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Clinical Infectious Diseases Formatting Requirements: Complete Author Guide

Clinical Infectious Diseases limits Major Articles to 3,500 words with a structured abstract of up to 250 words and sets no limit on figures and tables. References are numbered in brackets on the text line, and Word is the standard submission format.

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Quick answer: Clinical Infectious Diseases (CID) is one of the top clinical journals in infectious disease medicine, published by Oxford University Press on behalf of the Infectious Diseases Society of America (IDSA).

With a 2025 Journal Impact Factor of 8.3 in the 2026 JCR release, CID publishes original research, clinical trials, reviews, and guideline documents that shape infectious disease practice worldwide. The editors reserve the right to return manuscripts that are not in accordance with the instructions. This guide walks through everything you need to know for a 2026 submission.

CID Major Articles allow 3,500 words, counting the abstract, with a structured abstract of up to 250 words and no limit on figures and tables. References are numbered in brackets on the text line. The journal asks every author to disclose potential conflicts of interest at submission and collects ICMJE forms at revision or acceptance. Supplementary data is hosted online through Oxford Academic.

Oxford University Press shared formatting rules apply across its journals (ICMJE-based numbered references, an online submission system, supplementary-data hosting); where this journal sets its own terms is the article-type limits (3,500 words and 50 references for a Major Article) and format-free first submission, so the journal needs its own pre-flight check rather than a generic OUP pass.

Before working through the formatting details, a Clinical Infectious Diseases formatting and readiness check flags the structural issues that cause desk rejection before editors even reach the formatting questions.

Word Limits by Article Type

CID publishes multiple article types with distinct formatting requirements.

Article Type
Word Limit
Abstract
Figures + Tables
References
Major Article
3,500
250 (structured)
No limit
50 max
Brief Report
2,000
50 (unstructured)
2 combined
15 max
Review Article
3,500
150 (unstructured)
No limit
50 max
State-of-the-Art Review
5,000
150 (unstructured)
No limit
100 max
Viewpoint
3,000
150 (unstructured)
No limit
50 max
Editorial
1,200
None listed
1 figure or table
10 max
Correspondence
500
N/A
1 figure or table
10 max

Word counts include the abstract and all manuscript content but exclude the title page, references, and figure legends. The 3,500-word limit for Major Articles is tighter than many clinical journals. You'll need to write efficiently, and extended methods or additional analyses can go into supplementary data (limited to 25 MB).

The distinction between Major Article and Brief Report isn't just about length. Brief Reports are for focused observations, small case series, or confirmatory studies. Major Articles present complete studies with full methodology and analysis. If you're submitting a pilot study or a single-center observation, Brief Report is usually the right format.

State-of-the-Art Reviews are generally invited manuscripts; if you are interested in writing one, send a pre-submission inquiry to the editorial office.

Structured Abstract Requirements

CID requires a structured abstract for Major Articles; Brief Reports and Review Articles use unstructured abstracts.

  • Word limit: 250 words maximum for a Major Article (50 words for a Brief Report, 150 words for a Review Article)
  • Required sections: Background, Methods, Results, Conclusions
  • No citations allowed
  • No abbreviations unless universally understood

The 250-word abstract is restrictive. At 250 words, you can't afford generic background statements. Start the Background section with the specific gap or question. The Methods section should name the study design and setting in one sentence. Results should include your primary endpoint with the effect size and confidence interval. Conclusions should be one sentence.

One thing that trips authors up: CID doesn't allow "Objective" or "Purpose" as a heading. It must be "Background." This is different from journals like Clinical Cancer Research which uses "Purpose" and "Experimental Design." Use exactly the headings CID specifies.

Review Articles use unstructured abstracts of up to 150 words. These should outline the scope of the review and its main conclusions.

Figure and Table Specifications

CID sets no limit on figures and tables for Major Articles, but the guidelines ask authors to avoid overcrowding in tables and unnecessary clutter in figures, and data in the text should not be repeated extensively in tables or figures. Brief Reports are limited to 2 figures and tables combined.

