Evidence map›Paper›PMID 37041056›Full record

SynthesisBMJ open2023

Prevalence of atypical pathogens in patients with severe pneumonia: a systematic review and meta-analysis.

Sidan Wang, Jiaoqi Tang, Yurong Tan, Zhi Song, Ling Qin

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
6.2field-weighted citation impact, top 3% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Open forum infectious diseases · 2026
    Review
  5. Implications of empirical testing and treatment for atypical bacteria in patients hospitalized with COVID, influenza, or RSV: a retrospective observational cohort study.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Observational
  6. Article
  7. Risk factors for severeFrontiers in pediatrics · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Rapid detection ofFrontiers in cellular and infection microbiology · 2025
    Article
  18. An Atypical Pneumonia Case of Quinolone-RefractoryInfection and drug resistance · 2025
    Article
  19. Atypical pneumonia (Review).Experimental and therapeutic medicine · 2024
    Review
  20. Frontiers in cell and developmental biology · 2024
    Review
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

5 authors at 2 institutions in 1 country.

Sidan Wang *The Second Department of Gastrointestinal Surgery, Third Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID 0000-0002-6506-9848
Jiaoqi Tang *Emergency Department, Zhuzhou Central Hospital, Zhuzhou, Hunan, China.
Yurong TanDepartment of Medical Microbiology, School of Basic Medical Sciences, Central South University, Changsha, Hunan, China.
Zhi SongThe Second Department of Gastrointestinal Surgery, Third Xiangya Hospital, Central South University, Changsha, Hunan, China 13069778@qq.com.
Ling QinDepartment of Respiratory Medicine, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Central South University · CNZhuzhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe aimed to summarise the prevalence of atypical pathogens in patients with severe pneumonia to understand the prevalence of severe pneumonia caused by atypical pathogens, improve clinical decision-making and guide antibiotic use.

designSystematic review and meta-analysis. DATA SOURCES: PubMed, Embase, Web of Science and Cochrane Library were searched through November 2022. ELIGIBILITY CRITERIA: English language studies enrolled consecutive cases of patients diagnosed with severe pneumonia, with complete aetiological analysis. DATA EXTRACTION AND SYNTHESIS: We conducted literature retrieval on PubMed, Embase, Web of Science and The Cochrane Library to estimate the prevalence of

resultsWe included 75 eligible studies with 18 379 cases of severe pneumonia. The overall prevalence of atypical pneumonia is 8.1% (95% CI 6.3% to 10.1%) In patients with severe pneumonia, the pooled estimated prevalence of

conclusionsIn severe pneumonia, atypical pathogens are notable causes, especially PROSPERO REGISTRATION NUMBER: CRD42022373950.

Indexed as

ChlamydiaLegionellaPneumonia, BacterialPneumonia, MycoplasmaHumansMycoplasma pneumoniaePrevalenceEpidemiologyINTENSIVE & CRITICAL CARERespiratory infections

Identifiers

PMID37041056
PMCPMC10106036
OpenAlexW4364378175

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.