Evidence map›Paper›PMID 39450398›Full record

ArticleOpen forum infectious diseases2024

Virus Load Kinetics in Lassa Fever Patients Treated With Ribavirin: A Retrospective Cohort Study From Southern Nigeria.

Ephraim Ogbaini-Emovon, George Akpede, Sylvanus Okogbenin, Emmanuel Osagiede, Ekaete Tobin, Danny Asogun, Peter Okokhere, Martha Okonofua, Nosa Akpede, Peter Akhideno and 27 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Nosocomial Outbreak of Lassa Fever in Conakry, Guinea, 2022.The Journal of infectious diseases · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. 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

37 authors.

Ephraim Ogbaini-EmovonInstitute of Viral Haemorrhagic Fever and Emergent Pathogens, Irrua Specialist Teaching Hospital, Irrua, Nigeria.ORCID https://orcid.org/0000-0001-5407-1152
George AkpedeDepartment of Pediatrics, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Sylvanus OkogbeninDepartment of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Emmanuel OsagiedeDepartment of Community, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Ekaete TobinDepartment of Community, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Danny AsogunDepartment of Community, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Peter OkokhereDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Martha OkonofuaInstitute of Viral Haemorrhagic Fever and Emergent Pathogens, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Nosa AkpedeDepartment of Community, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Peter AkhidenoDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Cyril EramehDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Mojeed RafiuDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Chukwuemeka AzubuikeDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Kelly IraoyaDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Chris IruolagbeDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Christian ErohubieDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Dazumi AhmedDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Osahogie EdiaweInstitute of Viral Haemorrhagic Fever and Emergent Pathogens, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Joseph OkogualeDepartment of Obstetrics and Gynaecology, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Reuben EifediyiDepartment of Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Ikponmwonsa OdiaInstitute of Viral Haemorrhagic Fever and Emergent Pathogens, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Jacqueline AgbukorInstitute of Viral Haemorrhagic Fever and Emergent Pathogens, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Donatus AdomehInstitute of Viral Haemorrhagic Fever and Emergent Pathogens, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Maxy A C OdikeDepartment of Histopathology, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Wilson OvienriaDepartment of Ophthalmology, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Anieno ElkanemInstitute of Viral Haemorrhagic Fever and Emergent Pathogens, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Ekene B MuoebenamInstitute of Viral Haemorrhagic Fever and Emergent Pathogens, Irrua Specialist Teaching Hospital, Irrua, Nigeria.
Kingsley C OjideDepartment of Medical Microbiology, Alex Ekwemen Federal Teaching Hospital, Abakaliki, Nigeria.
Elisa PallaschBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Jonas MüllerBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Julia HinzmannBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Stephan GüntherBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.ORCID https://orcid.org/0000-0002-6562-0230
Meike PahlmannBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Anke ThielebeinBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Sophie DuraffourDepartment of Medical Microbiology, Alex Ekwemen Federal Teaching Hospital, Abakaliki, Nigeria.
Lisa OestereichBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Ralf KrumkampBernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The standard of care for Lassa fever is the use of ribavirin with supportive therapy. There is little information on the course of viremia and its relationship with clinical outcomes in patients treated with ribavirin. Methods: We conducted a retrospective analysis of virologic and clinical parameters of 152 reverse transcription polymerase chain reaction-confirmed Lassa fever cases admitted and treated with ribavirin therapy. We describe the Lassa virus RNA kinetics in blood in relation to the clinical course of the patients. Results: The overall mortality was 9%. The median duration (interquartile range [IQR]) of illness before admission was 8 (5-12) days. Median (IQR) Ct values on admission ( Conclusions: Our study demonstrates that the Ct value on admission has prognostic value and Lassa fever patients treated with ribavirin typically clear the virus within 3-4 weeks of hospitalization. This kinetics has implications for the design of clinical case management and future clinical trial protocols.

Indexed as

clinical outcomesclinical trialCt valueLassa virusribavirin treatmentviral loadviremia

Identifiers

PMID39450398
PMCPMC11500659

What OpenQuestion holds

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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.