Evidence map›Paper›PMID 31296922›Full record

ArticleScientific reports2019

Genomic analysis of respiratory syncytial virus infections in households and utility in inferring who infects the infant.

Charles N Agoti, My V T Phan, Patrick K Munywoki, George Githinji, Graham F Medley, Patricia A Cane, Paul Kellam, Matthew Cotten, D James Nokes

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Household Transmission and Genomic Diversity of Respiratory Syncytial Virus in the United States, 2022-2023.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  5. Observational
  6. Article
  7. Phylogenetic and phylodynamic analysis of respiratory syncytial virus strains circulating in children less than five years of age in Karachi-Pakistan.Infection, genetics and evolution : journal of molecular epidemiology and evolutionary genetics in infectious diseases · 2024
    Article
  8. Article
  9. Article
  10. RSV reemergence in Argentina since the SARS-CoV-2 pandemic.Journal of clinical virology : the official publication of the Pan American Society for Clinical Virology · 2022
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. 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

9 authors at 5 institutions in 3 countries.

Charles N AgotiKenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme, Epidemiology and Demography Department, Kilifi, Kenya. cnyaigoti@kemri-wellcome.org.
My V T PhanWellcome Trust Sanger Institute, Cambridge, United Kingdom.
Patrick K MunywokiKenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme, Epidemiology and Demography Department, Kilifi, Kenya.
George GithinjiKenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme, Epidemiology and Demography Department, Kilifi, Kenya.
Graham F MedleyLondon School of Hygiene and Tropical Medicine (LSHTM), Department of Global Health and Development and Centre for Mathematical Modeling of Infectious Disease, London, United Kingdom.ORCID http://orcid.org/0000-0002-0030-7278
Patricia A CanePublic Health England, Porton Down, Salisbury, United Kingdom.
Paul KellamWellcome Trust Sanger Institute, Cambridge, United Kingdom.
Matthew CottenWellcome Trust Sanger Institute, Cambridge, United Kingdom.
D James NokesKenya Medical Research Institute (KEMRI)-Wellcome Trust Research Programme, Epidemiology and Demography Department, Kilifi, Kenya.ORCID http://orcid.org/0000-0001-5426-1984
Wellcome Sanger Institute · GBKenya Medical Research Institute · KEPwani University · KELondon School of Hygiene & Tropical Medicine · GBPublic Health England · GB

Funding

EPA EP-C-15-003Wellcome Trust 090853Wellcome Trust 102975Wellcome Trust 107769Wellcome Trust 107769/Z/10/ZWellcome Trust 203077/Z/16/Z
6 · The paper itself

Abstract

Infants (under 1-year-old) are at most risk of life threatening respiratory syncytial virus (RSV) disease. RSV epidemiological data alone has been insufficient in defining who acquires infection from whom (WAIFW) within households. We investigated RSV genomic variation within and between infected individuals and assessed its potential utility in tracking transmission in households. Over an entire single RSV season in coastal Kenya, nasal swabs were collected from members of 20 households every 3-4 days regardless of symptom status and screened for RSV nucleic acid. Next generation sequencing was used to generate >90% RSV full-length genomes for 51.1% of positive samples (191/374). Single nucleotide polymorphisms (SNPs) observed during household infection outbreaks ranged from 0-21 (median: 3) while SNPs observed during single-host infection episodes ranged from 0-17 (median: 1). Using the viral genomic data alone there was insufficient resolution to fully reconstruct within-household transmission chains. For households with clear index cases, the most likely source of infant infection was via a toddler (aged 1 to <3 years-old) or school-aged (aged 6 to <12 years-old) co-occupant. However, for best resolution of WAIFW within households, we suggest an integrated analysis of RSV genomic and epidemiological data.

Indexed as

ChildChild, PreschoolContact TracingDisease OutbreaksFamily CharacteristicsFemaleGenome, ViralHigh-Throughput Nucleotide SequencingHumansInfantInfant, NewbornKenyaMalePolymorphism, Single NucleotideRespiratory Syncytial VirusesRespiratory Syncytial Virus InfectionsRNA, Viral

Identifiers

PMID31296922
PMCPMC6624209
OpenAlexW2960979541

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.