Evidence map›Paper›PMID 28368491›Full record

ArticleThe Journal of infectious diseases2017

Viral Pathogen Detection by Metagenomics and Pan-Viral Group Polymerase Chain Reaction in Children With Pneumonia Lacking Identifiable Etiology.

Robert Schlaberg, Krista Queen, Keith Simmon, Keith Tardif, Chris Stockmann, Steven Flygare, Brett Kennedy, Karl Voelkerding, Anna Bramley, Jing Zhang and 6 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 5 pooled it
7.2field-weighted citation impact, top 2% 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

62 citing papers in PubMed, 5 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Metagenomic next-generation sequencing forFrontiers in public health · 2023
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. The respiratory tract virome: unravelling the role of viral dark matter in respiratory health and disease.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  12. Article
  13. Article
  14. Analysis of metagenomic data.Nature reviews. Methods primers · 2025
    Article
  15. Article
  16. Review
  17. Article
  18. Respiratory Metagenomics: Ready for Prime Time?American journal of respiratory and critical care medicine · 2024
    Article
  19. Article
  20. Review

2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Robert SchlabergDepartment of Pathology.
Krista QueenCenters for Disease Control and Prevention, Atlanta, Georgia.
Keith SimmonDepartment of Biomedical Informatics.
Keith TardifARUP Institute for Clinical and Experimental Pathology, Salt Lake City, Utah; and.
Chris StockmannDepartment of Pediatrics, and.
Steven FlygareDepartment of Human Genetics, University of Utah, and.
Brett KennedyDepartment of Human Genetics, University of Utah, and.
Karl VoelkerdingDepartment of Pathology.
Anna BramleyCenters for Disease Control and Prevention, Atlanta, Georgia.
Jing ZhangCenters for Disease Control and Prevention, Atlanta, Georgia.
Karen EilbeckDepartment of Biomedical Informatics.
Mark YandellDepartment of Human Genetics, University of Utah, and.
Seema JainCenters for Disease Control and Prevention, Atlanta, Georgia.
Andrew T PaviaDepartment of Pediatrics, and.
Suxiang TongCenters for Disease Control and Prevention, Atlanta, Georgia.
Krow AmpofoDepartment of Pediatrics, and.
Centers for Disease Control and Prevention · USPediatrics and Genetics · USUniversity of Utah · USARUP Laboratories (United States) · USARUP Institute for Clinical and Experimental Pathology

Funding

University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
TRAINING IN CARDIOVASCULAR RESEARCHT32HL007576 · NHLBI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI Stavros George Drakos, Robin M Shaw · 1985 to 2026
$10.6M
University of Utah Center for clinical and Translational ScienceKL2TR001065 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$1.1M
Intramural CDC HHS CC999999NCATS NIH HHS KL2 TR001065NCATS NIH HHS UL1 TR001067NHLBI NIH HHS T32 HL007576
6 · The paper itself

Abstract

Background: Community-acquired pneumonia (CAP) is a leading cause of pediatric hospitalization. Pathogen identification fails in approximately 20% of children but is critical for optimal treatment and prevention of hospital-acquired infections. We used two broad-spectrum detection strategies to identify pathogens in test-negative children with CAP and asymptomatic controls. Methods: Nasopharyngeal/oropharyngeal (NP/OP) swabs from 70 children <5 years with CAP of unknown etiology and 90 asymptomatic controls were tested by next-generation sequencing (RNA-seq) and pan viral group (PVG) PCR for 19 viral families. Association of viruses with CAP was assessed by adjusted odds ratios (aOR) and 95% confidence intervals controlling for season and age group. Results: RNA-seq/PVG PCR detected previously missed, putative pathogens in 34% of patients. Putative viral pathogens included human parainfluenza virus 4 (aOR 9.3, P = .12), human bocavirus (aOR 9.1, P < .01), Coxsackieviruses (aOR 5.1, P = .09), rhinovirus A (aOR 3.5, P = .34), and rhinovirus C (aOR 2.9, P = .57). RNA-seq was more sensitive for RNA viruses whereas PVG PCR detected more DNA viruses. Conclusions: RNA-seq and PVG PCR identified additional viruses, some known to be pathogenic, in NP/OP specimens from one-third of children hospitalized with CAP without a previously identified etiology. Both broad-range methods could be useful tools in future epidemiologic and diagnostic studies.

Indexed as

Child, PreschoolCohort StudiesCommunity-Acquired InfectionsHumansInfantInfant, NewbornMetagenomicsPneumonia, ViralPolymerase Chain ReactionSequence Analysis, RNAVirusesmetagenomicspan-viral group polymerase chain reaction (PVG PCR)pneumonia.RNA sequencing (RNA-seq)

Identifiers

PMID28368491
PMCPMC5565793
OpenAlexW2602409551

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.