Evidence map›Paper›PMID 25677249›Full record

ArticleClinical and experimental immunology2015

Immune deficiency: changing spectrum of pathogens.

S S Duraisingham, A Manson, S Grigoriadou, M Buckland, C Y W Tong, H J Longhurst

Abstract read
In one paragraph

Article in Clinical and experimental immunology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Small Bowel Villous Atrophy in a Young Patient: A Challenging Diagnosis.GE Portuguese journal of gastroenterology · 2024
    Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. The broad spectrum of lung diseases in primary antibody deficiencies.European respiratory review : an official journal of the European Respiratory Society · 2018
    Review
  17. Article
  18. IL17-Producing γδ T Cells May Enhance Humoral Immunity during PulmonaryFrontiers in cellular and infection microbiology · 2016
    Article
  19. Respiratory Infections and Antibiotic Usage in Common Variable Immunodeficiency.The journal of allergy and clinical immunology. In practice
    Observational
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

6 authors.

S S DuraisinghamImmunology Department, Barts Health NHS Trust, London, UK.
A MansonImmunology Department, Barts Health NHS Trust, London, UK.
S GrigoriadouImmunology Department, Barts Health NHS Trust, London, UK.
M BucklandImmunology Department, Barts Health NHS Trust, London, UK.
C Y W TongDepartment of Infection, Barts Health NHS Trust, London, UK.
H J LonghurstImmunology Department, Barts Health NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current UK national standards recommend routine bacteriology surveillance in severe antibody-deficient patients, but less guidance exists on virology screening and viral infections in these patients. In this retrospective audit, we assessed the proportion of positive virology or bacteriology respiratory and stool samples from patients with severe, partial or no immune deficiency during a 2-year period. Medical notes were reviewed to identify symptomatic viral infections and to describe the course of persistent viral infections. During the 2-year period, 31 of 78 (39·7%) severe immune-deficient patients tested had a positive virology result and 89 of 160 (55.6%) had a positive bacteriology result. The most commonly detected pathogens were rhinovirus (12 patients), norovirus (6), Haemophilus influenzae (24), Pseudomonas spp. (22) and Staphylococcus aureus (21). Ninety-seven per cent of positive viral detection samples were from patients who were symptomatic. Low serum immunoglobulin IgA levels were more prevalent in patients with a positive virology sample compared to the total cohort (P = 0·0078). Three patients had persistent norovirus infection with sequential positive isolates for 9, 30 and 16 months. Virology screening of symptomatic antibody-deficient patients may be useful as a guide to anti-microbial treatment. A proportion of these patients may experience persistent viral infections with significant morbidity.

Indexed as

Antibodies, BacterialAntibodies, ViralBronchoalveolar Lavage FluidFecesHaemophilus InfectionsHaemophilus influenzaeHumansImmunoglobulin AImmunologic Deficiency SyndromesPicornaviridae InfectionsPseudomonasPseudomonas InfectionsRetrospective StudiesRhinovirusStaphylococcal InfectionsStaphylococcus aureusAntibodies, BacterialAntibodies, ViralImmunoglobulin Aantibody deficiencyIgAinfectionnorovirusviral

Identifiers

PMID25677249
PMCPMC4516442

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Registered trials

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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.