Evidence map›Paper›PMID 28060039›Full record

ArticleThe Pediatric infectious disease journal2017

Epidemiology and Molecular Characteristics of Mycoplasma pneumoniae During an Outbreak of M. pneumoniae-associated Stevens-Johnson Syndrome.

Louise K Francois Watkins, Daniel Olson, Maureen H Diaz, Xia Lin, Alicia Demirjian, Alvaro J Benitez, Jonas M Winchell, Christine C Robinson, Kirk A Bol, Mary P Glodé and 3 more

Abstract read
In one paragraph

Article in The Pediatric infectious disease journal, 2017. 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
–field-weighted citation impact
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.

  1. Open forum infectious diseases · 2026
    Review
  2. The Post-Pandemic Return ofJournal of clinical medicine · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Emerging microbes & infections · 2022
    Article
  7. Molecular Tools for TypingFrontiers in microbiology · 2022
    Review
  8. Article
  9. Article
  10. Article
  11. An unusual cause of Steven-Johnson Syndrome.Acta bio-medica : Atenei Parmensis · 2020
    Article
  12. Mycoplasma pneumoniae Among Children Hospitalized With Community-acquired Pneumonia.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  13. Article
  14. Article
  15. SJS/TEN 2017: Building Multidisciplinary Networks to Drive Science and Translation.The journal of allergy and clinical immunology. In practice
    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

13 authors.

Louise K Francois WatkinsFrom the *Epidemic Intelligence Service, and †Respiratory Diseases Branch, Division of Bacterial Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia; ‡Department of Pediatrics, Section of Infectious Diseases, University of Colorado School of Medicine, and §Department of Pediatrics, Section of Infectious Diseases, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado; ¶Behavioral and Clinical Surveillance Branch, Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia; ‖Department of Pathology and Laboratory Medicine, Children's Hospital Colorado, Aurora, Colorado; and **Colorado Department of Public Health and Environment, Denver, Colorado.
Daniel Olson
Maureen H Diaz
Xia Lin
Alicia Demirjian
Alvaro J Benitez
Jonas M Winchell
Christine C Robinson
Kirk A Bol
Mary P Glodé
Samuel R Dominguez
Lisa A Miller
Preeta K Kutty

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAn increase in Mycoplasma pneumoniae-associated Stevens-Johnson syndrome (SJS) cases at a Colorado pediatric hospital led to an outbreak investigation. We describe the epidemiologic and molecular characteristics of M. pneumoniae among SJS case-patients and surrounding community members during the outbreak.

methodsM. pneumoniae polymerase chain reaction-positive respiratory specimens from 5 Colorado hospitals and 4 referral laboratories underwent confirmatory polymerase chain reaction testing; positive specimens then underwent multilocus variable-number tandem-repeat analysis (MLVA) and macrolide resistance testing. Three SJS-M. pneumoniae case-patient households were surveyed using a standardized questionnaire, and nasopharyngeal/oropharyngeal swabs were obtained from all consenting/assenting household contacts. International Classification of Diseases, 9th revision codes were used to identify pneumonia cases among Colorado patients 5-21 years of age from January 2009 to March 2014.

resultsThree different M. pneumoniae MLVA types were identified among the 5 SJS case-patients with confirmed infection; MLVA type 3-X-6-2 was seen more commonly in SJS case-patients (60%) than in 69 non-SJS community specimens (29%). Macrolide resistance was identified in 7% of community specimens but not among SJS case-patients. Of 15 household contacts, 5 (33%) were M. pneumoniae positive; all MLVA types were identical to those of the corresponding SJS case-patient, although the specimen from 1 contact was macrolide resistant. Overall pneumonia cases as well as those caused by M. pneumoniae specifically peaked in October 2013, coinciding with the SJS outbreak.

conclusionsThe outbreak of M. pneumoniae-associated SJS may have been associated with a community outbreak of M. pneumoniae; clinicians should be aware of the M. pneumoniae-SJS relationship. Household transmission of M. pneumoniae was common within the households investigated.

Indexed as

AdolescentAdultAnti-Bacterial AgentsChildChild, PreschoolColoradoCommunity-Acquired InfectionsContact TracingDisease OutbreaksFemaleHospitals, PediatricHumansInfantMacrolidesMaleMicrobial Sensitivity TestsAnti-Bacterial AgentsMacrolides

Identifiers

PMID28060039
PMCPMC5893500

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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.