Evidence map›Paper›PMID 21955319›Full record

ArticleInfluenza and other respiratory viruses2012

Respiratory viruses in children with cystic fibrosis: viral detection and clinical findings.

Jane L Burns, Julia Emerson, Jane Kuypers, Angela P Campbell, Ronald L Gibson, Sharon McNamara, Kelly Worrell, Janet A Englund

Open access · bronzeAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 6% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. The role of rhinovirus infections in young children with cystic fibrosis.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2020
    Article
  8. Article
  9. Article
  10. Article
  11. Early respiratory viral infections in infants with cystic fibrosis.Journal of cystic fibrosis : official journal of the European Cystic Fibrosis Society · 2019
    Observational
  12. Article
  13. Observational
  14. Review
  15. Cystic Fibrosis Pulmonary Exacerbations Attributable to Respiratory Syncytial Virus and Influenza: A Population-Based Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  16. Multiplex PCR reveals that viruses are more frequent than bacteria in children with cystic fibrosis.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2017
    Article
  17. Article
  18. Review
  19. Article
  20. 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

8 authors at 3 institutions in 2 countries.

Jane L BurnsDepartment of Pediatrics, Division of Infectious Diseases, University of Washington and Seattle Children's Hospital, USA. jane.burns@seattlechildrens.org
Julia Emerson
Jane Kuypers
Angela P Campbell
Ronald L Gibson
Sharon McNamara
Kelly Worrell
Janet A Englund
Seattle Children's Hospital · USCape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa · ZAUniversity of Washington · US

Funding

INSTITUTE FOR TRANSLATIONAL HEALTH SCIENCE (UL1): BPCAUL1RR025014 · NCRR · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2007 to 2011
$51.5M
Enhanced Surveillance for New Vaccine Preventable Disease-Patient Protection-ACAU01IP000457 · IP · SEATTLE CHILDREN'S HOSPITAL · PI ENGLUND, JANET A · 2011 to 2015
$3.3M
NCIRD CDC HHS U01 IP000457NCRR NIH HHS UL1 RR025014NIAID NIH HHS L40 AI071572
6 · The paper itself

Abstract

backgroundViral detection from different respiratory sample types in children with cystic fibrosis (CF) is facilitated by available molecular methods, but optimum sampling strategies have not been identified. In addition, associations between viral detection and respiratory symptoms are not well described.

objectivesStudy goals were to compare molecular detection of viruses from concurrent upper airway and sputum samples in children with CF and to describe relative frequency of respiratory viral infections and identify potential clinical associations.

methodsWe conducted a 2-year prospective surveillance study in 44 children with CF aged 6-18 years. Upper airway and sputum samples were collected quarterly and during pulmonary exacerbations and tested for respiratory syncytial virus (RSV), influenza viruses, parainfluenza viruses types 1-4, human metapneumovirus, coronaviruses, rhinoviruses, and adenoviruses. Physical exams and symptom surveys were used to identify respiratory signs and symptoms.

resultsUpper airway samples were collected at 359 visits; concordance of PCR-based viral detection was examined in a subset of paired upper airway and sputum samples from 21 participants at 92 visits. Rhinovirus was the most commonly detected virus (23·1% overall), and rhinovirus detection was the same for both sample types (21·7% each). Sensitivity and specificity for the detection of rhinovirus in sputum relative to upper airway sampling were 70% and 91·7%, respectively. Respiratory symptoms associated with rhinovirus detection included increased cough, increased nasal congestion, increased sputum production, and wheezing.

conclusionsA relatively high frequency of rhinovirus detection was observed by either upper airway or sputum samples, and clinical findings suggest a significant-associated symptom burden.

Indexed as

AdolescentChildCystic FibrosisFemaleHumansMaleProspective StudiesRespiratory Tract InfectionsSputumViruses

Identifiers

PMID21955319
PMCPMC4941093
OpenAlexW1521277996

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.