Evidence map›Paper›PMID 33107200›Full record

ArticleInfluenza and other respiratory viruses2021

Home collection of nasal swabs for detection of influenza in the Household Influenza Vaccine Evaluation Study.

Ryan E Malosh, Joshua G Petrie, Amy P Callear, Arnold S Monto, Emily T Martin

Abstract read
In one paragraph

Article in Influenza and other respiratory viruses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  11. Influenza.Lancet (London, England) · 2022
    Review
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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

5 authors.

Ryan E MaloshDepartment of Epidemiology, University of Michigan School of Public Health, 1415 Washingon Heights, Ann Arbor, MI, 48109, USA.ORCID 0000-0003-3546-5935
Joshua G PetrieDepartment of Epidemiology, University of Michigan School of Public Health, 1415 Washingon Heights, Ann Arbor, MI, 48109, USA.ORCID 0000-0002-5696-965X
Amy P CallearDepartment of Epidemiology, University of Michigan School of Public Health, 1415 Washingon Heights, Ann Arbor, MI, 48109, USA.
Arnold S MontoDepartment of Epidemiology, University of Michigan School of Public Health, 1415 Washingon Heights, Ann Arbor, MI, 48109, USA.ORCID 0000-0003-3018-435X
Emily T MartinDepartment of Epidemiology, University of Michigan School of Public Health, 1415 Washingon Heights, Ann Arbor, MI, 48109, USA.

Funding

Household Studies of Influenza and Other Respiratory Viruses - Supplement: EV D68 SurveillanceR01AI097150 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MONTO, ARNOLD S, OHMIT, SUZANNE · 2012 to 2015
$2.0M
CDC HHS U01 IP000474NCIRD CDC HHS U01 IP000474NCIRD CDC HHS U01 IP001034NIAID NIH HHS R01 AI097150
6 · The paper itself

Abstract

backgroundCommunity-based studies of influenza and other respiratory viruses (eg, SARS-CoV-2) require laboratory confirmation of infection. During the current COVID-19 pandemic, social distancing guidelines require alternative data collection in order to protect both research staff and participants. Home-collected respiratory specimens are less resource-intensive, can be collected earlier after symptom onset, and provide a low-contact means of data collection. A prospective, multi-year, community-based cohort study is an ideal setting to examine the utility of home-collected specimens for identification of influenza.

methodsWe describe the feasibility and reliability of home-collected specimens for the detection of influenza. We collected data and specimens between October 2014 and June 2017 from the Household Influenza Vaccine Evaluation (HIVE) Study. Cohort participants were asked to collect a nasal swab at home upon onset of acute respiratory illness. Research staff also collected nose and throat swab specimens in the study clinic within 7 days of onset. We estimated agreement using Cohen's kappa and calculated sensitivity and specificity of home-collected compared to staff-collected specimens.

resultsWe tested 336 paired staff- and home-collected respiratory specimens for influenza by RT-PCR; 150 staff-collected specimens were positive for influenza A/H3N2, 23 for influenza A/H1N1, 14 for influenza B/Victoria, and 31 for influenza B/Yamagata. We found moderate agreement between collection methods for influenza A/H3N2 (0.70) and B/Yamagata (0.69) and high agreement for influenza A/H1N1 (0.87) and B/Victoria (0.86). Sensitivity ranged from 78% to 86% for all influenza types and subtypes. Specificity was high for influenza A/H1N1 and both influenza B lineages with a range from 96% to 100%, and slightly lower for A/H3N2 infections (88%).

conclusionsCollection of nasal swab specimens at home is both feasible and reliable for identification of influenza virus infections.

Indexed as

Specimen HandlingFeasibility StudiesHumansInfluenza, HumanNasal CavityOrthomyxoviridaeProspective StudiesReproducibility of ResultsSensitivity and Specificityacute respiratory illnesscommunity-basedinfluenzaself-collected nasal swabs

Identifiers

PMID33107200
PMCPMC7902250

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Registered trials

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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.