Evidence map›Paper›PMID 29228381›Full record

ArticleThe Journal of infectious diseases2018

Etiology and Impact of Coinfections in Children Hospitalized With Community-Acquired Pneumonia.

Vikki G Nolan, Sandra R Arnold, Anna M Bramley, Krow Ampofo, Derek J Williams, Carlos G Grijalva, Wesley H Self, Evan J Anderson, Richard G Wunderink, Kathryn M Edwards and 3 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in The Journal of infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 3% 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

53 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
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  8. Characteristics ofFrontiers in pediatrics · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 1 country.

Vikki G NolanDivision of Epidemiology, School of Public Health, University of Memphis.
Sandra R ArnoldDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis.
Anna M BramleyCenters for Disease Control and Prevention, Emory University School of Medicine, Atlanta, Georgia.
Krow AmpofoDepartment of Pediatrics, University of Utah Health Sciences Center, Salt Lake City.
Derek J WilliamsDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Carlos G GrijalvaDepartment of Health Policy, Vanderbilt University School of Medicine, Nashville, Tennessee.
Wesley H SelfDepartment of Emergency Medicine, Vanderbilt University School of Medicine, Nashville, Tennessee.
Evan J AndersonDepartments of Pediatrics and Medicine, Emory University School of Medicine, Atlanta, Georgia.
Richard G WunderinkDepartment of Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Kathryn M EdwardsDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Andrew T PaviaDepartment of Pediatrics, University of Utah Health Sciences Center, Salt Lake City.
Seema JainCenters for Disease Control and Prevention, Emory University School of Medicine, Atlanta, Georgia.
Jonathan A McCullersDepartment of Pediatrics, University of Tennessee Health Science Center, Memphis.
Vanderbilt University · USEmory University · USUniversity of Tennessee Health Science Center · USUniversity of Utah · USCenters for Disease Control and Prevention · USNorthwestern University · USUniversity of Memphis · USVanderbilt Health · US

Funding

Risk Stratification and Decision Support to Improve Care and Outcomes in Children with PneumoniaR01AI125642 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2017 to 2021
$3.3M
Incidence and etiology of pneumonia in childrenU18IP000489 · IP · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI MCCULLERS, JONATHAN A · 2011 to 2013
$937k
Development and Validation of a Clinical Prediction Rule for Pediatric PneumoniaK23AI104779 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WILLIAMS, DEREK J. · 2013 to 2016
$688k
NCIRD CDC HHS U18 IP000489NIAID NIH HHS K23 AI104779NIAID NIH HHS R01 AI125642
6 · The paper itself

Abstract

Background: Recognition that coinfections are common in children with community-acquired pneumonia (CAP) is increasing, but gaps remain in our understanding of their frequency and importance. Methods: We analyzed data from 2219 children hospitalized with CAP and compared demographic and clinical characteristics and outcomes between groups with viruses alone, bacteria alone, or coinfections. We also assessed the frequency of selected pairings of codetected pathogens and their clinical characteristics. Results: A total of 576 children (26%) had a coinfection. Children with only virus detected were younger, more likely to be black, and more likely to have comorbidities such as asthma, compared with children infected with typical bacteria alone. Children with virus-bacterium coinfections had a higher frequency of leukocytosis, consolidation on chest radiography, parapneumonic effusions, intensive care unit admission, and need for mechanical ventilation and an increased length of stay, compared with children infected with viruses alone. Virus-virus coinfections were generally comparable to single-virus infections, with the exception of the need for oxygen supplementation, which was higher during the first 24 hours of hospitalization in some virus-virus pairings. Conclusions: Coinfections occurred in 26% of children hospitalized for CAP. Children with typical bacterial infections, alone or complicated by a viral infection, have worse outcomes than children infected with a virus alone.

Indexed as

AdolescentBacteriaChildChild, PreschoolCohort StudiesCoinfectionCommunity-Acquired InfectionsFemaleHospitalizationHumansInfantInfant, NewbornMalePneumoniaTreatment OutcomeViruses

Identifiers

PMID29228381
PMCPMC7108488
OpenAlexW2772827291

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.