Evidence map›Paper›PMID 30321228›Full record

ArticlePloS one2018

Epidemiology, clinical presentation and respiratory sequelae of adenovirus pneumonia in children in Kuala Lumpur, Malaysia.

Limin Li, Yen Yen Woo, Jessie Anne de Bruyne, Anna Marie Nathan, Sze Ying Kee, Yoke Fun Chan, Chun Wei Chiam, Kah Peng Eg, Surendran Thavagnanam, I-Ching Sam

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.6field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 71 citations in OpenAlex.

  1. Article
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  4. Clinical analysis of Mycoplasma pneumoniae pneumonia combined with adenovirus infection in children with lobar pneumonia.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
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  5. Article
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  8. Article
  9. Adenovirus andFrontiers in pediatrics · 2024
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  16. Review
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  19. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Limin LiDepartment of Paediatrics, University Malaya, Kuala Lumpur, Malaysia.
Yen Yen WooDepartment of Medical Microbiology, University Malaya, Kuala Lumpur, Malaysia.
Jessie Anne de BruyneDepartment of Paediatrics, University Malaya, Kuala Lumpur, Malaysia.
Anna Marie NathanDepartment of Paediatrics, University Malaya, Kuala Lumpur, Malaysia.ORCID 0000-0003-3618-5820
Sze Ying KeeDepartment of Paediatrics, University Putra Malaysia, Serdang, Selangor Darul Ehsan, Malaysia.
Yoke Fun ChanDepartment of Medical Microbiology, University Malaya, Kuala Lumpur, Malaysia.
Chun Wei ChiamDepartment of Medical Microbiology, University Malaya, Kuala Lumpur, Malaysia.
Kah Peng EgDepartment of Paediatrics, University Malaya, Kuala Lumpur, Malaysia.
Surendran ThavagnanamDepartment of Paediatrics, University Malaya, Kuala Lumpur, Malaysia.
I-Ching SamDepartment of Medical Microbiology, University Malaya, Kuala Lumpur, Malaysia.
University of Malaya · MYUniversity Malaya Medical Centre · MYUniversiti Putra Malaysia · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe the severity, human adenovirus (HAdV) type and respiratory morbidity following adenovirus pneumonia in children. METHODOLOGY: Retrospective review of children under 12 years of age, admitted with HAdV pneumonia, between January 2011 and July 2013, in a single centre in Malaysia. HAdV isolated from nasopharyngeal secretions were typed by sequencing hypervariable regions 1-6 of the hexon gene. Patients were reviewed for respiratory complications.

resultsHAdV was detected in 131 children of whom 92 fulfilled inclusion criteria. Median (range) age was 1.1 (0.1-8.0) years with 80% under 2 years. Twenty percent had severe disease with a case-fatality rate of 5.4%. Duration of admission (p = 0.02) was independently associated with severe illness. Twenty-two percent developed respiratory complications, the commonest being bronchiolitis obliterans (15.2%) and recurrent wheeze (5.4%). The predominant type shifted from HAdV1 and HAdV3 in 2011 to HAdV7 in 2013. The commonest types identified were types 7 (54.4%), 1(17.7%) and 3 (12.6%). Four out of the five patients who died were positive for HAdV7. Infection with type 7 (OR 8.90, 95% CI 1.32, 59.89), family history of asthma (OR 14.80, 95% CI 2.12-103.21) and need for invasive or non-invasive ventilation (OR 151.84, 95% CI 9.93-2.32E) were independent predictors of respiratory complications.

conclusionsOne in five children admitted with HAdV pneumonia had severe disease and 22% developed respiratory complications. Type 7 was commonly isolated in children with severe disease. Family history of asthma need for invasive or non-invasive ventilation and HAdV 7 were independent predictors of respiratory complications.

Indexed as

AdenoviridaeAdenoviridae InfectionsBronchiolitis ObliteransChildChild, PreschoolFemaleHumansInfantInfant, NewbornMalaysiaMalePhylogenyPneumonia, ViralRespiratory SoundsRetrospective Studies

Identifiers

PMID30321228
PMCPMC6188781
OpenAlexW2896532857

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.