Evidence map›Paper›PMID 29144593›Full record

Observational studyInfluenza and other respiratory viruses2019

Risk factors for seasonal influenza virus detection in stools of patients consulting in general practice for acute respiratory infections in France, 2014-2016.

Laëtitia Minodier, Shirley Masse, Lisandru Capai, Thierry Blanchon, Pierre-Emmanuel Ceccaldi, Sylvie van der Werf, Thomas Hanslik, Remi Charrel, Alessandra Falchi

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Influenza and other respiratory viruses, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Use of SARS-CoV-2-infected deceased organ donors: Should we always "just say no?"American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2020
    Article
  6. Article
  7. Observational
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 3 institutions in 1 country.

Laëtitia MinodierEA7310, Laboratoire de Virologie, Université de Corse-Inserm, Corte, France.ORCID 0000-0002-5297-382X
Shirley MasseEA7310, Laboratoire de Virologie, Université de Corse-Inserm, Corte, France.
Lisandru CapaiEA7310, Laboratoire de Virologie, Université de Corse-Inserm, Corte, France.
Thierry BlanchonSorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France.
Pierre-Emmanuel CeccaldiPasteur Institute, Virology Department, Epidemiology and Physiopathology of Oncogenic Viruses Unit, Paris, France.
Sylvie van der WerfUMR CNRS 3569, Paris, France.
Thomas HanslikSorbonne Universités, UPMC Univ Paris 06, INSERM, Institut Pierre Louis d'épidémiologie et de Santé Publique (IPLESP UMRS 1136), Paris, France.
Remi CharrelUMR "Emergence des Pathologies Virales" (EPV: Aix-Marseille Univ - IRD 190 - Inserm 1207 - EHESP) & Fondation IHU Méditerranée Infection, APHM Public Hospitals of Marseille, Marseille, France.
Alessandra FalchiEA7310, Laboratoire de Virologie, Université de Corse-Inserm, Corte, France.
Université de Corse Pascal Paoli · FRInserm · FRCentre National de la Recherche Scientifique · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies reported detection of influenza RNA in stools of patients with seasonal influenza infection. While this detection may have a clinical significance, other factors may influence the stool positivity for influenza viruses.

objectivesThe objective of this study was to investigate demographical, clinical, and microbiological factors which could favor the presence of influenza viral RNA in the stools of patients with laboratory-confirmed influenza infection.

methodsAcute respiratory infection (ARI) patients were enrolled by general practitioners (GP) during two winter seasons (2014-2016). Nasopharyngeal swabs, stool specimens, and clinical data were collected. Samples were tested for 12 respiratory pathogen groups (nasopharyngeal and stool specimens) and for 12 enteric pathogens (stool specimens).

resultsAmong the 331 patients with ARI enrolled by GP, 114 (34.4%) presented influenza infection. Influenza RNA was detected in stool samples of 21% (24/114) of the 114 stool specimens analyzed. Hospitalization (adjusted odds ratio (aOR) = 7.8 (95% confidence interval (CI)) [1.7-33.7], P = .02), age between 45 and 64 years (aOR = 4.8 [1.7-14.5], P = .01), consumption of raw shellfish and/or mollusks (aOR = 16.7 [3.6-90.9], P = .00), and use of antibiotics (aOR = 6.4 [2.1-19.8], P = .006) or antiviral treatment (aOR = 7.4 [1.9-29], P = .01) were significantly associated with an increased odds of the detection of influenza RNA in stools. Among the 24 stool samples subjected to viral isolation, no one showed virus growth.

conclusionsThese findings will be useful to studies investigating the dissemination route of influenza viruses to gastrointestinal tract.

Indexed as

General PracticeAdolescentAdultAgedChildChild, PreschoolCross-Sectional StudiesFecesFemaleFranceHumansInfantInfant, NewbornInfluenza, HumanMaleMiddle AgedRNA, Viralacute respiratory infectionenteric pathogensgastrointestinal symptomsgeneral practitionerinfluenza virusstool samples

Identifiers

PMID29144593
PMCPMC6586184
OpenAlexW2770980388

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.