Figure requirements:

Parameter
Requirement
Resolution of final figure files
At least 300 DPI
Line drawings
At least 600 DPI at final size
Final file formats
.tiff or .eps, CMYK colors, fonts embedded
Figures at first submission
.docx, .pdf, .jpg, or a similar format is accepted
Multipart figures
One file, with panels labeled within the image
Color charge
Free online; $550 per printed color figure, none for OA papers

Table requirements:

  • Tables can be part of the manuscript file, placed after the references, each on a separate page with a title and footnotes where necessary
  • Every column needs a header row
  • Horizontal rules only
  • No vertical lines or shading
  • Abbreviations defined in footnotes
  • Units of measure given in parentheses at the top of each column rather than repeated on each line

Figure conventions worth following (the CID author guidelines do not list these):

  • Kaplan-Meier curves must include numbers at risk below the x-axis
  • Forest plots should follow standard formatting with diamond summary estimates
  • Antibiogram tables should use standard susceptibility breakpoints (CLSI or EUCAST)
  • Flowcharts for patient selection should follow CONSORT or STROBE conventions
  • Epidemic curves should use standard epidemiologic formatting

CID's readership includes practicing clinicians, epidemiologists, and microbiologists. Figures need to be immediately interpretable without extensive reference to the text. Don't rely on color alone to convey information; use patterns or labels for accessibility.

Reference Format

CID's reference style is based on the ICMJE Recommendations, with references numbered consecutively in the order they appear in the text. At first submission, references can be formatted in any readable style.

In-text citations: Numbers in brackets on the text line, for example [3, 7-9, 57]. References first cited in a table or figure are numbered in sequence with those in the text.

Worked example (ICMJE/NLM-based style, with the common mismatched form shown for contrast):

Sample in the ICMJE/NLM-based style: Smith AB, Jones CD, Brown EF. Risk factors for carbapenem-resistant Enterobacteriaceae in hospitalized patients. *Clin Infect Dis* 2025;**80**(3):412-420.
Not the journal's style (APA preset most reference managers default to): Smith, A. B., Jones, C. D., & Brown, E. F. (2025). Risk factors for carbapenem-resistant Enterobacteriaceae.

Clinical Infectious Diseases, 80(3), 412-420.

Any readable style is accepted at first submission, but authors may later be asked to comply with the journal's citation convention, which writes "Smith AB" with no comma or period inside the name and abbreviates the journal "Clin Infect Dis" with no periods (the journal's own sample references give page ranges in full, for example 505-511); the APA form your reference manager exports by default uses "Smith, A. B." and does not match the convention.

Key formatting rules:

  • List all authors up to 6; for 7+, list first 3 followed by "et al."
  • Journal names abbreviated according to the List of Journals Indexed for Medline; titles of journals not listed in Medline spelled out in full
  • Follow the journal's sample references, which give year, volume, and page range
  • No period after journal abbreviation (e.g., "Clin Infect Dis" not "Clin. Infect. Dis.")
  • Reference to a website must include access date

The 50-reference limit for Major Articles is set in the journal's article types table. This is tighter than many comparable journals and forces you to cite only the most relevant literature. Unpublished data should be cited in the text as unpublished data and not included in the reference list.

One common mistake: CID uses the NLM abbreviation "Clin Infect Dis" without periods, which is standard NLM style. Some reference managers add periods to abbreviations. Check your output format.

Supplementary Data

CID hosts supplementary data through Oxford Academic's online platform.

Common supplementary content:

  • Extended methods (laboratory protocols, statistical analysis details)
  • Additional tables (complete antibiotic susceptibility data, subgroup analyses)
  • Additional figures (supplementary Kaplan-Meier curves, sensitivity analyses)
  • Case report forms and questionnaires
  • Raw data tables for genomic or epidemiologic studies

Formatting:

  • Mark supplementary files clearly and include a summary of the file names and types
  • Refer to the supplementary material in the main manuscript, for example as (see Supplementary Figure 1)
  • Keep the total supplementary material to no more than 25 MB

Supplementary material must be submitted with the main manuscript, cannot be altered or replaced after the paper is accepted, and is not copyedited, so check it carefully before submission.

LaTeX vs. Word

The CID author guidelines name Word (.doc or .docx) as the submission format and do not mention LaTeX.

Word submissions:

  • Line numbers
  • Page numbers
  • Figures and tables can stay in the manuscript file at first submission; separate high-resolution files are requested later
  • Tables placed at the end of the manuscript, one per page

LaTeX submissions:

  • The author guidelines do not mention LaTeX; ask the editorial office before submitting LaTeX source files

Infectious disease research is a clinical field where Word dominates, and Word is the format the guidelines name.

Journal-Specific Quirks

CID has several requirements and practices that set it apart from other infectious disease journals.

1. Conflict of interest disclosure. CID requires all authors to disclose any potential conflict of interest at the point of submission, and the corresponding author must certify in the submission system that all conflicts have been disclosed. ICMJE forms are not required at initial submission; they are requested at revision or, if no revisions are needed, on acceptance. Disclosure of generative AI use is a separate item; our CID AI disclosure rules page covers where CID asks for it and what to name.

