Evidence map›Paper›PMID 28673837›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2017

Respiratory viruses detected in Mexican children younger than 5 years old with community-acquired pneumonia: a national multicenter study.

Rosa María Wong-Chew, Miguel L García-León, Daniel E Noyola, Luis F Perez Gonzalez, Jesús Gaitan Meza, Alberto Vilaseñor-Sierra, Gerardo Martinez-Aguilar, Victor Hugo Rivera-Nuñez, Oscar A Newton-Sánchez, Verónica Firo-Reyes and 11 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.0field-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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  11. Respiratory Infant Mortality Rate by Month of Birth in Mexico.Epidemiologia (Basel, Switzerland) · 2025
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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

21 authors at 11 institutions in 1 country.

Rosa María Wong-ChewUnidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico city, Mexico. Electronic address: rmwong@unam.mx.
Miguel L García-LeónUnidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico city, Mexico.
Daniel E NoyolaDepartamento de Microbiología, Facultad de Medicina, Universidad Autónoma de San Luis Potosí, San Luis Potosí, México.
Luis F Perez GonzalezHospital Central "Dr. Ignacio Morones Prieto" San Luis Potosí, San Luis Potosí, México.
Jesús Gaitan MezaNuevo Hospital Civil de Guadalajara "Dr. Juan I. Menchaca", Guadalajara, Jalisco, México.
Alberto Vilaseñor-SierraLaboratorio de Microbiología Molecular, Centro de Investigación Biomédica de Occidente, IMSS, Guadalajara, Jalisco, México.
Gerardo Martinez-AguilarUnidad de Investigación Biomédica IMSS Durango, Durango, México.
Victor Hugo Rivera-NuñezHospital General de Durango Secretaría de Salud, Durango, Mexico.
Oscar A Newton-SánchezHospital Regional Universitario de los Servicios de salud del Estado de Colima, Colima, México.
Verónica Firo-ReyesHospital General de México "Dr. Eduardo Liceaga", Mexico city, Mexico.
Carlos N Del Río-AlmendarezHospital Pediátrico de Coyoacán, Mexico city, Mexico.
Alejandra Pamela González-RodríguezUnidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico city, Mexico.
Enrique R Ortiz-GarcíaHospital para el Niño de Toluca, Toluca, Estado de México, México.
Susana Navarrete-NavarroHospital de Pediatría del Centro Médico Nacional de Occidente, IMSS, Guadalajara, Jalisco, México.
Carmen Soria-RodríguezHospital General de Mexicali, Mexicali, Baja California, México.
Adoniram Carrasco-CastilloHospital de la Niñez Oaxaqueña, Oaxaca, México.
Eneida Sánchez-MedinaHospital Infantil de Tlaxcala, Tlaxcala, México.
Irma López-MartínezInstituto de Diagnóstico y Referencia Epidemiológicos "Dr. Manuel Martínez Báez", Mexico city, México.
Teresa Hernández-AndradeInstituto de Diagnóstico y Referencia Epidemiológicos "Dr. Manuel Martínez Báez", Mexico city, México.
Celia M Alpuche-ArandaInstituto de Diagnóstico y Referencia Epidemiológicos "Dr. Manuel Martínez Báez", Mexico city, México.
José I Santos-PreciadoUnidad de Investigación en Medicina Experimental, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico city, Mexico.
Universidad Nacional Autónoma de México · MXSecretaria de Salud · MXSecretaría de Salud de Jalisco · MXAutonomous University of San Luis Potosí · MXAutonomous University of Tlaxcala · MXDurango Institute of Technology · MXHospital Central Dr. Ignacio Morones Prieto · MXHospital Civil de Guadalajara · MXHospital General de México · MXInstituto de Salud del Estado de México · MXUniversidad de Colima · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute respiratory infections are the leading cause of mortality in children worldwide, especially in developing countries. Pneumonia accounts for 16% of all deaths of children under 5 years of age and was the cause of death of 935000 children in 2015. Despite its frequency and severity, information regarding its etiology is limited. The aim of this study was to identify respiratory viruses associated with community-acquired pneumonia (CAP) in children younger than 5 years old.

methodsOne thousand four hundred and four children younger than 5 years of age with a clinical and/or radiological diagnosis of CAP in 11 hospitals in Mexico were included. Nasal washes were collected, placed in viral medium, and frozen at -70°C until processing. The first 832 samples were processed using the multiplex Bio-Plex/Luminex system and the remaining 572 samples using the Anyplex multiplex RT-PCR. Clinical data regarding diagnosis, clinical signs and symptoms, radiographic pattern, and risk factors were obtained and recorded.

resultsOf the samples tested, 81.6% were positive for viruses. Respiratory syncytial virus (types A and B) was found in 23.7%, human enterovirus/rhinovirus in 16.6%, metapneumovirus in 5.7%, parainfluenza virus (types 1-4) in 5.5%, influenza virus (types A and B) in 3.6%, adenovirus in 2.2%, coronavirus (NL63, OC43, 229E, and HKU1) in 2.2%, and bocavirus in 0.4%. Co-infection with two or more viruses was present in 22.1%; 18.4% of the samples were negative. Using biomass for cooking, daycare attendance, absence of breastfeeding, and co-infections were found to be statistically significant risk factors for the presence of severe pneumonia.

conclusionsRespiratory syncytial virus (types A and B), human enterovirus/rhinovirus, and metapneumovirus were the respiratory viruses identified most frequently in children younger than 5 years old with CAP. Co-infection was present in an important proportion of the children.

Indexed as

AdenoviridaeChild, PreschoolCoinfectionCommunity-Acquired InfectionsCoronavirusCross-Sectional StudiesDemographyEnterovirusFemaleHumansInfantMetapneumovirusMexicoPneumonia, ViralRespiratory Syncytial Virus, HumanRespiratory Tract InfectionsChildrenPneumoniaRespiratory viruses

Identifiers

PMID28673837
PMCPMC7110468
OpenAlexW2733642480

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.