Evidence map›Paper›PMID 37719281›Full record

ArticleCornea open2023

Apollo Rising: Acute Conjunctivitis Outbreak in India, 2022.

N Venkatesh Prajna, Lalitha Prajna, Vishnu Teja, Ramesh Gunasekaran, Cindi Chen, Kevin Ruder, Lina Zhong, Danny Yu, David Liu, Thomas Abraham and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Cornea open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Association of Weather Variables With Pathogens Contributing to Conjunctivitis Worldwide.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Coxsackievirus A24 causing acute conjunctivitis in a 2023 outbreak in Vietnam.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2024
    Article
  7. Article
  8. Article
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

16 authors at 3 institutions in 2 countries.

N Venkatesh PrajnaAravind Eye Hospital, Madurai, India.
Lalitha PrajnaAravind Eye Hospital, Madurai, India.
Vishnu TejaAravind Eye Hospital, Madurai, India.
Ramesh GunasekaranAravind Eye Hospital, Madurai, India.
Cindi ChenFrancis I. Proctor Foundation, San Francisco, United States.
Kevin RuderFrancis I. Proctor Foundation, San Francisco, United States.
Lina ZhongFrancis I. Proctor Foundation, San Francisco, United States.
Danny YuFrancis I. Proctor Foundation, San Francisco, United States.
David LiuFrancis I. Proctor Foundation, San Francisco, United States.
Thomas AbrahamFrancis I. Proctor Foundation, San Francisco, United States.
Wendy AoFrancis I. Proctor Foundation, San Francisco, United States.
Michael DeinerDepartment of Ophthalmology, University of California, San Francisco, San Francisco, United States.
Armin HinterwirthFrancis I. Proctor Foundation, San Francisco, United States.
Gerami SeitzmanFrancis I. Proctor Foundation, San Francisco, United States.
Thuy DoanFrancis I. Proctor Foundation, San Francisco, United States.
Thomas LietmanFrancis I. Proctor Foundation, San Francisco, United States.
San Francisco Foundation · USAravind Eye Hospital · INUniversity of California, San Francisco · US

Funding

Seasonal Conjunctivitis Outbreak Reporting for Prevention and Improved Outcomes (SCORPIO)R01EY032041 · NEI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI DOAN, THUY A · 2021 to 2025
$2.0M
NEI NIH HHS R01 EY032041
6 · The paper itself

Abstract

Purpose: To identify pathogens associated with the 2022 conjunctivitis outbreak in Tamil Nadu, India. Methods: This prospective study was conducted in November of 2022. Patients with presumed acute infectious conjunctivitis presenting to the Aravind Eye Clinic in Madurai, India were eligible. Anterior nares and conjunctival samples from participants were obtained and processed for metagenomic RNA deep sequencing (RNA-seq). Results: Samples from 29 patients were sequenced. A pathogen was identified in 28/29 (97%) patients. Coxsackievirus A24v, a highly infectious RNA virus, was the predominant pathogen and detected in 23/29 patients. Human adenovirus D (HAdV-D), a DNA virus commonly associated with conjunctivitis outbreaks, was detected in the remaining patients (5/29). Hemorrhagic conjunctiva was documented in both HAdV-D and coxsackievirus A24v affected patients but was not the predominant clinical presentation. Phylogenetic analysis of coxsackievirus A24v revealed a recent divergence from the 2015 outbreak. Conclusions: Coxsackievirus A24v and HAdV-D were co-circulating during the 2022 conjunctivitis outbreak in Tamil Nadu, India. Clinical findings were similar between patients with HAD-V and coxsackievirus A24v associated conjunctivitis. As high-throughput technologies become more readily accessible and cost-effective, unbiased pathogen surveillance may prove useful for outbreak surveillance and control.

Identifiers

PMID37719281
PMCPMC10501505
OpenAlexW4366981291

What OpenQuestion holds

Textmetadata
LicenceTDM
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.