Evidence map›Paper›PMID 20503289›Full record

ArticlePediatric pulmonology2010

Viruses and atypical bacteria associated with asthma exacerbations in hospitalized children.

Alberto F Maffey, Paola R Barrero, Carolina Venialgo, Francisco Fernández, Valentina A Fuse, Mariana Saia, Analía Villalba, Marcelo Rodríguez Fermepin, Alejandro M Teper, Alicia S Mistchenko

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric pulmonology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 4% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Prevalence of respiratory viruses in stable and acute asthma: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2026
    Pooled it
  2. Trial
  3. Article
  4. [Detection of respiratory pathogens and clinical features in 225 children with acute exacerbation of bronchial asthma].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2020
    Article
  5. Article
  6. Respiratory pathogens and clinical outcomes in children with an asthma exacerbation: A systematic review.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2019
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. [Value of routine identification of respiratory infectious agents in children hospitalized with an acute asthma exacerbation].Archives de pediatrie : organe officiel de la Societe francaise de pediatrie · 2014
    Article
  14. Mycoplasma pneumoniae in children with acute and refractory asthma.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2013
    Article
  15. Asthma-associated differences in microbial composition of induced sputum.The Journal of allergy and clinical immunology · 2013
    Article
  16. Article
  17. Review
  18. Review
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

10 authors at 3 institutions in 1 country.

Alberto F MaffeyCentro Respiratorio, Hospital de Niños "Ricardo Gutiérrez," Buenos Aires, Argentina. amaffey@gmail.com
Paola R Barrero
Carolina Venialgo
Francisco Fernández
Valentina A Fuse
Mariana Saia
Analía Villalba
Marcelo Rodríguez Fermepin
Alejandro M Teper
Alicia S Mistchenko
Hospital General de Niños Ricardo Gutierrez · ARConsejo Nacional de Investigaciones Científicas y Técnicas · ARHospital de Clínicas "José de San Martín" · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledOBJECTIVES AND WORKING HYPOTHESIS: To evaluate the prevalence of respiratory viruses Mycoplasma pneumoniae and Chlamydophila pneumoniae and gain insight into their seasonal circulation pattern in children with acute asthma exacerbations in a temperate southern hemisphere region. STUDY

designPatients hospitalized between 3 months and 16 years of age were included in a 1-year prospective, observational, cross-sectional study. Respiratory secretions were collected and the presence of different viruses and atypical bacteria analyzed by immunofluorescence and polymerase chain reaction.

resultsTwo hundred nine patients (118 females) aged (mean +/- SD) 4.4 +/- 4 years were included. A potential causative agent was detected in 78% of the patients. The most frequently detected viruses were respiratory syncytial virus (HRSV) (n = 85; 40%) and rhinovirus (HRV) (n = 52; 24.5%); M. pneumoniae and C. pneumoniae were detected in 4.5% and 2% of the cases, respectively. Patients with HRSV (vs. HRV) were hospitalized for a longer time (6.7 vs. 5.2 days, P = 0.012), required more days of oxygen supply (5.1 vs. 3.4, P = 0.005), had a longer duration of the exacerbation before hospitalization (3.6 vs. 1.9 days, P = 0.001) and were younger (3.7 vs. 5.1 years, P = 0.012). Three peaks of admissions were observed. A first peak (early autumn) caused by HRV, a second peak (winter) caused mainly by HRSV and a third one (spring), caused by HRSV, an increase in HMPV together with a second outbreak of HRV.

conclusionsChildren with an acute asthma exacerbation presented a high prevalence of respiratory viruses. Most hospitalizations corresponded to seasonal increases in prevalence of HRV and HRSV.

Indexed as

AdolescentAsthmaChildChild, PreschoolChlamydophila InfectionsChlamydophila pneumoniaeCross-Sectional StudiesDisease ProgressionFemaleHumansInfantLength of StayMaleMycoplasma pneumoniaeOxygen Inhalation TherapyPicornaviridae Infections

Identifiers

PMID20503289
PMCPMC7167758
OpenAlexW1965011315

What OpenQuestion holds

Textmetadata
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.