Evidence map›Paper›PMID 26607060›Full record

ArticleVirology journal2015

Prevalence, type and concentration of human enterovirus and parechovirus in cerebrospinal fluid samples of pediatric patients over a 10-year period: a retrospective study.

Silke Vollbach, Andreas Müller, Jan Felix Drexler, Arne Simon, Christian Drosten, Anna Maria Eis-Hübinger, Marcus Panning

Open access · goldAbstract read
In one paragraph

Article in Virology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

15 citing papers in PubMed, 50 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Article
  11. Observational
  12. The association between acute flaccid myelitis (AFM) and Enterovirus D68 (EV-D68) - what is the evidence for causation?Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2018
    Review
  13. Article
  14. Cluster of human parechovirus infections as the predominant cause of sepsis in neonates and infants, Leicester, United Kingdom, 8 May to 2 August 2016.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2016
    Article
  15. Review
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 2 institutions in 1 country.

Silke VollbachInstitute of Virology, University of Bonn Medical Centre, Sigmund-Freud Str. 25, 53105, Bonn, Germany. silkevollbach@yahoo.de.
Andreas MüllerDepartment of Paediatrics, University of Bonn Medical Centre, Sigmund-Freud Str. 25, 53105, Bonn, Germany. andreas.mueller@ukb.uni-bonn.de.
Jan Felix DrexlerInstitute of Virology, University of Bonn Medical Centre, Sigmund-Freud Str. 25, 53105, Bonn, Germany. drexler@virology-bonn.de.
Arne SimonDepartment of Paediatrics, University of Bonn Medical Centre, Sigmund-Freud Str. 25, 53105, Bonn, Germany. arne.simon@uks.eu.
Christian DrostenInstitute of Virology, University of Bonn Medical Centre, Sigmund-Freud Str. 25, 53105, Bonn, Germany. drosten@virology-bonn.de.
Anna Maria Eis-HübingerInstitute of Virology, University of Bonn Medical Centre, Sigmund-Freud Str. 25, 53105, Bonn, Germany. eish@virology-bonn.de.
Marcus PanningInstitute of Virology, University of Bonn Medical Centre, Sigmund-Freud Str. 25, 53105, Bonn, Germany. marcus.panning@uniklinik-freiburg.de.
University of Bonn · DEUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman enterovirus (EV) and parechovirus (HPeV) are significant causes of encephalitis and meningitis in children. The aim of this study was to determine the prevalence, type and viral RNA concentration of EV and HPeV in cerebrospinal fluid (CSF) samples in an unselected cohort of patients <18 years admitted to Bonn university hospital from 1998 to 2008.

methodsA total of 327 CSF samples from 327 patients were retrospectively tested by real-time reverse-transcriptase PCR (RT-PCR) for EV and HPeV, and by real-time PCR for cytomegalovirus (CMV), herpes simplex virus 1/2 (HSV), and varizella zoster-virus (VZV). Samples had been submitted for routine virological work-up due to suspected meningitis or encephalitis and had been stored at -20 °C hereafter. Positive samples for EV and HPeV were sequenced within the gene encoding the VP1 region (EV), the VP2 and the VP3/VP1 junction region (HPeV).

resultsThe overall prevalence was 4.3 % (14/327) for EV, 0.6 % (2/327) for HPeV, and 0.3 % (1/327) for HSV and VZV, respectively. CMV was not detected in this cohort. In children less than 3 months of age the prevalence was 7.7 % (2/26) for EV and 7.7 % (2/26) for HPeV, respectively. Frequency of EV detection ranged from 0 to 12 % per year and highest rates were observed from June to September. All typed EV belonged to species B. Both HPeV infections were detected in the fall of 2008 and were typed as HPeV genotype 3. Viral RNA concentrations were highest in patients with HPeV infection, followed by echovirus 30 and other EV. In total, 86 % (12/14) of EV infections presented as aseptic meningitis, whereas both HPeV infections presented as severe sepsis-like illness.

conclusionsEV and HPeV were equally prevalent in children <3 months of age. Beyond the detection of EV and HPeV, the determination of viral RNA concentration and typing of EV and HPeV might prove beneficial for patient management and public health.

Indexed as

Viral LoadAdolescentCerebrospinal FluidChildChild, PreschoolEncephalitis, ViralEnterovirusEnterovirus InfectionsFemaleGermanyHumansInfantInfant, NewbornMaleMeningitis, ViralParechovirusRNA, Viral

Identifiers

PMID26607060
PMCPMC4660665
OpenAlexW2176691531

What OpenQuestion holds

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LicenceCC BY
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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.