Evidence map›Paper›PMID 34301271›Full record

ArticleVirology journal2021

Genotyping of non-polio enteroviruses associated with acute flaccid paralysis in Thailand in 2013 and 2014.

Napa Onvimala, Nathamon Kosoltanapiwat, Pornpan Pumirat, Muthita Vanaporn, Suchitra Nimmanitya, Ratana Tacharoenmuang, Ratigorn Guntapong, Pornsawan Leaungwutiwong

Open access · goldAbstract read
In one paragraph

Article in Virology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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0citing papers in PubMed
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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

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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

0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Napa OnvimalaDepartment of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Nathamon KosoltanapiwatDepartment of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Pornpan PumiratDepartment of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Muthita VanapornDepartment of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand.
Suchitra NimmanityaDepartment of Disease Control, Bureau of General Communicable Diseases, MOPH, Nonthaburi, Thailand.
Ratana TacharoenmuangDepartment of Medical Sciences, National Institute of Health, MOPH, Nonthaburi, Thailand.
Ratigorn GuntapongDepartment of Medical Sciences, National Institute of Health, MOPH, Nonthaburi, Thailand.
Pornsawan LeaungwutiwongDepartment of Microbiology and Immunology, Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand. pornsawan.lea@mahidol.ac.th.ORCID 0000-0001-6215-8290
Mahidol University · THDepartment of Medical Sciences · THDepartment of Disease Control · TH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute flaccid paralysis (AFP) surveillance was conducted as part of the World Health Organization's strategy for completely eradicating poliomyelitis and leaving non-polio enteroviruses NPEVs as one of the main potential causes of AFP. We aimed to detect NPEV in association with AFP.

methodsWe used 459 isolates reported to be Negative Polio and some NPEVs by the World Health Organization Polio Regional Reference Laboratory (Thailand), which had been obtained during polio surveillance programmes conducted in Thailand in 2013-2014. Of 459 isolates, 35 belonged to the genus Enterovirus by RT-PCR and genotyping by DNA sequencing.

resultsThis study found 17 NPEV genotypes, with 3, 13 and 1 belonging to enterovirus (EV) species A (EV-A), EV-B, and EV-C, respectively. The EV-A types identified included coxsackievirus A2 (CA2), CA4, and EV71, typically associated with hand, foot and mouth diseases. EV-B is the most prevalent cause of AFP in Thailand, while CA21 was the only type of EV-C detected. The EV-B species (13/35; 76.5%) constituted the largest proportion of isolates, followed by EV-A (3/35; 17.6%) and EV-C (1/35; 5.9%). For the EV-B species, Echovirus (E) 30 and CVB were the most frequent isolates. E30, CVB, E14, and E6 were considered endemic strains.

conclusionNPEVs, e.g. CA4, are reported for the first time in Thailand. Despite some limitations to this study, this is the first report on the circulation patterns of NPEVs associated with AFP in Thailand. AFP surveillance has unearthed many unknown NPEVs and, the cases of death due to AFP occur annually. Therefore, it is important to study NPEVs in the wake of the eradication of poliovirus in the context of the continued incidence of paralysis.

Indexed as

EnterovirusEnterovirus InfectionsCentral Nervous System Viral DiseasesGenotypeHumansMyelitisNeuromuscular DiseasesThailandAcute flaccid paralysis (AFP)Coxsackievirus (CA)Enterovirus (EV)Non-polio enteroviruses (NPEVs)

Identifiers

PMID34301271
PMCPMC8305495
OpenAlexW3166699415

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Registered trials

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