Evidence map›Paper›PMID 20627924›Full record

ArticleThorax2010

Detection of respiratory viruses and the associated chemokine responses in serious acute respiratory illness.

Kaharu C Sumino, Michael J Walter, Cassandra L Mikols, Samantha A Thompson, Monique Gaudreault-Keener, Max Q Arens, Eugene Agapov, David Hormozdi, Anne M Gaynor, Michael J Holtzman and 1 more

Abstract read
In one paragraph

Article in Thorax, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Article
  7. Diagnostic yield and clinical impact of routine cell culture for respiratory viruses among children with a negative multiplex RT-PCR result.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2017
    Article
  8. Serum IFN-γ-induced protein 10 (IP-10) as a biomarker for severity of acute respiratory infection in healthy adults.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2017
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  16. Respiratory virology and microbiology in intensive care units: a prospective cohort study.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2013
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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

11 authors.

Kaharu C SuminoDepartment of Internal Medicine, Washington University School of Medicine, St Louis, Missouri 63110, USA. ksumino@dom.wustl.edu
Michael J Walter
Cassandra L Mikols
Samantha A Thompson
Monique Gaudreault-Keener
Max Q Arens
Eugene Agapov
David Hormozdi
Anne M Gaynor
Michael J Holtzman
Gregory A Storch

Funding

Virology and Smallpox VaccinationsU54AI057160 · NIAID · WASHINGTON UNIVERSITY · PI OLDSTONE, MICHAEL B · 2003 to 2013
$80.9M
NIAID NIH HHS U54 AI057160
6 · The paper itself

Abstract

backgroundA specific diagnosis of a lower respiratory viral infection is often difficult despite frequent clinical suspicion. This low diagnostic yield may be improved by use of sensitive detection methods and biomarkers.

methodsThe prevalence, clinical predictors and inflammatory mediator profile of respiratory viral infection in serious acute respiratory illness were investigated. Sequential bronchoalveolar lavage (BAL) fluids from all patients hospitalised with acute respiratory illness over 12 months (n=283) were tested for the presence of 17 respiratory viruses by multiplex PCR assay and for newly discovered respiratory viruses (bocavirus, WU and KI polyomaviruses) by single-target PCR. BAL samples also underwent conventional testing (direct immunoflorescence and viral culture) for respiratory virus at the clinician's discretion. 27 inflammatory mediators were measured in a subset of the patients (n=64) using a multiplex immunoassay.

results39 respiratory viruses were detected in 37 (13.1% of total) patients by molecular testing, including rhinovirus (n=13), influenza virus (n=8), respiratory syncytial virus (n=6), human metapneumovirus (n=3), coronavirus NL63 (n=2), parainfluenza virus (n=2), adenovirus (n=1) and newly discovered viruses (n=4). Molecular methods were 3.8-fold more sensitive than conventional methods. Clinical characteristics alone were insufficient to separate patients with and without respiratory virus. The presence of respiratory virus was associated with increased levels of interferon gamma-inducible protein 10 (IP-10) (p<0.001) and eotaxin-1 (p=0.017) in BAL.

conclusionsRespiratory viruses can be found in patients with serious acute respiratory illness by use of PCR assays more frequently than previously appreciated. IP-10 may be a useful biomarker for respiratory viral infection.

Indexed as

Acute DiseaseAdultAgedBiomarkersBronchoalveolar Lavage FluidChemokine CCL11Chemokine CXCL10ChemokinesHospitalizationHumansInflammation MediatorsMaleMiddle AgedPolymerase Chain ReactionProspective StudiesRespiratory Tract InfectionsBiomarkersCCL11 protein, humanChemokine CCL11Chemokine CXCL10ChemokinesCXCL10 protein, humanInflammation MediatorsRNA, Viral

Identifiers

PMID20627924
PMCPMC3018337

What OpenQuestion holds

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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.