Evidence map›Paper›PMID 30351487›Full record

ArticleJournal of medical virology2019

Demographic and seasonal characteristics of respiratory pathogens in neonates and infants aged 0 to 12 months in the Central-East region of Tunisia.

Ines Brini Khalifa, Naila Hannachi, Aida Guerrero, Dorothea Orth-Höller, Sana Bhiri, Jihene Bougila, Lamia Boughamoura, Sonia Nouri Merchaoui, Hassen Sboui, Nabiha Mahdhaoui and 4 more

Abstract read
In one paragraph

Article in Journal of medical virology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

14 authors.

Ines Brini KhalifaDepartment of Microbiology, Immunology, and Parasitology, Laboratory of Microbiology, Sousse Medical University, University of Sousse, Sousse, Tunisia.ORCID 0000-0002-1733-6884
Naila HannachiDepartment of Microbiology, Immunology, and Parasitology, Laboratory of Microbiology, Sousse Medical University, University of Sousse, Sousse, Tunisia.
Aida GuerreroDivision of Virology, Innsbruck Medical University, Innsbruck, Austria.
Dorothea Orth-HöllerDivision of Hygiene and Medical Microbiology, Innsbruck Medical University, Innsbruck, Austria.
Sana BhiriDepartment of Epidemiology and Medical Statistics, Division of Medical Statistics, University-Hospital of Farhat Hached of Sousse, Sousse, Tunisia.
Jihene BougilaPediatric Ward, University-Hospital of Farhat Hached of Sousse, Sousse, Tunisia.
Lamia BoughamouraPediatric Ward, University-Hospital of Farhat Hached of Sousse, Sousse, Tunisia.
Sonia Nouri MerchaouiNeonatology Ward, University-Hospital of Farhat Hached of Sousse, Sousse, Tunisia.
Hassen SbouiNeonatology Ward, University-Hospital of Farhat Hached of Sousse, Sousse, Tunisia.
Nabiha MahdhaouiNeonatology Ward, University-Hospital of Farhat Hached of Sousse, Sousse, Tunisia.
Britta SchielaDivision of Virology, Innsbruck Medical University, Innsbruck, Austria.
Dorothee Holm-von LaerDivision of Virology, Innsbruck Medical University, Innsbruck, Austria.
Jalel BoukadidaDepartment of Microbiology, Immunology, and Parasitology, Laboratory of Microbiology, Sousse Medical University, University of Sousse, Sousse, Tunisia.
Heribert StoiberDivision of Virology, Innsbruck Medical University, Innsbruck, Austria.

Funding

Austrian Science Fund FWF W 1253
6 · The paper itself

Abstract

backgroundThis study aimed to characterize the epidemiology of pathogenic respiratory agents in patients aged 0 to 12 months and hospitalized for acute respiratory infections in Tunisia between 2013 and 2014.

methodsA total of 20 pathogens, including viruses, Mycoplasma pneumoniae, and Streptococcus pneumoniae, were detected using molecular sensitive assays, and their associations with the patient's demographic data and season were analyzed.

resultsViral infectious agents were found in 449 (87.2%) of 515 specimens. Dual and multiple infectious agents were detected in 31.4% and 18.6% of the samples, respectively. Viral infection was predominant in the pediatric environment (90.8%, P < 0.001), male patients (88.0%), and spring (93.8%). Rhinovirus was the most detected virus (51.8%) followed by respiratory syncytial virus A/B (34.4%), coronavirus group (18.5%), adenovirus (17.9%), and parainfluenza viruses 1-4 (10.9%). Respiratory Syncytial virus A/B was significantly associated with gender (38.0% male cases vs 28.3% female cases, P = 0.02). Infections by Adenovirus, Bocavirus, and Metapneumovirus A/B increased with increasing age of patients (predominated cases aged 6-12 months, P < 0.001). S. pneumoniae was detected in 30.9% of th tested samples. In 18.2% of the negative viral infections, only S. pneumoniae was identified.

conclusionA predominance of the rhinovirus infection was observed in this study. Coronavirus subtypes were described for the first time in Tunisia. The observed different pathogenic profiles across age groups could be helpful to avoid the misclassification of patients presenting with ARIs at the triage level when no standardized protocol is available. This study will provide clues for physicians informing decisions regarding preventive strategies and medication in Tunisia.

Indexed as

BacteriaBacterial InfectionsDemographyFemaleHospitalizationHumansInfantInfant, NewbornMaleMolecular Diagnostic TechniquesRespiratory Tract InfectionsTunisiaVirus DiseasesVirusesdemographyinfantsmolecular assaysneonatesrespiratory agentsseasonality

Identifiers

PMID30351487
PMCPMC6492255

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Registered trials

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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.