Evidence map›Paper›PMID 31085002›Full record

ArticleVaccine2019

Clinical characteristics and outcomes of respiratory syncytial virus infection in pregnant women.

Anne M Hause, Vasanthi Avadhanula, Maurizio L Maccato, Phillip M Pinell, Nanette Bond, Patricia Santarcangelo, Laura Ferlic-Stark, Xunyan Ye, Obinna Iwuchukwu, Lauren Maurer and 5 more

Open access · greenAbstract read
In one paragraph

Article in Vaccine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

17 citing papers in PubMed, 32 citations in OpenAlex.

  1. Review
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  6. Article
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  9. Article
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  11. Review
  12. Article
  13. Maternal RSV vaccine development. Where to from here?Human vaccines & immunotherapeutics · 2021
    Article
  14. Future vaccines in pregnancy.Best practice & research. Clinical obstetrics & gynaecology · 2021
    Review
  15. Article
  16. Adverse Outcomes in Pregnant Women Hospitalized With Respiratory Syncytial Virus Infection: A Case Series.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  17. The journey to a respiratory syncytial virus vaccine.Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology · 2020
    Review
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

15 authors at 1 institution in 1 country.

Anne M HauseDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States; Translational Biology and Molecular Medicine, Baylor College of Medicine, Houston, TX 77030, United States. Electronic address: anne.hause@emory.edu.
Vasanthi AvadhanulaDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Maurizio L MaccatoDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States; Pediatrics, Baylor College of Medicine, Houston, TX 77030, United States; Woman's OB/GYN Specialists, Houston, TX 77054, United States.
Phillip M PinellDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States; Pediatrics, Baylor College of Medicine, Houston, TX 77030, United States; Woman's OB/GYN Specialists, Houston, TX 77054, United States.
Nanette BondDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Patricia SantarcangeloDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Laura Ferlic-StarkDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Xunyan YeDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Obinna IwuchukwuDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Lauren MaurerDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Letisha AideyanDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Kelly DaoDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Trevor McBrideDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States.
Pedro A PiedraDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States; Pediatrics, Baylor College of Medicine, Houston, TX 77030, United States. Electronic address: ppiedra@bcm.edu.
Flor M MunozDepartments of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, United States; Pediatrics, Baylor College of Medicine, Houston, TX 77030, United States. Electronic address: florm@bcm.edu.
Baylor College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the clinical presentation and laboratory diagnosis of pregnant women with respiratory syncytial virus (RSV) infection.

methodsPregnant women in their second and third trimester were enrolled during the course of routine prenatal care visits when they were asymptomatic within the preceding two weeks (healthy controls) or when they reported symptoms of acute respiratory illness (ARI) of ≤7 days of duration (cases). Clinical outcomes were assessed at enrollment and two weeks after. Re-enrollment was allowed. Nasal-pharyngeal secretions were evaluated for respiratory pathogens by real-time reverse transcription polymerase chain reaction (PCR). Sera were tested for RSV-specific antibody responses by Western Blot, microneutralization assay, and palivizumab competitive antibody assay.

resultsDuring the 2015-2016 respiratory virus season, 7 of 65 (11%) pregnant women with ARI at their initial enrollment and 8 of 77 (10%) pregnant women with ARI during the study period (initial or re-enrollment) had PCR-confirmed RSV infection. Four (50%) PCR-confirmed RSV ARI cases reported symptoms of a lower respiratory tract illness (LRTI), one was hospitalized. Combining PCR and serology data, the RSV attack rate at initial enrollment was 12% (8 of 65), and 13% (10 of 77) based on ARI episodes. Among healthy controls, 28 of 88 (32%) had a Western Blot profile suggestive of a recent RSV infection either in the prior and/or current season.

conclusionRSV had an attack rate of 10-13% among ambulatory pregnant women receiving routine prenatal care during the respiratory virus season. The serology results of healthy controls suggest a potentially higher attack rate. Future studies should be aware of the combined diagnostic strength of PCR and serology to identify RSV infection. As maternal RSV vaccine candidates are evaluated to protect young infants, additional priority should be placed on outcomes of pregnant women.

Indexed as

AdultAntibodies, ViralFemaleHumansPregnancyPregnancy Complications, InfectiousPrenatal CareRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsAntibodies, ViralAcute respiratory illnessMaternal infectionMaternal vaccinePregnancyRespiratory syncytial virus

Identifiers

PMID31085002
PMCPMC7126758
OpenAlexW2944463327

What OpenQuestion holds

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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.