Evidence map›Paper›PMID 37948389›Full record

ArticlePloS one2023

Maternal varicella antibodies in children aged less than one year: Assessment of antibody decay.

Shelly Bolotin, Stephanie L Hughes, Rachel D Savage, Elizabeth McLachlan, Alberto Severini, Callum Arnold, Susan Richardson, Natasha S Crowcroft, Shelley Deek, Scott A Halperin and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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
0.4field-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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

15 authors at 5 institutions in 2 countries.

Shelly BolotinPublic Health Ontario, Toronto, Ontario, Canada.ORCID 0000-0002-9100-5928
Stephanie L HughesPublic Health Ontario, Toronto, Ontario, Canada.
Rachel D SavagePublic Health Ontario, Toronto, Ontario, Canada.
Elizabeth McLachlanNational Microbiology Laboratory, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Alberto SeveriniNational Microbiology Laboratory, Public Health Agency of Canada, Ottawa, Ontario, Canada.
Callum ArnoldDivision of Infectious Diseases, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-3245-6956
Susan RichardsonDivision of Microbiology, The Hospital for Sick Children, Toronto, Ontario, Canada.ORCID 0000-0002-7751-7628
Natasha S CrowcroftDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Shelley DeekPublic Health Ontario, Toronto, Ontario, Canada.
Scott A HalperinCanadian Center for Vaccinology (CCfV), IWK Health Centre, Nova Scotia Health (NSH), and Dalhousie University, Halifax, Nova Scotia (NS), Canada.
Kevin A BrownPublic Health Ontario, Toronto, Ontario, Canada.
Todd HatchetteCanadian Center for Vaccinology (CCfV), IWK Health Centre, Nova Scotia Health (NSH), and Dalhousie University, Halifax, Nova Scotia (NS), Canada.ORCID 0000-0002-5377-2528
Selma OsmanPublic Health Ontario, Toronto, Ontario, Canada.
Jonathan B GubbayPublic Health Ontario, Toronto, Ontario, Canada.
Michelle SciencePublic Health Ontario, Toronto, Ontario, Canada.
University of Toronto · CADalhousie University · CAHospital for Sick Children · CAPublic Health Agency of Canada · CAPublic Health Ontario · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate maternal antibody levels to varicella in infants <12 months of age in Ontario, Canada. STUDY

designIn this study, we included specimens from infants <12 months of age, born at ≥37 weeks gestational age, who had sera collected at The Hospital for Sick Children (Toronto, Canada) between 2014-2016. We tested sera using a glycoprotein-based enzyme-linked immunosorbent assay (gpELISA). We measured varicella susceptibility (antibody concentration <150mIU/mL) and mean varicella antibody concentration, and assessed the probability of susceptibility and concentration between one and 11 months of age using multivariable logistic regression and Poisson regression.

resultsWe found that 32% of 196 included specimens represented infants susceptible to varicella at one month of age, increasing to nearly 80% at three months of age. At six months of age, all infants were susceptible to varicella and the predicted mean varicella antibody concentration declined to 62 mIU/mL (95% confidence interval 40, 84), well below the threshold of protection.

conclusionsWe found that varicella maternal antibody levels wane rapidly in infants, leaving most infants susceptible by four months of age. Our findings have implications for the timing of first dose of varicella-containing vaccine, infection control measures, and infant post-exposure prophylaxis recommendations.

Indexed as

ChickenpoxViral VaccinesAntibodies, ViralChickenpox VaccineChildDisease SusceptibilityHerpesvirus 3, HumanHumansInfantOntarioAntibodies, ViralChickenpox VaccineViral Vaccines

Identifiers

PMID37948389
PMCPMC10637651
OpenAlexW4388564641

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.