Evidence map›Paper›PMID 34097599›Full record

Observational studyeLife2021

Asymptomatic

Christopher J Gill, Christian E Gunning, William B MacLeod, Lawrence Mwananyanda, Donald M Thea, Rachel C Pieciak, Geoffrey Kwenda, Zacharia Mupila, Pejman Rohani

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.1field-weighted citation impact, top 5% 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

24 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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  6. Article
  7. Pertussis vaccines, epidemiology and evolution.Nature reviews. Microbiology · 2024
    Review
  8. Review
  9. [Pertussis worldwide. Vaccinating children and adults].Medecine tropicale et sante internationale · 2023
    Article
  10. Review
  11. Assessment of Pertussis Underreporting in Italy.Journal of clinical medicine · 2023
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

9 authors at 4 institutions in 2 countries.

Christopher J Gill *Boston University School of Public Health, Department of Global Health, Boston, United States.ORCID 0000-0003-3353-0617
Christian E Gunning *University of Georgia, Odum School of Ecology, Athens, Georgia.ORCID 0000-0001-6403-6553
William B MacLeodBoston University School of Public Health, Department of Global Health, Boston, United States.
Lawrence MwananyandaBoston University School of Public Health, Department of Global Health, Boston, United States.
Donald M TheaBoston University School of Public Health, Department of Global Health, Boston, United States.
Rachel C PieciakBoston University School of Public Health, Department of Global Health, Boston, United States.
Geoffrey KwendaUniversity of Zambia, School of Health Sciences, Department of Biomedical Science, Lusaka, Zambia.
Zacharia MupilaRight to Care, Lusaka, Zambia.
Pejman RohaniUniversity of Georgia, Odum School of Ecology, Athens, Georgia.
Boston University · USUniversity of Georgia · USRight to Care · ZMUniversity of Zambia · ZM

Funding

SAMIPS-NPC: Southern Africa Mother Infant Pertussis Study, Nasopharyngeal CarriageR01AI133080 · NIAID · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GILL, CHRISTOPHER J, MWANANYANDA, LAWRENCE · 2017 to 2019
$2.3M
NIAID NIH HHS R01 AI133080
6 · The paper itself

Abstract

Recent pertussis resurgence in numerous countries may be driven by asymptomatic infections. Most pertussis surveillance studies are cross-sectional and cannot distinguish asymptomatic from pre-symptomatic infections. Longitudinal surveillance could overcome this barrier, providing more information about the true burden of pertussis at the population level. Here we analyze 17,442 nasopharyngeal samples from a longitudinal cohort of 1320 Zambian mother/infant pairs. Our analysis has two elements. First, we demonstrate that the full range of IS481 qPCR CT values provides insight into pertussis epidemiology, showing concordance of low and high CT results over time, within mother/infant pairs, and in relation to symptomatology. Second, we exploit these full-range qPCR data to demonstrate a high incidence of asymptomatic pertussis, including among infants. Our results demonstrate a wider burden of pertussis infection than we anticipated in this population, and expose key limitations of threshold-based interpretation of qPCR results in infectious disease surveillance.

Indexed as

AdultAsymptomatic DiseasesBacteriological TechniquesBordetella pertussisFemaleHumansImmunization ScheduleIncidenceInfantInfant, NewbornLongitudinal StudiesMaleMolecular EpidemiologyMothersNasopharynxPertussis VaccinePertussis VaccineAfricaasymptomatic infectionBordetella pertussiscohort studyepidemiologyglobal healthhumanqPCRwhooping cough

Identifiers

PMID34097599
PMCPMC8184211
OpenAlexW3168691190

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.