibliometric analysis and visualization mapping. The documents were published in nine languages: English (n=436), German (n=20), French (n=11), Czech (n=3), Dutch (n=3), Russian (n=2), Italian (n=1), Polish (n=1), and Slovak (n=1).

The included publications were cited 12,434 times (26.01 average citations per item) and 9,378 times without self-citations (19.62 average citations per item). The overall H-index value was 51 in the published documents. The most productive year of publications was 2014 (n=33, 884 citations), while the most cited year was 2020 (n=20, 1,026 citations), as shown in Figure 1. The documents published in 2021 (n=20) were cited 817 times.

a1d3bf02-7e9d-4396-9d13-fce27a781b43_figure1.gif

Figure 1. The number of publications and citations of studies in Q fever vaccine between 1941 to 2021.

The majority of the documents were published as original/research articles (n=391), followed by review articles (n=51), and proceeding papers (n=24) (Figure 2A). The most studied research areas were immunology, veterinary sciences, and infectious diseases (Figure 2B). The most prolific author was Kazar J (n=17) (Figure 2C) and most of the article published in Acta Virologica (n=23) (Figure 2D).

a1d3bf02-7e9d-4396-9d13-fce27a781b43_figure2.gif

Figure 2. Document types (A), top 10 most studied research areas (B), top 10 most prolific authors (C), and top 10 attractive journals (D) in Q fever vaccine research.

In total, 60 records did not contain institution names, while 34 records did not contain country names. The institution with the most publications (n=32) was the Slovak Academy of Sciences (Figure 3A). The top three leading countries in Q fever vaccine research were the USA (n=129), Australia (n=62), and the Netherlands (n=54), as shown in Figure 3B.

a1d3bf02-7e9d-4396-9d13-fce27a781b43_figure3.gif

Figure 3. Top 10 active institutions (A) and top 10 leading countries in Q fever vaccine research (B).

Co-authorship countries network and density visualization

Of the total countries, 18 countries with TLS zero were excluded from the mapping. For the rest of the countries, the TLS ranged from 1 to 36. USA was the leading country with the highest TLS with other countries (n=36), followed by Netherlands (n=28), Switzerland (n=27), France (n=21), and England (n=21). A total of two clusters were formed; cluster 1 consists of 23 countries, while cluster 2 had 16 countries (Figure 4).

a1d3bf02-7e9d-4396-9d13-fce27a781b43_figure4.gif

Figure 4. Co-authorship countries visualization mapping: (A) Network visualization and (B) Density visualization.

Co-occurrence keywords plus network and density visualization

Of the total keywords plus, only 105 met the criteria. At the same time, the cluster size was fixed at 10. A total of four clusters were formed; cluster 1 consists of 45 keywords plus, followed by cluster 2 (n=23), cluster 3 (n=20), and cluster 4 (n=17) (Figure 5). The widely used keywords plus based on occurrence and TLS was Q-fever (n=110, TLS=402), followed by Coxiella-burnetii (n=77, TLS=266), infection (n=67, TLS=338), vaccination (n=64, TLS=287), and an outbreak (n=57, TLS=275).

a1d3bf02-7e9d-4396-9d13-fce27a781b43_figure5.gif

Figure 5. Co-occurrence keywords plus visualization mapping: (A) Network visualization and (B) Density visualization.

Bibliographic coupling sources network and density visualization

Of the total publication sources, only 23 met the criteria and were plotted. Two clusters were formed; cluster 1 consisted of 12 items, while cluster 2 had 11 items. Based on TLS value, Vaccine, Infection and Immunity, and PLOS One were the leading sources of publication (Figure 6).

a1d3bf02-7e9d-4396-9d13-fce27a781b43_figure6.gif

Figure 6. Bibliographic coupling sources visualization mapping: (A) Network visualization and (B) Density visualization.

Discussion

This study has analyzed Q fever vaccine research trends and characteristics from 1941 to 2021. The key topics and research type in Q fever vaccine, main contributors and generators of knowledge in this field, and collaborations among researchers were presented. This study has shown an increase in publications and citations on Q fever vaccine research, especially for the last 20 years. This mirrors the trend of increasing vaccine-related publications throughout the years.41 However, publications on Q fever vaccinations are lagging other infectious diseases such as Ebola and HIV.42,43 This might be due to the status of Q fever as a neglected and understudied disease.44

The top research areas on Q fever vaccination include immunology, infectious disease, and microbiology. Furthermore, keyword analysis revealed that research areas include epidemiological surveys and pathophysiologic and genetic studies. This signifies the importance of fully understanding the disease entity to generate knowledge for vaccine production.22 Also included in the top research areas are veterinary sciences, public environmental, occupational health, and agriculture. This relates to the importance of Q fever not only for human health but also for the industry, particularly agriculture and animal husbandry.45

