Evidence map›Paper›PMID 40297997›Full record

ArticleJournal of medical virology2025

Outbreak of Enterovirus D68 in Young Children, Brescia, Italy, August to November 2024.

Serena Messali, Anna Bertelli, Laura Dotta, Marta Giovanetti, Leonardo Sclavi, Giulia Venneri, Massimo Ciccozzi, Raffaele Badolato, Arnaldo Caruso, Francesca Caccuri

Abstract read
In one paragraph

Article in Journal of medical virology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

10 authors.

Serena MessaliSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Anna BertelliInstitute of Microbiology, ASST-Spedali Civili, Brescia, Brescia, Italy.
Laura DottaDepartment of Clinical and Experimental Sciences, Pediatric Clinic and Institute for Molecular Medicine "A. Nocivelli", University of Brescia and ASST-Spedali Civili di Brescia, Brescia, Italy.
Marta GiovanettiSciences and Technologies for Sustainable Development and One Health, University of Campus Bio-Medico, Rome, Italy.ORCID 0000-0002-5849-7326
Leonardo SclaviSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Giulia VenneriSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Massimo CiccozziUnit of Medical Statistics and Molecular Epidemiology, University of Campus Bio-Medico, Rome, Italy.ORCID 0000-0003-3866-9239
Raffaele BadolatoDepartment of Clinical and Experimental Sciences, Pediatric Clinic and Institute for Molecular Medicine "A. Nocivelli", University of Brescia and ASST-Spedali Civili di Brescia, Brescia, Italy.
Arnaldo CarusoSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.
Francesca CaccuriSection of Microbiology, Department of Molecular and Translational Medicine, University of Brescia, Brescia, Italy.ORCID 0000-0002-1923-9033

Funding

The authors received no specific funding for this work.
6 · The paper itself

Abstract

Enterovirus D68 (EV-D68) is responsible for a plethora of clinical manifestations ranging from asymptomatic infections to severe respiratory symptoms and neurological disorders. EV-D68 was first detected in children with pneumonia in 1962 and, from then, only sporadic cases were reported until 2014, when outbreaks were notified across the world. After the withdrawal of preventive measures against SARS-CoV-2, a significant increase in EV-D68 infections has been reported in 2021-2022. A surveillance program to evaluate the incidence of enterovirus/rhinovirus (EV/RV) infections was implemented at the Brescia Civic Hospital, Italy. Fifty-five EV/RV-positive respiratory samples, belonging to pediatric patients, were subjected to NGS. We observed that 61.8% of samples were positive for EV, with EV-D68 as the most prevalent genotype predominantly detected between August and November 2024. Phylogenetic analysis revealed that EV-D68 sequences formed two monophyletic clades corresponding to the A2 and B3 lineages, highlighting their recent introduction in Italy. Interestingly, 40% of pediatric EV-D68 infections were detected with at least one other EV/RV. Our study highlights the crucial role played by genomic surveillance of respiratory infections to monitor the circulation of emerging and re-emerging viruses, as well as their evolution. This will be fundamental to enable prompt intervention strategies.

Indexed as

Disease OutbreaksEnterovirus D, HumanEnterovirus InfectionsRespiratory Tract InfectionsChildChild, PreschoolFemaleGenotypeHumansIncidenceInfantInfant, NewbornItalyMalePhylogenychildrenclinical presentationenterovirus D68epidemiologyphylogenetic analysis

Identifiers

PMID40297997
PMCPMC12038777

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.