Evidence map›Paper›PMID 25980749›Full record

ArticleInfluenza and other respiratory viruses2015

Viral and atypical bacterial aetiologies of infection in hospitalised patients admitted with clinical suspicion of influenza in Thailand, Vietnam and Indonesia.

Heiman F L Wertheim, Behzad Nadjm, Sherine Thomas, Agustiningsih, Suhud Malik, Diep Ngoc Thi Nguyen, Dung Viet Tien Vu, Kinh Van Nguyen, Chau Vinh Van Nguyen, Liem Thanh Nguyen and 14 more

Open access · goldAbstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 19% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. High prevalence and associated factors ofJournal of preventive medicine and hygiene · 2025
    Article
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  13. Observational
  14. Review a brief history of coronaviruses in Thailand.Journal of virological methods · 2021
    Review
  15. Article
  16. Article
  17. Article
  18. Viral Etiology of Acute Respiratory Infections in Pediatric Patients in Lebanon.Mediterranean journal of hematology and infectious diseases · 2019
    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

24 authors at 9 institutions in 6 countries.

Heiman F L WertheimWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
Behzad NadjmWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
Sherine ThomasWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
AgustiningsihNational Institute of Health Research and Development, Jakarta, Indonesia.
Suhud MalikNational Institute of Health Research and Development, Jakarta, Indonesia.
Diep Ngoc Thi NguyenWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
Dung Viet Tien VuWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.ORCID http://orcid.org/0000-0003-3159-2064
Kinh Van NguyenNational Hospital of Tropical Diseases, Hanoi, Vietnam.
Chau Vinh Van NguyenHospital for Tropical Diseases, Ho Chi Minh City, Vietnam.
Liem Thanh NguyenNational Hospital of Pediatrics, Hanoi, Vietnam.
Sinh Thi TranNational Hospital of Pediatrics, Hanoi, Vietnam.
Thuy Bich Thi PhungNational Hospital of Pediatrics, Hanoi, Vietnam.
Trung Vu NguyenNational Hospital of Tropical Diseases, Hanoi, Vietnam.
Tran Tinh HienWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
Uyen Hanh NguyenWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
Walter TaylorMahidol Oxford University Clinical Research Unit, Bangkok, Thailand.
Khanh Huu TruongChildren's Hospital No 1, Ho Chi Minh City, Vietnam.
Tuan Manh HaChildren's Hospital No 2, Ho Chi Minh City, Vietnam.
Kulkanya ChokephaibulkitSiriraj Hospital, Bangkok, Thailand.
Jeremy FarrarWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
Marcel WolbersWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
Menno D de JongWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.
H Rogier van DoornWellcome Trust Major Overseas Program, Oxford University Clinical Research Unit, Hanoi, Ho Chi Minh City, Vietnam.ORCID http://orcid.org/0000-0002-9807-1821
Pilaipan PuthavathanaSiriraj Hospital, Bangkok, Thailand.
Angkor Hospital for Children · KHOxford University Clinical Research Unit · VNHospital for Tropical Diseases · VNVietnam National Children's Hospital · VNChildren's Hospital 2 · VNMinistry of Health · IDSiriraj Hospital · THAmsterdam UMC Location University of Amsterdam · NLMahidol University · TH

Funding

NIAID NIH HHS N01 AO050042Wellcome Trust 089276
6 · The paper itself

Abstract

backgroundInfluenza constitutes a leading cause of morbidity and mortality worldwide. There is limited information about the aetiology of infection presenting clinically as influenza in hospitalised adults and children in South-East Asia. Such data are important for future management of respiratory infections.

objectivesTo describe the aetiology of infection presenting clinically as influenza in those hospitalised in South-East Asia.

methodsRespiratory specimens archived from July 2008 to June 2009 from patients hospitalised with suspected influenza from Indonesia, Thailand and Vietnam were tested for respiratory viruses and atypical bacteria by polymerase chain reaction.

resultsA total of 1222 patients' samples were tested. Of 1222, 776 patients (63·5%) were under the age of 5. Viruses detected included rhinoviruses in 229 of 1222 patients (18·7%), bocaviruses in 200 (16·4%), respiratory syncytial viruses in 144 (11·8%), parainfluenza viruses in 140 (11·5%; PIV1: 32; PIV2: 12; PIV3: 71; PIV4: 25), adenovirus in 102 (8·4%), influenza viruses in 93 (7·6%; influenza A: 77; influenza B: 16) and coronaviruses in 23 (1·8%; OC43: 14; E229: 9). Bacterial pathogens were Mycoplasma pneumoniae (n = 33, 2·7%), Chlamydophila psittaci (n = 2), C. pneumoniae (n = 1), Bordetella pertussis (n = 1) and Legionella pneumophila (n = 2). Overall, in-hospital case fatality rate was 29 of 1222 (2·4%).

conclusionRespiratory viruses were the most commonly detected pathogens in patients hospitalised with a clinical suspicion of influenza. Rhinovirus was the most frequently detected virus, and M. pneumoniae, the most common atypical bacterium. The low number of detected influenza viruses demonstrates a low benefit for empirical oseltamivir therapy, unless during an influenza outbreak.

Indexed as

HospitalisationinfluenzaMycoplasma pneumoniaerespiratory tract infectionsrhinovirusRSV

Identifiers

PMID25980749
PMCPMC4605413
OpenAlexW2130979259

What OpenQuestion holds

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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.