Evidence map›Paper›PMID 32873791›Full record

ArticleNature communications2020

Serological identification of SARS-CoV-2 infections among children visiting a hospital during the initial Seattle outbreak.

Adam S Dingens, Katharine H D Crawford, Amanda Adler, Sarah L Steele, Kirsten Lacombe, Rachel Eguia, Fatima Amanat, Alexandra C Walls, Caitlin R Wolf, Michael Murphy and 10 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
1.8field-weighted citation impact, top 8% 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

57 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 5 institutions in 2 countries.

Adam S DingensBasic Sciences and Computational Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA.ORCID http://orcid.org/0000-0001-9603-9409
Katharine H D CrawfordBasic Sciences and Computational Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA.
Amanda AdlerDivision of Infectious Disease, Seattle Children's Hospital, Seattle, WA, 98105, USA.
Sarah L SteeleDivision of Infectious Disease, Seattle Children's Hospital, Seattle, WA, 98105, USA.
Kirsten LacombeDivision of Infectious Disease, Seattle Children's Hospital, Seattle, WA, 98105, USA.
Rachel EguiaBasic Sciences and Computational Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA.
Fatima AmanatGraduate School of Biomedical Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.ORCID http://orcid.org/0000-0002-8029-8227
Alexandra C WallsDepartment of Biochemistry, University of Washington, Seattle, WA, 98195, USA.
Caitlin R WolfDivision of Allergy and Infectious Diseases, University of Washington, Seattle, WA, 98195, USA.
Michael MurphyInstitute for Protein Design, University of Washington, Seattle, WA, 98195, USA.
Deleah PettieInstitute for Protein Design, University of Washington, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0002-5477-7195
Lauren CarterInstitute for Protein Design, University of Washington, Seattle, WA, 98195, USA.
Xuan QinDivision of Infectious Disease, Seattle Children's Hospital, Seattle, WA, 98105, USA.
Neil P KingDepartment of Biochemistry, University of Washington, Seattle, WA, 98195, USA.
David VeeslerDepartment of Biochemistry, University of Washington, Seattle, WA, 98195, USA.ORCID http://orcid.org/0000-0002-6019-8675
Florian KrammerDepartment of Microbiology, Icahn School of Medicine at Mount Sinai, New York, NY, 10029, USA.ORCID http://orcid.org/0000-0003-4121-776X
Jane A DickersonDivision of Infectious Disease, Seattle Children's Hospital, Seattle, WA, 98105, USA.
Helen Y ChuDivision of Allergy and Infectious Diseases, University of Washington, Seattle, WA, 98195, USA.
Janet A EnglundDivision of Infectious Disease, Seattle Children's Hospital, Seattle, WA, 98105, USA. janet.englund@seattlechildrens.org.
Jesse D BloomBasic Sciences and Computational Biology, Fred Hutchinson Cancer Research Center, Seattle, WA, 98109, USA. jbloom@fredhutch.org.ORCID http://orcid.org/0000-0003-1267-3408
University of Washington · USSeattle Children's Hospital · USFred Hutch Cancer Center · USIcahn School of Medicine at Mount Sinai · USCape Town HVTN Immunology Laboratory / Hutchinson Centre Research Institute of South Africa · ZA

Funding

COLLABORATIVE INFLUENZA VACCINE INNOVATION CENTER: UNIVERSAL INFLUENZA VACCINE RESEARCH75N93019C00051 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI KRAMMER, FLORIAN · 2019 to 2025
$105.4M
Complete mapping of immune selection from antibodies to HIVR01AI140891 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BLOOM, JESSE D · 2019 to 2024
$2.4M
Prospectively characterizing the functional and antigenic effects of mutations to viral entry proteinsR01AI141707 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BLOOM, JESSE D · 2018 to 2022
$2.1M
Structural Studies of Coronavirus Fusion ProteinsR01GM120553 · NIGMS · UNIVERSITY OF WASHINGTON · PI VEESLER, DAVID · 2016 to 2020
$1.7M
Complete mapping of the functional and antigenic effects of mutations to Lassa virus glycoproteinF30AI149928 · NIAID · UNIVERSITY OF WASHINGTON · PI CRAWFORD, KATHARINE HOLT DUSENBURY · 2020 to 2021
$91k
NIAID NIH HHS 75N93019C00051NIAID NIH HHS F30 AI149928NIAID NIH HHS HHSN272201400008CNIAID NIH HHS HHSN272201700059CNIAID NIH HHS R01 AI140891NIAID NIH HHS R01 AI141707NIGMS NIH HHS R01 GM120553
6 · The paper itself

Abstract

Children are strikingly underrepresented in COVID-19 case counts. In the United States, children represent 22% of the population but only 1.7% of confirmed SARS-CoV-2 cases as of April 2, 2020. One possibility is that symptom-based viral testing is less likely to identify infected children, since they often experience milder disease than adults. Here, to better assess the frequency of pediatric SARS-CoV-2 infection, we serologically screen 1,775 residual samples from Seattle Children's Hospital collected from 1,076 children seeking medical care during March and April of 2020. Only one child was seropositive in March, but seven were seropositive in April for a period seroprevalence of ≈1%. Most seropositive children (6/8) were not suspected of having had COVID-19. The sera of seropositive children have neutralizing activity, including one that neutralized at a dilution > 1:18,000. Therefore, an increasing number of children seeking medical care were infected by SARS-CoV-2 during the early Seattle outbreak despite few positive viral tests.

Indexed as

Visitors to PatientsAdolescentBetacoronavirusChildChild, PreschoolClinical Laboratory TechniquesCoronavirus InfectionsCOVID-19COVID-19 TestingFemaleHospitalsHumansInfantInfant, NewbornMalePandemics

Identifiers

PMID32873791
PMCPMC7463158
OpenAlexW3082588265

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.