Evidence map›Paper›PMID 25970109›Full record

ArticleThe Pediatric infectious disease journal2015

Bordetella pertussis is an uncommon pathogen in children hospitalized with bronchiolitis during the winter season.

Pedro A Piedra, Jonathan M Mansbach, Alan M Jewell, Sneha D Thakar, Cameron C Grant, Ashley F Sullivan, Janice A Espinola, Carlos A Camargo

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in The Pediatric infectious disease journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 26 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Pedro A PiedraFrom the Departments of *Molecular Virology and Microbiology and †Pediatrics, Baylor College of Medicine, Houston, TX; ‡Department of Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA; §Department of Paediatrics, University of Auckland, Auckland, New Zealand; and ¶Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Jonathan M Mansbach
Alan M Jewell
Sneha D Thakar
Cameron C Grant
Ashley F Sullivan
Janice A Espinola
Carlos A Camargo
Massachusetts General Hospital · USBaylor College of Medicine · USHarvard University · USUniversity of Auckland · NZ

Funding

Prospective Multicenter Study of Bronchiolitis Admissions: Etiology & DispositionU01AI067693 · NIAID · MASSACHUSETTS GENERAL HOSPITAL · PI CAMARGO, CARLOS ARTURO · 2007 to 2010
$3.6M
NIAID NIH HHS U01 AI067693NIAID NIH HHS U01 AI-67693
6 · The paper itself

Abstract

backgroundIn the United States (U.S.), Bordetella pertussis incidence has increased. Cough and apnea are common findings in pertussis and also in bronchiolitis, the most common cause of hospitalization in U.S. infants. The objective was to determine the prevalence of B. pertussis infection in children hospitalized with bronchiolitis and to describe its clinical course.

methodsChildren hospitalized with bronchiolitis and age <2 years were eligible for a prospective, multicenter cohort study during 3 consecutive winter seasons (November-March) from 2007 to 2010. Sixteen sites in 12 states participated using a standardized enrollment protocol. Families were asked the 2010 Centers for Disease Control and Prevention pertussis classification questions. Nasopharyngeal aspirates were obtained and tested by real-time polymerase chain reaction for 16 viruses, Mycoplasma pneumoniae and B. pertussis.

resultsTwo thousand sixty-eight (94%) of 2207 children had 1 or more respiratory pathogens. B. pertussis was identified in 4 children [0.2%; 95% confidence interval (CI): 0.1-0.5%] with 3 having a viral co-infection. All 4 were younger than 4 months; 2 met the Centers for Disease Control and Prevention definition of probable pertussis; and 3 had received at least 1 dose of an acellular pertussis vaccine. During the hospitalization, 2 had paroxysmal cough, 1 required intensive care unit care and the median length of stay was 13 days.

conclusionsOur data support that B. pertussis is an uncommon pathogen in U.S. children hospitalized with bronchiolitis in the winter. Making a diagnosis of pertussis can be challenging because the disease can be atypical and may not meet the Centers for Disease Control and Prevention definition of probable infection.

Indexed as

HospitalizationBordetella pertussisBronchiolitisCohort StudiesFemaleHumansInfantMaleMycoplasma pneumoniaeNasopharynxPrevalenceProspective StudiesReal-Time Polymerase Chain ReactionSeasonsUnited StatesViruses

Identifiers

PMID25970109
PMCPMC4435848
OpenAlexW343234410

What OpenQuestion holds

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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.