Evidence map›Paper›PMID 27413187›Full record

ArticleJournal of clinical microbiology2016

Moraxella catarrhalis Might Be More Common than Expected in Acute Otitis Media in Young Finnish Children.

Saara Sillanpää, Sami Oikarinen, Markku Sipilä, Lenka Kramna, Markus Rautiainen, Heini Huhtala, Janne Aittoniemi, Jussi Laranne, Heikki Hyöty, Ondrej Cinek

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
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  4. Review
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  9. Cholesteatoma has an altered microbiota with a higher abundance ofLaryngoscope investigative otolaryngology · 2022
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  10. Mutation of TonB-Dependent Receptor Encoding GeneInfection and drug resistance · 2022
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  11. Article
  12. Synchrony in serum antibody response to conserved proteins ofHuman vaccines & immunotherapeutics · 2020
    Article
  13. Panel 7 - Pathogenesis of otitis media - a review of the literature between 2015 and 2019.International journal of pediatric otorhinolaryngology · 2020
    Review
  14. Panel 8: Vaccines and immunology.International journal of pediatric otorhinolaryngology · 2020
    Review
  15. Reviewing the Pathogenic Potential of the Otitis-Associated BacteriaFrontiers in cellular and infection microbiology · 2020
    Review
  16. Article
  17. Article
  18. Review
  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

10 authors at 4 institutions in 2 countries.

Saara SillanpääDepartment of Anatomy, School of Medicine, University of Tampere, Tampere, Finland Department of Otorhinolaryngology and Head and Neck Surgery, Tampere University Hospital, and School of Medicine, University of Tampere, Tampere, Finland saara.sillanpaa@uta.fi.
Sami OikarinenDepartment of Virology, School of Medicine, University of Tampere, Tampere, Finland.
Markku SipiläDepartment of Otorhinolaryngology and Head and Neck Surgery, Tampere University Hospital, and School of Medicine, University of Tampere, Tampere, Finland.
Lenka KramnaDepartment of Pediatrics, 2nd Faculty of Medicine, Charles University in Prague, and University Hospital Motol, Prague, Czech Republic.
Markus RautiainenDepartment of Otorhinolaryngology and Head and Neck Surgery, Tampere University Hospital, and School of Medicine, University of Tampere, Tampere, Finland.
Heini HuhtalaSchool of Health Sciences, University of Tampere, Tampere, Finland.
Janne AittoniemiFimlab Laboratories, Tampere, Finland.
Jussi LaranneDepartment of Otorhinolaryngology and Head and Neck Surgery, Tampere University Hospital, and School of Medicine, University of Tampere, Tampere, Finland.
Heikki HyötyDepartment of Virology, School of Medicine, University of Tampere, Tampere, Finland Fimlab Laboratories, Tampere, Finland.
Ondrej CinekDepartment of Pediatrics, 2nd Faculty of Medicine, Charles University in Prague, and University Hospital Motol, Prague, Czech Republic.
Tampere University · FITampere University Hospital · FICharles University · CZFimlab (Finland) · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

According to studies based on bacterial cultures of middle ear fluids, Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis have been the most common pathogens in acute otitis media. However, bacterial culture can be affected by reduced viability or suboptimal growth of bacteria. PCR detects bacterial DNA from samples with greater sensitivity than culture. In the present study, we analyzed the middle ear pathogens with both conventional culture and semiquantitative real-time PCR in 90 middle ear fluid samples obtained from children aged 5 to 42 months during acute otitis media episodes. Samples were tested for the presence of S. pneumoniae, H. influenzae, M. catarrhalis, Alloiococcus otitidis, Staphylococcus aureus, and Pseudomonas aeruginosa One or more bacterial pathogens were detected in 42 (47%) samples with culture and in 69 (77%) samples with PCR. According to PCR analysis, M. catarrhalis results were positive in 42 (47%) samples, H. influenzae in 30 (33%), S. pneumoniae in 27 (30%), A. otitidis in 6 (6.7%), S. aureus in 5 (5.6%), and P. aeruginosa in 1 (1.1%). Multibacterial etiology was seen in 34 (38%) samples, and M. catarrhalis was detected in most (85%) of those cases. Fifteen signals for M. catarrhalis were strong, suggesting a highly probable etiological role of the pathogen. In conclusion, even though M. catarrhalis is often a part of mixed flora in acute otitis media, a considerable proportion of cases may be primarily attributable to this pathogen.

Indexed as

Bacteriological TechniquesChild, PreschoolCoinfectionFemaleFinlandGram-Negative Bacterial InfectionsGram-Positive Bacterial InfectionsHumansInfantMaleMoraxella catarrhalisOtitis MediaPrevalenceReal-Time Polymerase Chain Reaction

Identifiers

PMID27413187
PMCPMC5005485
OpenAlexW2463163418

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.