Evidence map›Paper›PMID 31237087›Full record

ArticleInfluenza and other respiratory viruses2019

Associations between common respiratory viruses and invasive group A streptococcal infection: A time-series analysis.

Brechje de Gier, Bart J M Vlaminckx, Sjoukje H S Woudt, Nina M van Sorge, Liselotte van Asten

Abstract read
In one paragraph

Article 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

21 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Observational
  5. Clinical characterization of anFrontiers in cellular and infection microbiology · 2026
    Article
  6. Article
  7. Wastewater Surveillance for Group APathogens (Basel, Switzerland) · 2025
    Article
  8. Article
  9. Article
  10. Attribution of invasive group A streptococcal infections (iGAS) to predisposing viral infections, the Netherlands, 2010 to 2023.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. The ongoing Streptococcus pyogenes (Group A Streptococcus) outbreak in London, United Kingdom, in December 2022: a molecular epidemiology study.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2023
    Article
  17. Article
  18. Article
  19. Article
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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

5 authors.

Brechje de GierCenter for Epidemiology and Surveillance of Infectious Diseases, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.ORCID 0000-0002-9067-090X
Bart J M VlaminckxMedical Microbiology and Immunology, St Antonius Hospital, Nieuwegein, the Netherlands.
Sjoukje H S WoudtCenter for Epidemiology and Surveillance of Infectious Diseases, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Nina M van SorgeMedical Microbiology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Liselotte van AstenCenter for Epidemiology and Surveillance of Infectious Diseases, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive infections by group A Streptococcus (iGAS, Streptococcus pyogenes) have a winter seasonality which largely coincides with the season for influenza and other respiratory viruses. Influenza superinfections with GAS have been described to occur regularly and to show a severe clinical picture with high mortality. We aimed to study the extent to which influenza A and B viruses (IAV and IBV), respiratory syncytial virus (RSV) and rhinovirus circulation contribute to iGAS incidence and severity.

methodsTime-series regression models were built to explore the temporal associations between weekly laboratory counts of IAV, IBV, RSV and rhinovirus as independent variables and weekly counts of GAS disease notifications or laboratory GAS cultures as dependent variables.

resultsThe weekly number of IAV detections showed a significant temporal association with the number of notifications of streptococcal toxic shock syndrome (STSS), a severe complication of iGAS. Depending on the season, up to 40% of all notified STSS cases was attributable to IAV circulation. Besides STSS, none of the other iGAS manifestations were associated with a respiratory virus.

conclusionsOur study found an ecological temporal association between IAV and STSS, the most severe complication of iGAS. Future studies are needed to confirm this association and assess the possible preventability of STSS by influenza vaccination, especially in the age group 60 years and older.

Indexed as

SeasonsEnterovirus InfectionsHumansIncidenceInfluenza A virusInfluenza B virusInfluenza, HumanModels, StatisticalPicornaviridae InfectionsRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsRhinovirusSeverity of Illness IndexStreptococcal InfectionsStreptococcus pyogenesTime Factorsinfluenzaperiodicityrespiratory tract infectionsstatistical modelsStreptococcus pyogenes

Identifiers

PMID31237087
PMCPMC6692538

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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.