Evidence map›Paper›PMID 34204910›Full record

ArticlePathogens (Basel, Switzerland)2021

The Usefulness of a Duplex RT-qPCR during the Recent Yellow Fever Brazilian Epidemic: Surveillance of Vaccine Adverse Events, Epizootics and Vectors.

Alice L N Queiroz, Rafael S Barros, Sandro P Silva, Daniela S G Rodrigues, Ana C R Cruz, Flávia B Dos Santos, Pedro F C Vasconcelos, Robert B Tesh, Bruno T D Nunes, Daniele B A Medeiros

Open access · goldAbstract read
In one paragraph

Article in Pathogens (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Ocular Manifestations of Flavivirus Infections.Pathogens (Basel, Switzerland) · 2023
    Review
  2. 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

10 authors at 3 institutions in 2 countries.

Alice L N QueirozDepartment of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua 67030-000, Brazil.ORCID 0000-0002-3631-5579
Rafael S BarrosDepartment of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua 67030-000, Brazil.
Sandro P SilvaDepartment of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua 67030-000, Brazil.ORCID 0000-0001-7185-4538
Daniela S G RodriguesDepartment of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua 67030-000, Brazil.
Ana C R CruzDepartment of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua 67030-000, Brazil.ORCID 0000-0002-4607-9346
Flávia B Dos SantosViral Immunology Laboratory, Oswaldo Cruz Institute, Rio de Janeiro 21040-900, Brazil.ORCID 0000-0002-1309-5366
Pedro F C VasconcelosDepartment of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua 67030-000, Brazil.
Robert B TeshDepartment of Pathology and Microbiology & Immunology, University Texas Medical Branch, Galveston, TX 77555, USA.
Bruno T D NunesDepartment of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua 67030-000, Brazil.ORCID 0000-0002-0793-9665
Daniele B A MedeirosDepartment of Arbovirology and Haemorrhagic Fevers, Evandro Chagas Institute, Ananindeua 67030-000, Brazil.
Instituto Evandro Chagas · BRFundação Oswaldo Cruz · BRThe University of Texas Medical Branch at Galveston · US

Funding

National Council for Scientific and Technologic Development Agency 306581/2016-7 and 303999/2016-0
6 · The paper itself

Abstract

From 2016 to 2018, Brazil faced the biggest yellow fever (YF) outbreak in the last 80 years, representing a risk of YF reurbanization, especially in megacities. Along with this challenge, the mass administration of the fractionated YF vaccine dose in a naïve population brought another concern: the possibility to increase YF adverse events associated with viscerotropic (YEL-AVD) or neurological disease (YEL-AND). For this reason, we developed a quantitative real time RT-PCR (RT-qPCR) assay based on a duplex TaqMan protocol to distinguish broad-spectrum infections caused by wild-type yellow fever virus (YFV) strain from adverse events following immunization (AEFI) by 17DD strain during the vaccination campaign used to contain this outbreak. A rapid and more accurate RT-qPCR assay to diagnose YFV was established, being able to detect even different YFV genotypes and geographic strains that circulate in Central and South America. Moreover, after testing around 1400 samples from human cases, non-human primates and mosquitoes, we detected just two YEL-AVD cases, confirmed by sequencing, during the massive vaccination in Brazilian Southeast region, showing lower incidence than AEFI as expected.

Indexed as

Brazilduplex RT-qPCRvaccine adverse effectsyellow fever

Identifiers

PMID34204910
PMCPMC8228867
OpenAlexW3169966198

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.