Evidence map›Paper›PMID 25704448›Full record

ArticleClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases2015

Viruses detected by systematic multiplex polymerase chain reaction in adults with suspected community-acquired pneumonia attending emergency departments in France.

D Das, H Le Floch, N Houhou, L Epelboin, P Hausfater, A Khalil, P Ray, X Duval, Y-E Claessens, C Leport and 1 more

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 13% 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.

NCT01574066 nacompletednot on this map

Chest CT-scan for the Diagnosis of Community-acquired Pneumonia in Patients Visiting the Emergency Department

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2011 to 2013Enrolled339ConditionsCommunity-acquired Pneumonia, DyspneaArmsChest CT-scan
NCT03840603 nacompletednot on this mapstarted 2019, after this paper: background citation

PROARRAY : Impact on PCT+ FilmArray RP2 Plus Use in LRTI Suspicion in Emergency Department

TypeinterventionalSponsorBioMérieuxRan2019 to 2022Enrolled444ConditionsRespiratory Tract InfectionsArmsFilm Array RP2 Assay guided
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Systematic review of respiratory viral pathogens identified in adults with community-acquired pneumonia in Europe.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2017
    Pooled it
  2. Rapid Tests for Influenza, Respiratory Syncytial Virus, and Other Respiratory Viruses: A Systematic Review and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  3. Viral infection in community-acquired pneumonia: a systematic review and meta-analysis.European respiratory review : an official journal of the European Respiratory Society · 2016
    Pooled it
  4. Accuracy of comprehensive PCR analysis of nasopharyngeal and oropharyngeal swabs for CT-scan-confirmed pneumonia in elderly patients: a prospective cohort study.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2019
    Trial
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Impact of respiratory viruses in hospital-acquired pneumonia in the intensive care unit: A single-center retrospective study.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2017
    Article
  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

11 authors at 5 institutions in 2 countries.

D DasIAME, UMR 1137, Université Paris Diderot, Sorbonne Paris Cité, Paris, France; UMR 1137, Inserm, Paris, France.
H Le FlochService des Maladies Respiratoires, Hôpital d'Instruction des Armées Percy, Clamart, France.
N HouhouService de Virologie, Hôpital Bichat - Claude Bernard, Assistance Publique - Hôpitaux de Paris, Paris, France.
L EpelboinService de Maladies Infectieuses et Tropicales, CHU Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Paris, France; Université Pierre et Marie Curie, Paris, France.
P HausfaterUniversité Pierre et Marie Curie, Paris, France; Centre Pitié, Urgences, CHU Pitié-Salpêtrière, Assistance Publique - Hôpitaux de Paris, Paris, France.
A KhalilService de Radiologie, Hôpital Tenon, Assistance Publique - Hôpitaux de Paris, Paris, France.
P RayCentre Tenon, Urgences, Assistance Publique - Hôpitaux de Paris, Paris, France.
X DuvalIAME, UMR 1137, Université Paris Diderot, Sorbonne Paris Cité, Paris, France; UMR 1137, Inserm, Paris, France; CIC 1425, Inserm, Hôpital Bichat - Claude Bernard, Assistance Publique - Hôpitaux de Paris, Paris, France.
Y-E ClaessensDépartement de Médecine d'Urgence, Centre Hospitalier Princesse Grace, Monaco.
C LeportIAME, UMR 1137, Université Paris Diderot, Sorbonne Paris Cité, Paris, France; UMR 1137, Inserm, Paris, France; Unité de Coordination du Risque Épidémique et Biologique, Assistance Publique - Hôpitaux de Paris, Paris, France. Electronic address: catherine.leport@univ-paris-diderot.fr.
ESCAPED Study Group
Sorbonne Université · FRInserm · FRUniversité Claude Bernard Lyon 1 · FRHôpital d'instruction des Armées Percy · FRPrincess Grace Hospital Centre · MC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledInfectious agents associated with community-acquired pneumonia (CAP) are under-studied. This study attempted to identify viruses from the upper respiratory tract in adults visiting emergency departments for clinically suspected CAP. Adults with suspected CAP enrolled in the ESCAPED study (impact of computed tomography on CAP diagnosis) had prospective nasopharyngeal (NP) samples studied by multiplex PCR (targeting 15 viruses and four intracellular bacteria). An adjudication committee composed of infectious disease specialists, pneumologists and radiologists blinded to PCR results reviewed patient records, including computed tomography and day 28 follow up, to categorize final diagnostic probability of CAP as definite, probable, possible, or excluded. Among the 254 patients enrolled, 78 (31%) had positive PCR, which detected viruses in 72/254 (28%) and intracellular bacteria in 8 (3%) patients. PCR was positive in 44/125 (35%) patients with definite CAP and 21/83 (25%) patients with excluded CAP. The most frequent organisms were influenza A/B virus in 27 (11%), rhinovirus in 20 (8%), coronavirus in seven (3%), respiratory syncytial virus in seven (3%) and Mycoplasma pneumoniae in eight (3%) of 254 patients. Proportion of rhinovirus was higher in patients with excluded CAP compared with other diagnostic categories (p = 0.01). No such difference was observed for influenza virus. Viruses seem common in adults attending emergency departments with suspected CAP. A concomitant clinical, radiological and biological analysis of the patient's chart can contribute to either confirm their role, or suggest upper respiratory tract infection or shedding. Their imputability and impact in early management of CAP deserve further studies. CLINICAL TRIALS REGISTRATION: NCT01574066.

Indexed as

Multiplex Polymerase Chain ReactionAdolescentAdultAgedAged, 80 and overCommunity-Acquired InfectionsEmergency Service, HospitalFemaleFranceHumansMaleMiddle AgedNasopharynxPneumonia, ViralProspective StudiesVirusesAdjudication committeecommunity-acquired pneumoniaemergency departmentsmultiplex PCRnasopharyngeal swabsviruses

Identifiers

PMID25704448
PMCPMC7128919
OpenAlexW1873574926

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.