The USA is the leading country in terms of the number of publications in Q fever vaccination. Furthermore, 8 out of the top 10 leading institutions in the field are from the USA. This is consistent with the high scientific productivity of the USA across different fields.46 The USA is currently the country with the highest research expenditure and highest gross domestic product, which might explain its high productivity on research.47,48 Moreover, we have shown that USA authors had the highest TLS with other countries, signifying its rich collaborations. Cooperation and collaboration have been shown to correlate well with increased research productivity.49

Notably, some countries with a high disease burden, including Morocco, Zimbabwe, and Nigeria, are not the countries with the highest research production.44 This indicates an imbalance can be seen between research production and the burden of disease. Therefore, there is a need to increase research activities among these countries to provide more evidence on Q fever.

Most of the top 10 journals in the Q fever vaccine field are international journals. Furthermore, 6 out of the top 10 journals have an impact factor greater than 3.0. Journal selection is influenced by different factors including journal ranking system, reliability of reviewing, university and national policies, usefulness of reviewers’ feedback, and research funding bodies.50

Strengths and limitation

This is the first bibliometric study to summarize the global research output and trends in the Q fever vaccine indexed in WoSCC. The key bibliometric indices and visualization mapping were generated. This study used a single database WoSCC which may bias the results. Therefore, further studies are recommended to utilize multiple databases to evaluate the publication frequency and citation analysis.

Conclusion

This study used bibliometric analysis to provide an insight on the Q fever vaccine research, worldwide. In the past two decades, a rapid increase has been observed in Q fever vaccine publications and citations. USA was the leading country, and immunology was the most studied research in this field. The current study will provide standard bibliographic information and keystone parameters in Q fever vaccine research.

Data availability

Underlying data

Figshare: Bibliometric analysis and network visualization mapping of global research in Q fever vaccine.

DOI: https://doi.org/10.6084/m9.figshare.18316595.23

This project contains the following underlying data:

Q-fever data.text: (Data of the publications downloaded from the Web of Science that were used in this bibliometric analysis study)

Reporting Guidelines

Figshare: PRISMA-Scoping review checklist for “Bibliometric analysis and network visualization mapping of global research in Q fever vaccine”

DOI: https://doi.org/10.6084/m9.figshare.18316595.23

Data are available under the terms of the Creative Commons Attribution 4.0 International license (CC-BY 4.0).

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Ahmad T, Haroon H, Ornos EDB et al. Bibliometric analysis and network visualization mapping of global research in Q fever vaccine [version 1; peer review: 2 approved with reservations]. F1000Research 2022, 11:364 (https://doi.org/10.12688/f1000research.108909.1)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
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Reviewer Report 05 Nov 2024
Festus Mulakoli, The Aga Khan University School of nursing and Midwifery, Nairobi, Kenya 
Ann Kimani, ANS Programmes, The Aga Khan University - Kenya (Ringgold ID: 58585), Nairobi, Nairobi County, Kenya 
Approved with Reservations
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Summary of the article 
This bibliometric analysis of the Q fever vaccine offers valuable insights into the trends and patterns in vaccine-related publications. By systematically examining the publication data, this analysis sheds light on the evolving research landscape surrounding ... Continue reading
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HOW TO CITE THIS REPORT
Mulakoli F and Kimani A. Reviewer Report For: Bibliometric analysis and network visualization mapping of global research in Q fever vaccine [version 1; peer review: 2 approved with reservations]. F1000Research 2022, 11:364 (https://doi.org/10.5256/f1000research.120352.r336171)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Reviewer Report 26 Apr 2022
Carrie Mae Long, Laboratory of Bacteriology, Division of Intramural Research, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Hamilton, MT, USA 
Approved with Reservations
VIEWS 13
The submitted systematic review manuscript aims to investigate historic and modern Q fever vaccine-related publications. The authors conducted analysis of general research trends, global distribution, and other features related to these publications. The authors concluded that there has been a ... Continue reading
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HOW TO CITE THIS REPORT
Long CM. Reviewer Report For: Bibliometric analysis and network visualization mapping of global research in Q fever vaccine [version 1; peer review: 2 approved with reservations]. F1000Research 2022, 11:364 (https://doi.org/10.5256/f1000research.120352.r129250)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

Comments on this article Comments (0)

Version 1
VERSION 1 PUBLISHED 29 Mar 2022
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Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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