Evidence map›Paper›PMID 21278209›Full record

ArticleThe Journal of infectious diseases2011

Evaluation of therapeutic interventions for vaccinia virus keratitis.

Sharon Altmann, Curtis R Brandt, Christopher J Murphy, Ravi Patnaikuni, Teresa Takla, Megan Toomey, Brittany Nesbit, Kimberly McIntyre, Jill Covert, Richard Dubielzig and 3 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in The Journal of infectious diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. A comprehensive overview of monkeypox virus disease.Tropical medicine and health · 2026
    Review
  3. Review
  4. Review
  5. Review
  6. Managing Monkeypox Virus Infections: A Contemporary Review.Iranian journal of medical sciences · 2024
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Monkeypox: A clinical update for paediatricians.Journal of paediatrics and child health · 2022
    Review
  13. Article
  14. Review
  15. Article
  16. Article
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

13 authors at 2 institutions in 1 country.

Sharon AltmannDepartment of Medical Microbiology and Immunology, University of Wisconsin-Madison, WI 53706, USA.
Curtis R Brandt
Christopher J Murphy
Ravi Patnaikuni
Teresa Takla
Megan Toomey
Brittany Nesbit
Kimberly McIntyre
Jill Covert
Richard Dubielzig
Gary Leatherberry
Elizabeth Adkins
Shantha Kodihalli
University of Wisconsin–Madison · USUniversity of California, Davis · US

Funding

UW Vision Research Core - Administrative CoreP30EY016665 · NEI · UNIVERSITY OF WISCONSIN-MADISON · PI Donna M Peters · 2005 to 2026
$12.6M
NEI NIH HHS P30 EY016665PHS HHS AGR DTD 05/09/07
6 · The paper itself

Abstract

backgroundVaccinia virus keratitis (VACVK) is a complication of smallpox vaccination that can result in blindness. There are no Food and Drug Administration-approved treatments for VACVK, and vaccinia immunoglobulin (VIG) is contraindicated in isolated VACVK. We used a rabbit model of infection to compare several therapeutic options for VACVK.

methodsRabbit eyes were infected with 10(5) plaque-forming units of the Dryvax strain of vaccinia virus and scored daily for 28 days using a modified MacDonald-Shadduck scoring system. Animals were treated for 10 days after the onset of keratitis with albumin, VIG, prednisolone acetate, trifluridine, or combinations thereof. Ocular viral titers and vaccinia-specific antibody titers were determined by plaque assay and enzyme-linked immunosorbent assay, respectively.

resultsTreatment with intravenous VIG neither exacerbated nor ameliorated VACVK. Topical prednisolone acetate interfered with viral clearance, and ocular disease rebounded in prednisolone-treated groups. The most effective treatment was topical trifluridine alone.

conclusionsWe conclude that (1) VIG did not negatively affect the treatment of isolated keratitis, (2) topical corticosteroids should not be used for treating VACVK, and (3) treatment with topical trifluridine, with or without intravenous VIG, is the preferred therapeutic regimen for treating VACVK.

Indexed as

AnimalsAntibodies, ViralAnti-Inflammatory AgentsAntiviral AgentsBlindnessChlorocebus aethiopsCorneaDisease Models, AnimalDrug Therapy, CombinationEnzyme-Linked Immunosorbent AssayFemaleHeLa CellsHumansImmunoglobulinsInfusions, IntravenousKeratitisAntibodies, ViralAnti-Inflammatory AgentsAntiviral AgentsImmunoglobulinsPrednisoloneprednisolone acetateSmallpox VaccineTrifluridine

Identifiers

PMID21278209
PMCPMC3072718
OpenAlexW2156099797

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.