Evidence map›Paper›PMID 31952364›Full record

ArticleInternational journal of environmental research and public health2020

Increased Detection of Viruses in Children with Respiratory Tract Infection Using PCR.

Chien-Yu Lin, David Hwang, Nan-Chang Chiu, Li-Chuan Weng, Hsin-Fu Liu, Jung-Jung Mu, Chang-Pan Liu, Hsin Chi

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in International journal of environmental research and public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05017519 (Epidemiology and Transmission of Streptococcus Pneumoniae and Respiratory Syncytial Virus in Children and Elderly), which is not on this map. Cited by 57 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 3 pooled it
13.8field-weighted citation impact, top 1% 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.

NCT05017519 unknown statusnot on this mapstarted 2021, after this paper: background citation

Epidemiology and Transmission of Streptococcus Pneumoniae and Respiratory Syncytial Virus in Children and Elderly: a Household-based Prospective Cohort Study

Typeobservational_patient_registrySponsorMackay Memorial HospitalRan2021 to 2026Enrolled240ConditionsStreptococcus Pneumoniae Infection, Respiratory Syncytial Virus Infections
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
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  7. Saliva and Anterior Nasal Samples for Detecting Respiratory Viruses in Children.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
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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

8 authors at 2 institutions in 1 country.

Chien-Yu LinDepartment of Pediatrics, Hsinchu MacKay Memorial Hospital, Hsinchu 30071, Taiwan.
David HwangDepartment of Pediatrics, MacKay Children's Hospital and MacKay Memorial Hospital, Taipei 10449, Taiwan.
Nan-Chang ChiuDepartment of Medicine, MacKay Medical College, New Taipei City 25160, Taiwan.
Li-Chuan WengDepartment of Medical Research, MacKay Memorial Hospital, Tamshui, New Taipei City 25160, Taiwan.
Hsin-Fu LiuDepartment of Medical Research, MacKay Memorial Hospital, Tamshui, New Taipei City 25160, Taiwan.
Jung-Jung MuCenters for Research, Diagnostics and Vaccine Development, Centers for Disease Control, Taipei 10050, Taiwan.
Chang-Pan LiuDepartment of Medicine, MacKay Medical College, New Taipei City 25160, Taiwan.
Hsin ChiDepartment of Medicine, MacKay Medical College, New Taipei City 25160, Taiwan.
Mackay Memorial Hospital · TWDevelopment Center for Biotechnology · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Respiratory viruses are a common cause of respiratory tract infection (RTI), particularly in neonates and children. Rapid and accurate diagnosis of viral infections could improve clinical outcomes and reduce the use of antibiotics and treatment sessions. Advances in diagnostic technology contribute to the accurate detection of viruses. We performed a multiplex real-time polymerase chain reaction (PCR) to investigate the viral etiology in pediatric patients and compared the detection rates with those determined using traditional antigen tests and virus cultures. Fifteen respiratory viruses were included in our investigation: respiratory syncytial virus A/B (RSV), influenza virus A (FluA) and influenza virus B (FluB), human metapneumovirus (MPV), enterovirus (EV), human parainfluenza virus (PIV) types 1-4, human rhinovirus (RV), human coronavirus OC43, NL63, and 229E, human adenovirus (ADV), and human bocavirus (Boca). In total, 474 specimens were collected and tested. Respiratory viruses were detected more frequently by PCR (357, 75.3%) than they were by traditional tests (229, 49.3%). The leading pathogens were RSV (113, 23.8%), RV (72, 15.2%), PIV3 (53, 11.2%), FluA (51, 10.8%), and ADV (48, 10.1%). For children younger than 5 years, RSV and RV were most prevalent; for children older than 5 years, FluA and ADV were the most frequently detected. Of the specimens, 25.8% (92/357) were coinfected with two or more viruses. RV, Boca, PIV2, FluB, and PIV4 had higher rates of coinfection; MPV and PIV1 had the lowest rates of coinfection (9.1% and 5.3%). To conclude, the detection power of PCR was better than that of traditional antigen tests and virus cultures when considering the detection of respiratory viruses. RSV and RV were the leading viral pathogens identified in the respiratory specimens. One-quarter of the positive specimens were coinfected with two or more viruses. In the future, further application of PCR may contribute to the rapid and accurate diagnosis of respiratory viruses and could improve patient outcomes.

Indexed as

ChildChild, PreschoolCoinfectionFemaleHumansInfantInfant, NewbornMaleMicrobiological TechniquesReal-Time Polymerase Chain ReactionRespiratory Tract InfectionsVirus Diseaseshuman metapneumovirusmultiplex quantitative real-time RT-PCRPCRpolymerase chain reactionrespiratory syncytial virusrespiratory virus

Identifiers

PMID31952364
PMCPMC7013517
OpenAlexW2999468975

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.