Evidence map›Paper›PMID 36461709›Full record

Observational studyPediatrics international : official journal of the Japan Pediatric Society2023

Etiological analysis of discarded measles in the context of a measles outbreak among a highly immunized population.

Nuria Torner, Sara Mercader, Angela Dominguez, Ana Martinez, Josep Costa, Sun B Sowers, Emily S Abernathy, William J Bellini, Carol J Hickman

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Pediatrics international : official journal of the Japan Pediatric Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Etiological analysis of discarded measles in the context of a measles outbreak among a highly immunized population.Pediatrics international : official journal of the Japan Pediatric Society · 2023
    Observational
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 3 institutions in 3 countries.

Nuria TornerCIBER Epidemiology and Public Health CIBERESP, Institute Carlos III, Madrid, Spain.ORCID https://orcid.org/0000-0003-0143-5295
Sara MercaderDivision of Viral Diseases, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, Georgia, USA.
Angela DominguezCIBER Epidemiology and Public Health CIBERESP, Institute Carlos III, Madrid, Spain.
Ana MartinezCIBER Epidemiology and Public Health CIBERESP, Institute Carlos III, Madrid, Spain.
Josep CostaVirology Unit, Centre de Diagnòstic Biomèdic, Hospital Clínic, Barcelona, Spain.
Sun B SowersDivision of Viral Diseases, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, Georgia, USA.
Emily S AbernathyDivision of Viral Diseases, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, Georgia, USA.
William J BelliniDivision of Viral Diseases, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, Georgia, USA.
Carol J HickmanDivision of Viral Diseases, Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases, Atlanta, Georgia, USA.
Centers for Disease Control and Prevention · USInstituto de Salud Carlos III · ESHospital Clínic de Barcelona · ES

Funding

Catalan Agency for the Management of Grants for University Research 2017/SGR 1342
6 · The paper itself

Abstract

backgroundMeasles can lead to serious complications and remains an important cause of morbidity and mortality worldwide. In this study we aimed to assess the etiological diagnosis of discarded measles cases in the context of an outbreak among a highly immunized population.

methodsWe conducted a retrospective observational study of discarded measles cases from an outbreak that occurred from October 2006 to July 2007 in Catalonia. A confirmed case was defined as having a positive measles serum IgM result and/or a positive result by RT-PCR in urine and/or nasopharyngeal swab; or an epidemiological link to a confirmed case. Serum specimens were tested by a commercially available indirect-format and by an in-house capture-format measles IgM enzyme immunoassays.

resultsTesting of 89 samples discarded for measles determined the etiologies for 10 (11.2%), including one rubella, three human herpes virus 6, and six measles infections. Of 381 confirmed cases in the outbreak, 10% had received at least one dose of the measles-mumps-rubella vaccine versus 54% of the discarded for measles (OR: 0.09; 95% CI: 0.06, 0.14; p < 0.001).

conclusionsHighly sensitive surveillance systems are critical to identifying cases, responding to outbreaks and verifying progress towards measles elimination. Molecular tools for measles detection and differential diagnosis, and collection of appropriate specimens for molecular and serological testing are essential to correctly diagnose suspected measles infection.

Indexed as

MeaslesRubellaAntibodies, ViralDisease OutbreaksHumansImmunoglobulin MMeasles virusAntibodies, ViralImmunoglobulin Mdifferential diagnosiseliminationmeasles virussurveillanceviral exanthemas

Identifiers

PMID36461709
PMCPMC10107150
OpenAlexW4310643879

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.