Evidence map›Paper›PMID 32777041›Full record

ArticleThe Journal of infectious diseases2022

The Impact of Maternal Human Immunodeficiency Virus Infection on the Burden of Respiratory Syncytial Virus Among Pregnant Women and Their Infants, Western Kenya.

Bryan O Nyawanda, Nancy A Otieno, Michael O Otieno, Gideon O Emukule, Godfrey Bigogo, Clayton O Onyango, Shirley Lidechi, Jeremiah Nyaundi, Gayle E Langley, Marc-Alain Widdowson and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. 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

11 authors at 3 institutions in 2 countries.

Bryan O NyawandaCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.ORCID 0000-0003-0069-1473
Nancy A OtienoCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Michael O OtienoCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Gideon O EmukuleCenters for Disease Control and Prevention, Nairobi, Kenya.
Godfrey BigogoCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Clayton O OnyangoCenters for Disease Control and Prevention, Nairobi, Kenya.
Shirley LidechiCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Jeremiah NyaundiCenter for Global Health Research, Kenya Medical Research Institute, Kisumu, Kenya.
Gayle E LangleyDivision of Viral Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Marc-Alain WiddowsonCenters for Disease Control and Prevention, Nairobi, Kenya.
Sandra S ChavesCenters for Disease Control and Prevention, Nairobi, Kenya.
Kenya Medical Research Institute · KECenters for Disease Control and Prevention · USCenters for Disease Control and Prevention · KE

Funding

US Centers for Disease Control and Prevention
6 · The paper itself

Abstract

backgroundRespiratory syncytial virus (RSV) is an important cause of respiratory illness worldwide; however, burden data on mother-infant pairs remain sparse in sub-Saharan Africa, where human immunodeficiency virus (HIV) is prevalent. We evaluated the impact of maternal HIV infection on the burden of RSV among mothers and their infants in western Kenya.

methodsWe enrolled pregnant women (≤20 weeks' gestation) and followed them and their newborns weekly for up to 3-6 months postpartum, to document cases of acute respiratory illness (ARI). Nasal/oropharyngeal swabs were collected and tested for RSV using polymerase chain reaction. Analyses were stratified by maternal HIV status and incidence was computed per 1000 person-months.

resultsCompared to RSV-negative ARI cases, RSV-positive cases were associated with cough, apnea, and hospitalization among infants. RSV incidence per 1000 person-months among mothers was 4.0 (95% confidence interval [CI], 3.2-4.4), and was twice that among the HIV-infected mothers (8.4 [95% CI, 5.7-12.0]) compared to the HIV-uninfected mothers (3.1 [95% CI, 2.3-4.0]). Among infants, incidence per 1000 person-months was 15.4 (95% CI, 12.5-18.8); incidence did not differ by HIV exposure or prematurity.

conclusionsHIV infection may increase the risk of RSV illness among pregnant women. Future maternal RSV vaccines may have added benefit in areas with high HIV prevalence.

Indexed as

HIV InfectionsRespiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsFemaleHospitalizationHumansInfantInfant, NewbornKenyaPregnancyPregnant Peoplehuman immunodeficiency virusincidenceinfantspregnant womenrespiratory syncytial virus

Identifiers

PMID32777041
PMCPMC9200157
OpenAlexW3048720343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.