Evidence map›Paper›PMID 37089773›Full record

ArticleOpen forum infectious diseases2023

Multiplex High-Definition Polymerase Chain Reaction Assay for the Diagnosis of Tick-borne Infections in Children.

Lise E Nigrovic, Desiree N Neville, Laura Chapman, Fran Balamuth, Michael N Levas, Amy D Thompson, Anupam B Kharbanda, Derek Gerstbrein, John A Branda, Blake W Buchan and 1 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 32% 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

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Global prevalence ofNew microbes and new infections · 2025
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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

11 authors at 8 institutions in 1 country.

Lise E NigrovicDivision of Emergency Medicine, Boston Children's Hospital, Boston, MA, USA.ORCID https://orcid.org/0000-0002-6369-3997
Desiree N NevilleDivision of Emergency Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, MA, USA.
Laura ChapmanDepartment of Emergency Medicine, Rhode Island Hospital, Providence, RI, USA.
Fran BalamuthDivision of Emergency Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Michael N LevasDivision of Emergency Medicine, Children's Wisconsin, Milwaukee, WI, USA.
Amy D ThompsonDivision of Emergency Medicine, Nemours Children's Health, Wilmington, DE, USA.
Anupam B KharbandaDepartment of Emergency Medicine, Children's Hospitals and Clinics of Minnesota, Minneapolis, MN, USA.
Derek GerstbreinDepartment of Pathology, Children's Wisconsin, Milwaukee, WI, USA.
John A BrandaDepartment of Pathology, Massachusetts General Hospital, Boston, MA, USA.
Blake W BuchanDepartment of Pathology, Children's Wisconsin, Milwaukee, WI, USA.
for Pedi Lyme Net
Children's Hospital of Wisconsin · USBoston Children's Hospital · USChildren's Hospital of Philadelphia · USChildren's Hospital of Pittsburgh · USChildren's Minnesota · USMassachusetts General Hospital · USNemours Children's Health System · USProvidence College · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Methods: We enrolled children aged 1-21 years presenting to 1 of 8 Pedi Lyme Net emergency departments for evaluation of Lyme disease. We selected cases with serologically or clinically diagnosed Lyme disease (erythema migrans or early neurologic disease) matched by symptoms, age, gender, and center to control subjects without Lyme disease. We tested whole blood samples collected at the time of diagnosis using a multiplex high-definition polymerase chain reaction (HDPCR) panel to identify 9 bacterial or protozoan pathogens associated with human disease. We compared the frequency of tick-borne coinfections in children with Lyme disease to matched controls. Results: Of the 612 selected samples, 594 (97.1%) had an interpretable multiplex HDPCR result. We identified the following non- Conclusions: Although a substantial minority of children with Lyme disease had another tick-borne pathogen identified, either first-line Lyme disease antibiotics provided adequate treatment or the coinfection was subclinical and did not require specific treatment. Further studies are needed to establish the optimal approach to testing for tick-borne coinfections in children.

Indexed as

childrencoinfectionsLyme diseasetick-borne infection

Identifiers

PMID37089773
PMCPMC10114523
OpenAlexW4327944908

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.