Evidence map›Paper›PMID 21306576›Full record

ArticleInfluenza and other respiratory viruses2011

Influenza and other respiratory viruses in three Central American countries.

Victor A Laguna-Torres, José F Sánchez-Largaespada, Ivette Lorenzana, Brett Forshey, Patricia Aguilar, Mirna Jimenez, Eduardo Parrales, Francisco Rodriguez, Josefina García, Ileana Jimenez and 7 more

Open access · bronzeAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 4 pooled it
2.3field-weighted citation impact, top 12% 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

26 citing papers in PubMed, 4 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  8. Human Parvovirus 4: A harmless bystander or a pathogen of severe acute respiratory illness.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
    Article
  9. Viral Etiology of Acute Respiratory Infections in Pediatric Patients in Lebanon.Mediterranean journal of hematology and infectious diseases · 2019
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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

17 authors at 7 institutions in 8 countries.

Victor A Laguna-TorresUS Naval Medical Research Center Detachment, Lima, Perú. alberto.laguna@med.navy.mil
José F Sánchez-Largaespada
Ivette Lorenzana
Brett Forshey
Patricia Aguilar
Mirna Jimenez
Eduardo Parrales
Francisco Rodriguez
Josefina García
Ileana Jimenez
Maribel Rivera
Juan Perez
Merly Sovero
Jane Rios
María E Gamero
Eric S Halsey
Tadeusz J Kochel
United States Naval Medical Research Unit SOUTH · PEHospital Infantil Manuel de Jesús Rivera · NIUniversidad Metropolitana de Honduras · HNCentro de Salud Casa del Barco · ESMinisterio de Salud · SVMinisterio de Salud · NINaval Medical Research Command · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the disease burden imposed by respiratory diseases on children in Central America, there is a paucity of data describing the etiologic agents of the disease.

aimsTo analyze viral etiologic agents associated with influenza-like illness (ILI) in participants reporting to one outpatient health center, one pediatric hospital, and three general hospitals in El Salvador, Honduras, and Nicaragua Material &

methodsBetween August 2006 and April 2009, pharyngeal swabs were collected from outpatients and inpatients. Patient specimens were inoculated onto cultured cell monolayers, and viral antigens were detected by indirect and direct immunofluorescence staining.

resultsA total of 1,756 patients were enrolled, of whom 1,195 (68.3%) were under the age of 5; and 183 (10.4%) required hospitalization. One or more viral agents were identified in 434 (24.7%) cases, of which 17 (3.9%) were dual infections. The most common viruses isolated were influenza A virus (130; 7.4% of cases), respiratory syncytial virus (122; 6.9%), adenoviruses (63; 3.6%), parainfluenza viruses (57; 3.2%), influenza B virus (47; 2.7% of cases), and herpes simplex virus 1 (22; 1.3%). In addition, human metapneumovirus and enteroviruses (coxsackie and echovirus) were isolated from patient specimens. DISCUSSION: When compared to the rest of the population, viruses were isolated from a significantly higher percentage of patients age 5 or younger. The prevalence of influenza A virus or influenza B virus infections was similar between the younger and older age groups. RSV was the most commonly detected pathogen in infants age 5 and younger and was significantly associated with pneumonia (p < 0.0001) and hospitalization (p < 0.0001).

conclusionGenetic analysis of influenza isolates identified A (H3N2), A (H1N1), and B viruses. It also showed that the mutation H274Y conferring resistance to oseltamivir was first detected in Honduran influenza A/H1N1 strains at the beginning of 2008. These data demonstrate that a diverse range of respiratory pathogens are associated with ILI in Honduras, El Salvador, and Nicaragua. RSV infection in particular appears to be associated with severe disease in infants in the region.

Indexed as

AdenoviridaeAdolescentAdultAgedAged, 80 and overAge FactorsCentral AmericaChildChild, PreschoolFemaleFluorescent Antibody TechniqueHumansInfantInfant, NewbornInfluenza A virusInfluenza B virus

Identifiers

PMID21306576
PMCPMC4942008
OpenAlexW2114305217

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.