Evidence map›Paper›PMID 31263967›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2019

Mycoplasma pneumoniae outbreak, Southeastern Finland, 2017-2018: molecular epidemiology and laboratory diagnostic lessons.

Satu Kurkela, Mirja Puolakkainen, Kati Hokynar, Tea Nieminen, Harri Saxen, Laura Mannonen, Risto Pietikäinen

Abstract read
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Trends inMicrobiology spectrum · 2025
    Article
  6. Article
  7. The epidemic characteristics ofMicrobiology spectrum · 2024
    Article
  8. Article
  9. [Macrolide-resistant Mycoplasma pneumoniae: Do we know the situation in Europe?]Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2023
    Review
  10. Article
  11. Review
  12. Epidemiological Study onFrontiers in cellular and infection microbiology · 2022
    Article
  13. Update on the Epidemiology of Macrolide-ResistantInfectious disease reports · 2021
    Review
  14. Article
  15. Article
  16. Analysis ofTranslational pediatrics · 2021
    Article
  17. Article
  18. Improved Diagnostics Help to Identify Clinical Features and Biomarkers That Predict Mycoplasma pneumoniae Community-acquired Pneumonia in Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  19. Microorganisms · 2019
    Article
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

7 authors.

Satu KurkelaDepartment of Virology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. satu.kurkela@helsinki.fi.ORCID http://orcid.org/0000-0003-2911-3212
Mirja PuolakkainenDepartment of Virology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Kati HokynarDepartment of Virology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Tea NieminenChildren's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Harri SaxenChildren's Hospital, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Laura MannonenDepartment of Virology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
Risto PietikäinenKymenlaakso Central Hospital, Kotka, Finland.

Funding

Academy of Finland -Helsingin ja Uudenmaan Sairaanhoitopiiri -
6 · The paper itself

Abstract

This study characterizes a large Mycoplasma pneumoniae outbreak observed in Kymenlaakso in Southeastern Finland during August 2017-January 2018. The first part of the investigation included 327 patients, who sought healthcare consultation at local GPs or hospitals due to clinical symptoms, and were tested for M. pneumoniae antibodies (Patient cohort). The second part of the investigation, conducted approximately 4 weeks after the peak of the outbreak, consisted of school screening of pupils (N = 239) in three different school buildings by PCR on respiratory specimens and questionnaires (Screening cohort). PCR positive respiratory specimens were subsequently utilized for molecular typing. The outbreak peaked in late October 2017. Of the Patient cohort, 9/106 (8.5%) respiratory specimens were PCR positive. In contrast, 3/182 (1.6%) of the Screening cohort were PCR positive. Asymptomatic carriage was observed. Multiple-locus variable-number tandem-repeat analysis (MLVA) identified two distinct MLVA types. All typed M. pneumoniae strains belonged to P1 type 1. No mutations leading to macrolide resistance were observed. In total, 61/327 (19%) of the Patient cohort had a serological indication of recent infection. The IgM test reactivity at the time of a negative PCR test result varied from a completely non-reactive value up to very strong reactivity, highlighting the difficulty in a single specimen serodiagnosis.

Indexed as

Disease OutbreaksMolecular EpidemiologyAdolescentAdultAntibodies, BacterialChildClinical Laboratory TechniquesCohort StudiesFemaleFinlandHumansImmunoassayImmunoglobulin MMaleMolecular TypingMycoplasma pneumoniaeAntibodies, BacterialImmunoglobulin MBacterial antibodiesDisease outbreaksMycoplasma pneumoniaeNucleic acid amplification testsPneumoniaRespiratory tract infections

Identifiers

PMID31263967
PMCPMC6778538

What OpenQuestion holds

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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.