2. Antimicrobial susceptibility reporting standards. The CID author guidelines do not set breakpoint rules, but reviewers in this field commonly expect susceptibility data to follow CLSI (Clinical and Laboratory Standards Institute) or EUCAST breakpoints. Specify which standard you used and which version, and do not report susceptibility results without identifying the breakpoint criteria.

3. Patient consent and IRB documentation. CID requires a statement about institutional review board approval and patient consent in the Methods section. For studies involving identifiable patients, the specific consent process must be described.

4. ClinicalTrials.gov registration. All clinical trials must be registered before enrollment of the first patient. The registration number must appear in the abstract. CID follows ICMJE policy strictly on this.

5. Transfer between CID and Open Forum Infectious Diseases. If the paper is not appropriate for CID, the editors may offer a transfer to another IDSA journal, such as Open Forum Infectious Diseases (OFID), the IDSA's open-access companion journal, the Journal of Infectious Diseases, the Journal of the Pediatric Infectious Diseases Society, or Research Connections. The core author guidelines are shared across CID, JID, and OFID, so minimal reformatting is needed.

6. Nomenclature standards. CID attempts to use the latest widely accepted nomenclature for microorganisms, so use current taxonomic names (e.g., Clostridioides difficile, not Clostridium difficile). Generic names of drugs and other chemical compounds should be used, and the full names of manufacturers should be listed for commercially obtained products.

Reporting Guidelines

The CID author guidelines do not require a specific reporting checklist for each study type, but clinical-ID reviewers commonly expect these standard guidelines:

Study Type
Commonly used guideline
Randomized trials
CONSORT
Observational studies
STROBE
Systematic reviews
PRISMA
Diagnostic accuracy
STARD
Outbreak investigations
ORION
Case reports
CARE

For randomized controlled trials, CID does require the complete protocol with all amendments, uploaded as supplementary data (the guidelines refer to SPIRIT). The ORION statement for outbreak investigations is particularly relevant for CID and often overlooked.

Clinical Infectious Diseases Formatting vs Other Clinical Journals

The conventions you carry over from another clinical journal will not all transfer. This cross-journal table shows where CID differs from The Lancet, NEJM, and JAMA on the axes that cause the most reformatting.

Axis
Clinical Infectious Diseases
The Lancet
NEJM
JAMA
Reference style
ICMJE-based numbered, brackets on the text line
Vancouver
NEJM numbered
AMA superscript
Abstract
Structured, 250 words (Background)
Structured, ~300 words
Structured, ~250 words
Structured, 350 words (Importance)
Figures + tables
No limit (Major Article)
Up to ~8
Editor-set
Up to 5 combined
Word count
3,500 (Major Article)
~3,000-3,500
~2,700
3,000
Distinctive feature
Format-free first submission, 40-word summary
Research-in-context panel
Discussion length cap
Key Points box

Source: CID (OUP/IDSA), The Lancet, NEJM, and JAMA instructions for authors, accessed June 2026.

Common Mistakes That Auto-Formatters Miss

Reference managers handle the punctuation but miss the CID-specific rules; EndNote and Zotero default to adding periods to journal abbreviations (Clin. Infect. Dis.) and to an APA comma-initial author form, neither of which matches CID's convention, and exceeding the 250-word abstract or 50-reference limit can lead to a manuscript being returned. Formatting problems that put a manuscript at risk of being returned:

  • Exceeding the 250-word abstract limit
  • Using wrong abstract section headings
  • Exceeding the figure and table limit for your article type (2 for a Brief Report)
  • Missing IRB approval statement in Methods
  • Not specifying CLSI or EUCAST breakpoints for susceptibility data
  • References exceeding the limit for your article type (50 for a Major Article)
  • Using outdated organism nomenclature

Common decision questions

For quick answers to the most common CID formatting questions, see the FAQ section at the top of this page.

Before You Submit

CID's formatting requirements reflect its position as a leading clinical journal where precision in reporting matters. The tight word and reference limits force focused writing.

This guide was last verified against the CID author guidelines on October 9, 2026; the Oxford University Press publisher guideline pages were last revised in 2026, so re-check the live CID author page for any version change before you submit.

If you'd like to verify your manuscript meets CID's requirements before submission, Clinical Infectious Diseases pre-submission checklist checks your paper against the journal's specific formatting standards and catches issues that would trigger an administrative return.

For related formatting guides, see our Lancet formatting requirements and BMJ formatting requirements pages.

