Evidence map›Paper›PMID 31659694›Full record

ArticleMolecular biology reports2020

Polymerase chain reaction for human parechovirus on blood samples improves detection of clinical infections in infants.

M L A May, S Tozer, R Day, R Doyle, A Bernard, L J Schlapbach, C Heney, J E Clark, S Bialasiewicz

Abstract read
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In one paragraph

Article in Molecular biology reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. 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 3 institutions in 1 country.

M L A MayInfection Management and Prevention Service, Queensland Children's Hospital, 501 Stanley St, Brisbane, QLD, 4101, Australia. Merytam@bigpond.com.au.ORCID http://orcid.org/0000-0001-8289-4113
S TozerCentre for Children's Health Research, Children's Health Queensland, Brisbane, Australia.
R DayCentre for Children's Health Research, Children's Health Queensland, Brisbane, Australia.
R DoyleCentre for Children's Health Research, Children's Health Queensland, Brisbane, Australia.
A BernardQFAB Bioinformatics, Institute for Molecular Bioscience, University of Queensland, Brisbane, Australia.
L J SchlapbachInfection Management and Prevention Service, Queensland Children's Hospital, 501 Stanley St, Brisbane, QLD, 4101, Australia.
C HeneyDepartment of Microbiology, Pathology Queensland, Brisbane, Australia.
J E ClarkInfection Management and Prevention Service, Queensland Children's Hospital, 501 Stanley St, Brisbane, QLD, 4101, Australia.
S BialasiewiczCentre for Children's Health Research, Children's Health Queensland, Brisbane, Australia.
The University of Queensland · AUChildren's Health Queensland Hospital and Health Service · AUQueensland Health · AU

Funding

Department of Health, Queensland 5793Hospital Research Foundation 10416
6 · The paper itself

Abstract

Human parechovirus (HPeV) is an emerging pathogen for infants. Improved diagnostics are needed due to the non-specific clinical presentation. Real-time reverse transcription polymerase chain reaction (RT-PCR) on blood samples may be an adjunct to diagnosis. A retrospective cohort of HPeV-affected infants was used to assess sensitivity and specificity of a HPeV RT-PCR on blood and cerebrospinal fluid (CSF). As a secondary analysis, the Ct value of the PCR results was compared to clinical correlates of severity. Between 2017 and 2018 blood samples were obtained from 97 infants of whom 44 had HPeV clinical and laboratory proven infection. Eighty-three concurrent CSF samples were available. Sensitivity was 93.3% [95% CI 82-99] for blood HPeV RT-PCR and 85% [95% CI 73.9-96.1] for CSF HPeV RT-PCR. Blood HPeV RT-PCR Ct values < 25 cycles were associated with age < 28 days and < 3 days of symptoms. No statistical associations were identified between potential clinical markers of severity and Ct value. HPeV RT-PCR on blood is a valuable adjunct to diagnostic testing for acute HPeV-related illness in infants. Results can be expected to be robust until at least day 5 of symptoms, with optimal sampling occurring close to onset of symptoms.

Indexed as

HumansInfantInfant, NewbornMolecular TypingParechovirusPicornaviridae InfectionsPolymerase Chain ReactionRNA, ViralSensitivity and SpecificityRNA, ViralBloodCerebrospinal fluidParechovirusPolymerase chain reaction

Identifiers

PMID31659694
OpenAlexW2982333186

What OpenQuestion holds

Textmetadata
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.