Evidence map›Paper›PMID 34408158›Full record

ArticleNature communications2021

Etiological and epidemiological features of acute respiratory infections in China.

Zhong-Jie Li, Hai-Yang Zhang, Li-Li Ren, Qing-Bin Lu, Xiang Ren, Cui-Hong Zhang, Yi-Fei Wang, Sheng-Hong Lin, Xiao-Ai Zhang, Jun Li and 35 more

Registry-linked trialAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06566898 (Monitoring of Antimicrobial Resistance Based on Metagenomics Analyses in Pneumonia Patients), which is not on this map. Cited by 337 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
337citing 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.

NCT06566898 recruitingnot on this mapstarted 2024, after this paper: background citation

Monitoring of Antimicrobial Resistance Based on Metagenomics Analyses in Pneumonia Patients: a Genomic Epidemiology Study

TypeobservationalSponsorShanghai General Hospital, ChinaRan2024 to 2026Enrolled800ConditionsPneumonia, Next-generation Sequencing, Microbiome, Antimicrobial Resistance
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
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  9. Mapping the Evolution of Diagnostic Research onPathogens (Basel, Switzerland) · 2026
    Review
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277 more citing papers are in PubMed but not listed here.

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

45 authors.

Zhong-Jie Li *Division of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Hai-Yang Zhang *State Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Li-Li Ren *Institute of Pathogen Biology, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Qing-Bin Lu *Department of Laboratorial Science and Technology, School of Public Health, Peking University, Beijing, China.ORCID 0000-0002-2804-0827
Xiang RenDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Cui-Hong ZhangDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Yi-Fei WangDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Sheng-Hong LinDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Xiao-Ai ZhangState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Jun LiSun Yat-sen University, Guangzhou, China.
Shi-Wen ZhaoYunnan Center for Disease Control and Prevention, Kunming, China.
Zhi-Gang YiShanghai Public Health Clinical Center, Shanghai, China.ORCID 0000-0002-4560-4970
Xiao ChenZhejiang University, Hangzhou, China.
Zuo-Sen YangLiaoning Provincial Center for Disease Control and Prevention, Shenyang, China.
Lei MengGansu Provincial Center for Disease Control and Prevention, Lanzhou, China.
Xin-Hua WangGansu Provincial Center for Disease Control and Prevention, Lanzhou, China.
Ying-Le LiuWuhan University, Wuhan, China.
Xin WangNational Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Ai-Li CuiNational Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Sheng-Jie LaiDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Tao JiangState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.ORCID 0000-0003-1908-2926
Yang YuanState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Lu-Sha ShiDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Meng-Yang LiuState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Yu-Liang ZhuDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
An-Ran ZhangState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China.
Zhi-Jie ZhangDepartment of Epidemiology and Health Statistics, School of Public Health, Fudan University, Shanghai, China.
Yang YangDepartment of Biostatistics, College of Public Health and Health Professions, and Emerging Pathogens Institute, University of Florida, Gainesville, FL, USA.ORCID 0000-0003-0428-5480
Michael P WardSydney School of Veterinary Science, The University of Sydney, Camden, NSW, Australia.ORCID 0000-0002-9921-4986
Lu-Zhao FengDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China.
Huai-Qi JingNational Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Liu-Yu HuangThe Institute for Disease Prevention and Control of PLA, Beijing, China.
Wen-Bo XuNational Institute for Viral Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.
Yu ChenZhejiang University, Hangzhou, China.
Jian-Guo WuWuhan University, Wuhan, China.
Zheng-Hong YuanFudan University, Shanghai, China.
Meng-Feng LiSun Yat-sen University, Guangzhou, China.ORCID 0000-0002-5103-6367
Yu WangChinese Centre for Disease Control and Prevention, Beijing, China.
Li-Ping WangDivision of Infectious Disease, Key Laboratory of Surveillance and Early-warning on Infectious Disease, Chinese Center for Disease Control and Prevention, Beijing, China. wanglp@chinacdc.cn.
Li-Qun FangState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China. fang_lq@163.com.ORCID 0000-0002-4981-1483
Wei LiuState Key Laboratory of Pathogen and Biosecurity, Beijing Institute of Microbiology and Epidemiology, Beijing, China. liuwei@bmi.ac.cn.ORCID 0000-0002-9302-8170
Simon I HayDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, USA.ORCID 0000-0002-0611-7272
George F GaoChinese Centre for Disease Control and Prevention, Beijing, China.ORCID 0000-0002-3869-615X
Wei-Zhong YangChinese Centre for Disease Control and Prevention, Beijing, China.
Chinese Centers for Disease Control and Prevention (CDC) Etiology of Respiratory Infection Surveillance Study Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nationwide prospective surveillance of all-age patients with acute respiratory infections was conducted in China between 2009‒2019. Here we report the etiological and epidemiological features of the 231,107 eligible patients enrolled in this analysis. Children <5 years old and school-age children have the highest viral positivity rate (46.9%) and bacterial positivity rate (30.9%). Influenza virus, respiratory syncytial virus and human rhinovirus are the three leading viral pathogens with proportions of 28.5%, 16.8% and 16.7%, and Streptococcus pneumoniae, Mycoplasma pneumoniae and Klebsiella pneumoniae are the three leading bacterial pathogens (29.9%, 18.6% and 15.8%). Negative interactions between viruses and positive interactions between viral and bacterial pathogens are common. A Join-Point analysis reveals the age-specific positivity rate and how this varied for individual pathogens. These data indicate that differential priorities for diagnosis, prevention and control should be highlighted in terms of acute respiratory tract infection patients' demography, geographic locations and season of illness in China.

Indexed as

AdolescentAdultBacteriaBacterial InfectionsChildChild, PreschoolChinaFemaleHumansInfantMaleProspective StudiesRespiratory Tract InfectionsSeasonsVirus DiseasesViruses

Identifiers

PMID34408158
PMCPMC8373954

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Registered trials

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.