What Pre-Submission Reviews Reveal About Clinical Infectious Diseases Submissions

For manuscripts targeting Clinical Infectious Diseases, four patterns generate the most consistent desk-rejection outcomes.

Abstract word count exceeds the 250-word limit. CID sets a 250-word limit for the structured Major Article abstract, with the section headings Background, Methods, Results, and Conclusions. The editors reserve the right to return manuscripts that do not follow the instructions, so abstracts that exceed the limit or use other headings (such as "Patients and Methods" or "Objective") risk being returned for reformatting before peer review.

The structured format applies to Major Articles (Brief Reports use an unstructured abstract of up to 50 words), and in our review work the most common cause of an over-length abstract is a generic Background sentence that the 250-word cap simply cannot afford; we rewrite it to open on the specific clinical gap so the Methods, Results, and Conclusions each keep their share of the word budget.

Reporting checklist not submitted for study design. The CID author guidelines do not list a required reporting checklist per study type, but reviewers in clinical infectious diseases commonly expect CONSORT for randomized trials, STROBE for observational studies, and PRISMA for systematic reviews and meta-analyses, with page numbers showing where each item appears in the manuscript. For randomized controlled trials the guidelines do require the complete protocol and all amendments, uploaded as supplementary data.

Scope is laboratory or basic immunology without clinical patient data. CID is a clinical journal whose scope is infectious diseases as they present in clinical practice. Papers reporting in vitro antimicrobial susceptibility, animal model infection data, or basic immunological mechanisms without a clinical cohort, case series, or direct clinical application are desk-rejected for scope. The IDSA journal family has separate outlets for basic science (JID) and clinical care (CID).

Single-center, retrospective study without adequately powered sample size. CID receives a high volume of single-center retrospective cohort submissions. Papers with very small sample sizes (under 50 cases for rare infections, under 200 for common presentations) that do not include power calculations or acknowledge sample size as a limitation in the Discussion are often rejected as underpowered to support the conclusions.

A Clinical Infectious Diseases submission readiness check evaluates manuscript scope, OUP abstract format, and reporting checklist compliance against these desk-rejection patterns.

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Submit If / Think Twice If

Submit if:

  • Your abstract uses OUP headings (Background, Methods, Results, Conclusions) within 250 words
  • The appropriate reporting checklist (CONSORT, STROBE, PRISMA) is included with page numbers
  • Your study includes clinical patient data: cohort, case series, or clinical trial
  • Your sample size is adequate for the conclusions, with power calculation or limitation acknowledged

Think twice if:

  • Your study is laboratory-based or animal-model-based without direct patient data
  • Your abstract exceeds 250 words or uses non-standard headings
  • A reporting checklist is missing from the submission package
  • Your sample size is under 50 patients and no power calculation is included

For a manuscript-specific signal before you submit, run a Clinical Infectious Diseases submission readiness check.

Or see example reports before you finalize.

Frequently asked questions

CID Major Articles are limited to 3,500 words, a count that includes the abstract and all manuscript content but excludes the title page, references, and figure legends. The structured abstract is capped at 250 words. Major Articles are the primary research format and represent the bulk of what CID publishes.

CID reference style is based on the ICMJE Recommendations. References are numbered consecutively in the order they appear in the text, with the numbers in brackets on the text line, for example [3, 7-9, 57]. Journal names are abbreviated according to the List of Journals Indexed for Medline. For references with more than 6 authors, list the first 3 followed by et al. At first submission, references can be formatted in any readable style.

Major Articles require a structured abstract of up to 250 words with the headings Background, Methods, Results, and Conclusions. Brief Reports use an unstructured abstract of up to 50 words, and Review Articles use an unstructured abstract of up to 150 words.

CID's author guidelines say manuscripts can be submitted in Word format (.doc or .docx), and the journal's Why Publish page says any document format that can be easily opened and read by others works at first submission. The guidelines do not mention LaTeX or provide a LaTeX template. Submission is through Editorial Manager.

CID sets no limit on figures and tables for Major Articles, and Brief Reports allow 2 figures or tables. Supporting material that cannot be included in the printed version can go in supplementary data, which is limited to 25 MB. Final figure files need a resolution of at least 300 DPI (600 DPI for line drawings) and should be saved in .tiff or .eps format; at first submission figures can be in .docx, .pdf, .jpg, or a similar format.

References

Sources

  1. Clinical Infectious Diseases, author guidelines, Oxford University Press / IDSA.
  2. Clarivate Journal Citation Reports.
  3. IDSA Publications, Infectious Diseases Society of America.
  4. SciRev - Clinical Infectious Diseases

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