Evidence map›Paper›PMID 23899685›Full record

SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2013

Infections in children and adolescents with juvenile idiopathic arthritis and inflammatory bowel disease treated with tumor necrosis factor-α inhibitors: systematic review of the literature.

Sima S Toussi, Nancy Pan, Heather M Walters, Thomas J Walsh

Registry-linked trialOpen access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03277703 (Booster Vaccine Strategy to Improve Serologic Responses to Influenza Vaccination in Children With Rheumatic Diseases and Inflammatory Bowel Disease Who Are Receiving Immunosuppressive Therapies), which is not on this map. Cited by 44 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 3 pooled it
7.2field-weighted citation impact, top 2% 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.

NCT03277703 phase2completednot on this mapstarted 2017, after this paper: background citation

Booster Vaccine Strategy to Improve Serologic Responses to Influenza Vaccination in Children With Rheumatic Diseases and Inflammatory Bowel Disease Who Are Receiving Immunosuppressive Therapies

TypeinterventionalSponsorStony Brook UniversityRan2017 to 2019Enrolled30ConditionsRheumatologic Disorder, Inflammatory Bowel Diseases, Immune Complex DiseasesArmsInfluenza vaccine
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 3 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
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  3. Pooled it
  4. Trial
  5. Article
  6. [Research progress on biologics and therapeutic drug monitoring in pediatric inflammatory bowel disease].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Review
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  8. Article
  9. Review
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  18. Alleviation of LPS-Induced Inflammation and Septic Shock byInternational journal of molecular sciences · 2021
    Article
  19. Review
  20. 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

4 authors at 2 institutions in 1 country.

Sima S ToussiDivision of Pediatric Infectious Diseases, Department of Pediatrics, Weill Cornell Medical Center.
Nancy Pan
Heather M Walters
Thomas J Walsh
Cornell University · USHospital for Special Surgery · US

Funding

Multi-center studies to improve diagnosis and treatment of pediatric candidiasisR01AI103315 · NIAID · CHILDREN'S HOSP OF PHILADELPHIA · PI STEINBACH, WILLIAM J, ZAOUTIS, THEOKLIS · 2013 to 2017
$2.9M
Doxycycline for COPD in HIV-Infected PatientsR34HL117352 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI GLESBY, MARSHALL J, KANER, ROBERT J · 2012 to 2013
$1.1M
NHLBI NIH HHS R34 HL117352NHLBI NIH HHS R34HL117352NIAID NIH HHS 1R01AI103315-01A1NIAID NIH HHS R01 AI103315
6 · The paper itself

Abstract

Tumor necrosis factor alpha (TNF-α) inhibitors are increasingly administered to children and adolescents with juvenile idiopathic arthritis (JIA) and pediatric inflammatory bowel disease (pIBD). Adult studies indicate that TNF-α inhibitors lead to an increased risk of serious infections compared to other disease-modifying antirheumatic drugs. We report herein a systematic literature review detailing the epidemiology and types of infections reported in children with JIA and pIBD treated with TNF-α inhibitors. The most frequently reported infections were mild and characterized as viral in etiology. Severe bacterial and fungal infections also occurred, but were less common and possibly associated with intrinsic risk factors and concurrent immunosuppressive therapy. Few pediatric patients developed Mycobacterium tuberculosis, likely due to effective screening. There were 8 infectious fatalities in children treated with TNF-α inhibitors. Overall, although rare, serious infections occur in immunocompromised children and adolescents with JIA and pIBD receiving TNF-α inhibitors.

Indexed as

AdolescentArthritis, JuvenileBacterial InfectionsChildChild, PreschoolHumansImmunocompromised HostImmunologic FactorsInfantInflammatory Bowel DiseasesMycosesTumor Necrosis Factor-alphaVirus DiseasesImmunologic FactorsTumor Necrosis Factor-alphaadalimumabetanerceptinflammatory bowel diseaseinfliximabjuvenile idiopathic arthritis

Identifiers

PMID23899685
PMCPMC3888230
OpenAlexW2101933557

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.