Evidence map›Paper›PMID 38717389›Full record

ArticleInternational health2025

Risk factors and circulation pattern of respiratory syncytial virus in children under 2 years in Maputo, Mozambique.

Mirela Pale, Almiro Tivane, Tinne Gils, Adilson Bauhofer, Neuza Nguenha, Loira Machalele, Félix Gundane, Aunésia Marrurele, Judite Salência, Délcio Muteto and 3 more

Abstract read
In one paragraph

Article in International health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
  2. Article
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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

13 authors.

Mirela PaleDepartment of Technologic Platforms, National Institute of Health, 1120 Maputo, Mozambique.ORCID 0000-0003-3381-6914
Almiro TivaneDepartment of Technologic Platforms, National Institute of Health, 1120 Maputo, Mozambique.ORCID 0000-0002-8308-4136
Tinne GilsDepartment of Clinical Sciences, Institute of Tropical Medicine, 2000 Antwerp, Belgium.ORCID 0000-0002-5518-9600
Adilson BauhoferDepartment of Technologic Platforms, National Institute of Health, 1120 Maputo, Mozambique.ORCID 0000-0001-8184-9695
Neuza NguenhaDepartment of Technologic Platforms, National Institute of Health, 1120 Maputo, Mozambique.ORCID 0000-0002-1441-9617
Loira MachaleleDepartment of Technologic Platforms, National Institute of Health, 1120 Maputo, Mozambique.
Félix GundaneDepartment of Technologic Platforms, National Institute of Health, 1120 Maputo, Mozambique.
Aunésia MarrurelePediatric Department, Mavalane General Hospital, 1100 Maputo, Mozambique.
Judite SalênciaPediatric Department, Maputo Central Hospital, 1100 Maputo, Mozambique.
Délcio MutetoPediatric Department, Maputo Central Hospital, 1100 Maputo, Mozambique.
Josina Chalufo-ChilundoPediatric Department, Maputo Central Hospital, 1100 Maputo, Mozambique.
Marilda SiqueiraLaboratory of Respiratory and Exanthematous Viruses, Enteroviruses and Viral Emergencies, FIOCRUZ, 21040-900 Rio de Janeiro, Brazil.ORCID 0000-0003-4685-9817
Tufária MussáDepartment of Microbiology, Eduardo Mondlane University, 257 Maputo, Mozambique.ORCID 0000-0002-9635-3585

Funding

CDC HHS
6 · The paper itself

Abstract

backgroundEvidence on risk factors for respiratory syncytial virus (RSV) in low-resource settings is limited. In Mozambican children <2 y of age with severe acute respiratory infection (SARI), we explored risk factors for RSV, described its seasonal variation and assessed associations between RSV and a life-threatening condition.

methodsWe retrospectively included participants presenting in 2017-2018 in two hospitals in Maputo. RSV was detected and subtyped using real-time quantitative reverse transcription polymerase chain reaction on nasopharyngeal swabs. We used logistic regression and χ2 tests to assess associations and Spearman's correlation coefficient to assess the correlation between weather measurement and RSV positivity.

resultsRSV was detected in 23.1% (n=109) of 472 included children and in 50.0% (20/40) of those <3 months old. Being <3 months (vs >1 y) was associated with RSV (adjusted odds ratio 4.3 [95% confidence interval 2.1-8.5]). RSV status was not associated with experiencing a life-threatening condition. RSV A and B co-circulated during the study period, but one type predominated in each year. In 2017, the RSV positivity rate was correlated with monthly average temperature (r=0.793, p=0.002) and precipitation (r=0.596, p=0.041).

conclusionsIn Mozambican children with SARI, RSV was prevalent, especially in neonates. However, RSV was not associated with a life-threatening condition.

Indexed as

Respiratory Syncytial Virus, HumanRespiratory Syncytial Virus InfectionsRespiratory Tract InfectionsFemaleHumansInfantInfant, NewbornMaleMozambiqueRetrospective StudiesRisk FactorsSeasonschildrenlife-threatening conditionrespiratory syncytial virussevere acute respiratory infection

Identifiers

PMID38717389
PMCPMC11879497

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Registered trials

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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.