Evidence map›Paper›PMID 32452978›Full record

SynthesisJournal of pediatric gastroenterology and nutrition2020

Prolonged Fecal Shedding of SARS-CoV-2 in Pediatric Patients: A Quantitative Evidence Synthesis.

Victor S Santos, Ricardo Q Gurgel, Luis E Cuevas, Paulo R Martins-Filho

Open access · greenAbstract readMeta-Analysis
In one paragraph

Synthesis in Journal of pediatric gastroenterology and nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.0field-weighted citation impact, top 13% 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

23 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Review
  3. Respiratory Care in Children with COVID-19.Journal of pediatric intensive care · 2023
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. COVID-19 and Pediatric Gastroenterology.Pediatric clinics of North America · 2021
    Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Article
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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

4 authors at 3 institutions in 2 countries.

Victor S SantosCentre for Epidemiology and Public Health, Federal University of Alagoas, Arapiraca.
Ricardo Q GurgelDepartment of Medicine, Division of Pediatrics.
Luis E CuevasDepartment of Clinical Science, Liverpool School of Tropical Medicine, Liverpool, United Kingdom.
Paulo R Martins-FilhoGraduate Program in Health Sciences, Federal University of Sergipe, Aracaju, Brazil.
Universidade Federal de Sergipe · BRLiverpool School of Tropical Medicine · GBUniversidade Federal de Alagoas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of the study was to investigate differences in viral shedding in respiratory and fecal samples from children with novel coronavirus disease 19. We searched PubMed, SCOPUS, Embase, and Web of Science databases to identify pediatric studies comparing the pattern of fecal and respiratory shedding of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) RNA. Summary estimates were calculated using random-effects models. Four studies reporting data from 36 children were included. A higher proportion of children had viral shedding in stools after 14 days of symptoms onset compared to respiratory samples (risk ratio = 3.2, 95% confidence interval 1.2-8.9, I2 = 51%). Viral RNA shedding was longer in fecal samples with a mean difference of approximately 9 days (mean difference = 8.6, 95% confidence interval 1.7-15.4, I2 = 77%) compared with respiratory samples. SARS-CoV-2 shedding seems to be present in feces for a longer time than in the respiratory tract of children. Although fecal SARS-CoV-2 presence in feces do not confirm its transmissibility, the high and fast spread of the novel coronavirus disease 19 worldwide indicate other transmission routes are also plausible.

Indexed as

RNA, ViralVirus SheddingBetacoronavirusChildChild, PreschoolCoronavirus InfectionsCOVID-19FecesFemaleGastrointestinal TractHumansMalePandemicsPneumonia, ViralRespiratory SystemSARS-CoV-2RNA, Viral

Identifiers

PMID32452978
PMCPMC7268855
OpenAlexW3030042270

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.