Evidence map›Paper›PMID 29045690›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2018

Clinical Characteristics of Hospitalized Infants With Laboratory-Confirmed Pertussis in Guatemala.

Varun K Phadke, John P McCracken, Jennifer L Kriss, Maria R Lopez, Kim A Lindblade, Joe P Bryan, Miguel E Garcia, Carlos E Funes, Saad B Omer

Abstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Clinical characteristics and molecular detection ofIranian journal of microbiology · 2021
    Article
  4. Article
  5. 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

9 authors at 4 institutions in 2 countries.

Varun K PhadkeDivision of Infectious Diseases, School of Medicine.
John P McCrackenCenter for Health Studies, Universidad del Valle de Guatemala, Guatemala City.
Jennifer L KrissDepartment of Epidemiology, Centers for Disease Control and Prevention, Central American Regional Office, Guatemala City, Guatemala.
Maria R LopezCenter for Health Studies, Universidad del Valle de Guatemala, Guatemala City.
Kim A LindbladeDivision of Global Health Protection, Centers for Disease Control and Prevention, Central American Regional Office, Guatemala City, Guatemala.
Joe P BryanDivision of Global Health Protection, Centers for Disease Control and Prevention, Central American Regional Office, Guatemala City, Guatemala.
Miguel E GarciaDepartment of Pediatrics, Hospital Nacional de Cuilapa, Santa Rosa, Guatemala.
Carlos E FunesDepartment of Pediatrics, Hospital Regional de Occidente, Quetzaltenango, Guatemala.
Saad B OmerDepartment of Epidemiology, Centers for Disease Control and Prevention, Central American Regional Office, Guatemala City, Guatemala.
Universidad del Valle de Guatemala · GTCenters for Disease Control and Prevention · USCentro Universitario de Occidente · GTEmory University · US

Funding

ALABAMA/ZAMBIA HIV VACCINE CLINICAL TRIALS UNIT (HVTU)U01AI047996 · NIAID · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GOEPFERT, PAUL A. · 2000 to 2006
$8.4M
Training a New Generation of VaccinologistsT32AI074492 · NIAID · EMORY UNIVERSITY · PI Rama Rao Amara, Benjamin A Lopman · 2009 to 2026
$6.4M
CGH CDC HHS U01 GH001003NIAID NIH HHS T32 AI074492NIAID NIH HHS U01 AI047996
6 · The paper itself

Abstract

backgroundPertussis is an important cause of hospitalization and death in infants too young to be vaccinated (aged <2 months). Limited data on infant pertussis have been reported from Central America. The aim of this study was to characterize acute respiratory illnesses (ARIs) attributable to Bordetella pertussis among infants enrolled in an ongoing surveillance study in Guatemala.

methodsAs part of a population-based surveillance study in Guatemala, infants aged <2 months who presented with ARI and required hospitalization were enrolled, and nasopharyngeal and oropharyngeal swab specimens were obtained. For this study, these specimens were tested for B pertussis using real-time polymerase chain reaction (PCR).

resultsAmong 301 infants hospitalized with ARI, we found 11 with pertussis confirmed by PCR (pertussis-positive infants). Compared to pertussis-negative infants, pertussis-positive infants had a higher mean admission white blood cell count (20900 vs 12579 cells/μl, respectively; P = .024), absolute lymphocyte count (11517 vs 5591 cells/μl, respectively; P < .001), rate of admission to the intensive care unit (64% vs 35%, respectively; P = .054), and case fatality rate (18% vs 3%, respectively; P = .014). Ten of the 11 pertussis-positive infants had cough at presentation; the majority (80%) of them had a cough duration of <7 days, and only 1 had a cough duration of >14 days. Fever (temperature ≥ 38°C) was documented in nearly half (45%) of the pertussis-positive infants (range, 38.0-38.4°C).

conclusionsIn this study of infants <2 months of age hospitalized with ARI in Guatemala, pertussis-positive infants had a high rate of intensive care unit admission and a higher case fatality rate than pertussis-negative infants.

Indexed as

Critical CareHospitalizationFemaleGuatemalaHumansInfantInfant, NewbornLeukocyte CountLymphocyte CountMalePolymerase Chain ReactionPopulation SurveillanceWhooping Cough

Identifiers

PMID29045690
PMCPMC5899054
OpenAlexW2763169352

What OpenQuestion holds

Textmetadata
LicenceTDM
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.