Evidence map›Paper›PMID 25404719›Full record

ArticlePediatrics2014

Duration of rhinovirus shedding in the upper respiratory tract in the first year of life.

Michael J Loeffelholz, Rocio Trujillo, Richard B Pyles, Aaron L Miller, Pedro Alvarez-Fernandez, Dan L Pong, Tasnee Chonmaitree

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03233516 (Trial of Respiratory Infections in Children for Enhanced Diagnostics), which is not on this map. Cited by 47 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 1 pooled it
7.7field-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.

NCT03233516 completednot on this mapstarted 2017, after this paper: background citation

Trial of Respiratory Infections in Children for Enhanced Diagnostics

Typeobservational_patient_registrySponsorKarolinska InstitutetRan2017 to 2019Enrolled376ConditionsCommunity-acquired Pneumonia
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Burden of Respiratory Viruses in Children Less Than 2 Years Old in a Community-based Longitudinal US Birth Cohort.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
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  16. Article
  17. Review
  18. Article
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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

7 authors at 1 institution in 1 country.

Michael J LoeffelholzDepartments of Pathology, mjloeffe@utmb.edu.
Rocio TrujilloPediatrics, and.
Richard B PylesPediatrics, and Microbiology and Immunology, University of Texas Medical Branch, Galveston, Texas.
Aaron L MillerPediatrics, and.
Pedro Alvarez-FernandezPediatrics, and.
Dan L PongPediatrics, and.
Tasnee ChonmaitreeDepartments of Pathology, Pediatrics, and.
Pediatrics and Genetics · US

Funding

UTMB Clinical and Translational Science AwardUL1TR000071 · NCATS · UNIVERSITY OF TEXAS MED BR GALVESTON · PI BRASIER, ALLAN R. · 2012 to 2014
$14.4M
Pathogenesis of Virus-Induced Acute Otitis MediaR01DC005841 · NIDCD · UNIVERSITY OF TEXAS MEDICAL BR GALVESTON · PI CHONMAITREE, TASNEE · 2002 to 2013
$5.9M
NCATS NIH HHS UL1 TR000071NCATS NIH HHS UL1TR000071NIDCD NIH HHS R01 DC005841NIDCD NIH HHS R01DC005841
6 · The paper itself

Abstract

backgroundCurrent molecular diagnostic methods have detected rhinovirus RNA in a high proportion of asymptomatic infants and children, raising the question of the clinical significance of these findings. This study investigates the prevalence of prolonged rhinovirus RNA presence in the upper respiratory tract of infants during the first year of life.

methodsIn a longitudinal study, infants were followed from birth up to 12 months. Nasopharyngeal specimens were collected monthly (months 1-6 and month 9) and during an upper respiratory infection. Rhinoviruses were detected by quantitative reverse-transcription polymerase chain reaction. Presence of repeated rhinovirus RNA was evaluated by nucleotide sequence analysis.

resultsA total of 2153 specimens from 362 infants were studied; 341 distinct rhinovirus infections in 216 infants were identified. Follow-up specimens were available within 30 days for 179 infections, creating the sample set to assess prolonged rhinovirus presence. Of the 179 infections, 46 involved the detection of the same rhinovirus strain in repeated specimens, including 8 events of prolonged presence of the same strain (detected in specimens collected >30 days apart), representing 4.5% of the evaluable rhinovirus infections. There were 26 events in which a rhinovirus strain was replaced by a different strain within a 30-day interval, representing 14.5% of the 179 infections.

conclusionsAlthough rhinovirus infections are common in healthy infants, prolonged presence of rhinovirus RNA in the respiratory tract after an upper respiratory infection was uncommon (<5%). Detection of rhinovirus RNA in an infant most likely represents an infection within a 30-day period.

Indexed as

FemaleHumansInfantInfant, NewbornLongitudinal StudiesMaleNasopharynxOtitis MediaPolymerase Chain ReactionProspective StudiesRespiratory Tract InfectionsRhinovirusRNA, ViralVirus SheddingRNA, ViralPCRpersistencerhinovirusRNAupper respiratory tract infection

Identifiers

PMID25404719
PMCPMC4243071
OpenAlexW2149164162

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.