Evidence map›Paper›PMID 33376754›Full record

ArticleOpen forum infectious diseases2020

Associations Between Relative Viral Load at Diagnosis and Influenza A Symptoms and Recovery.

Brian McKay, Mark Ebell, Wesley Zane Billings, Ariella Perry Dale, Ye Shen, Andreas Handel

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.4field-weighted citation impact, top 33% 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, 12 citations in OpenAlex.

  1. Influenza A and B Viral Shedding in Adults Immunized With Live Attenuated Influenza Vaccine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
    Article
  2. Article
  3. Multivariate Host-Pathogen Interactions Driving Heterogeneous Viral Shedding and CD8medRxiv : the preprint server for health sciences · 2025
    Article
  4. Review
  5. Article
  6. Association of viral loads of influenza A (H3N2) with age and care setting on presentation-a prospective study during the 2022-2023 influenza season in Spain.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
    Article
  7. Observational
  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

6 authors at 3 institutions in 1 country.

Brian McKayDepartment of Epidemiology and Biostatistics, The University of Georgia, Athens, Georgia, USA.ORCID 0000-0003-3859-7634
Mark EbellDepartment of Epidemiology and Biostatistics, The University of Georgia, Athens, Georgia, USA.ORCID 0000-0003-3228-2877
Wesley Zane BillingsDepartment of Mathematics and Computer Science, Western Carolina University, Cullowhee, North Carolina, USA.ORCID 0000-0002-0184-6134
Ariella Perry DaleColorado Department of Public Health and Environment, Denver, Colorado, USA.ORCID 0000-0003-1891-919X
Ye ShenDepartment of Epidemiology and Biostatistics, The University of Georgia, Athens, Georgia, USA.ORCID 0000-0002-6662-0048
Andreas HandelDepartment of Epidemiology and Biostatistics and Health Informatics Institute and Center for the Ecology of Infectious Diseases, The University of Georgia, Athens, Georgia, USA.ORCID 0000-0002-4622-1146
University of Georgia · USColorado Department of Public Health and Environment · USWestern Carolina University · US

Funding

Understanding Transmission with Integrated Genetic and Epidemiologic InferenceU54GM111274 · NIGMS · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BEDFORD, TREVOR BC · 2014 to 2018
$12.5M
Modeling the dynamics and evolution of immune responses to influenza virusesU19AI117891 · NIAID · EMORY UNIVERSITY · PI ANTIA, RUSTOM NOSHIR · 2015 to 2019
$8.4M
NIAID NIH HHS U19 AI117891NIGMS NIH HHS U54 GM111274
6 · The paper itself

Abstract

backgroundRapid point-of-care polymerase chain reaction (PCR) diagnostic tests generally provide a qualitative result of positive or negative only. Additional information about the relative viral load could be calculated. Such quantitative information might be useful for making treatment decisions.

methodsWe enrolled students at a university health center who presented with cough and 1 additional flu-like symptom from December 2016 to February 2017. Data were collected before, during, and 5 days after the clinic visit. All those enrolled in the study received a point-of-care PCR test (cobas Liat). For those patients that tested positive for influenza A, we investigated correlations between the relative viral load and measures of disease severity and recovery.

resultsOne hundred thirty-five students tested positive for influenza A. We found a positive correlation between viral load and body temperature. Time since symptom onset seemed to have a negative correlation but was not statistically significant. We did not find any correlations between viral load and overall symptom severity or outcomes related to recovery.

conclusionsAlthough we found a correlation between relative viral load and body temperature, for our study population of young, overall healthy adults, we did not find that relative viral load provided additional information that could help in determining treatment and disease outcomes. It could be that viral load does provide useful additional information for other groups of patients, such as young children or older adults. Further studies on those populations are warranted.

Indexed as

infection outcomesinfluenzapoint-of-care testingviral load

Identifiers

PMID33376754
PMCPMC7751133
OpenAlexW3103736216

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.