Evidence map›Paper›PMID 40823371›Full record

ArticleGerms2025

A clinical analysis of the 2024 pertussis outbreak among pediatric patients in an infectious diseases hospital in Bucharest, Romania.

Mădălina Maria Merişescu, Gheorghiţă Jugulete, Irina Dijmărescu, Andreea Mihaela Băluţă, Anca Oana Dragomirescu

Abstract read
In one paragraph

Article in Germs, 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. Traveling with chronic viral hepatitis.Tropical diseases, travel medicine and vaccines · 2026
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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

5 authors.

Mădălina Maria MerişescuMD, PhD, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania and National Institute for Infectious Diseases "Prof. Dr. Matei Bals", 021105, Bucharest, Romania.
Gheorghiţă JuguleteMD, PhD, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania and National Institute for Infectious Diseases "Prof. Dr. Matei Bals", 021105, Bucharest, Romania.
Irina DijmărescuMD, PhD, Carol Davila University of Medicine and Pharmacy Bucharest, Romania and Grigore Alexandrescu Children's Emergency Clinical Hospital, 011743, Bucharest, Romania.
Andreea Mihaela BăluţăMD, PhD, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Anca Oana DragomirescuMD, PhD, Faculty of Dentistry, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The objective of this study was to identify and analyze cases of pertussis hospitalized in 2024 that met the clinical criteria, epidemiological context, and laboratory confirmation through polymerase chain reaction (PCR) or serological testing for Methods: We conducted a retrospective study from January to November 2024, involving pediatric patients admitted to the Pediatric Departments of the National Institute of Infectious Diseases "Prof. Dr. Matei Balş," Bucharest, Romania, diagnosed with pertussis. The diagnosis was established based on epidemiological and clinical criteria and confirmed through laboratory tests, including serology or PCR testing. The selection criteria focused on hospitalized patients presenting clinical signs suggestive of pertussis, with laboratory confirmation. Results: Among the hospitalized patients, a significant proportion, 56.9%, were unvaccinated, while 12.5% had incomplete vaccination status. Common comorbidities contributing to increased hospitalization risk included prematurity, malnutrition, and asthma. Co-infections were identified in 32% of cases, with common pathogens such as measles, SARS-CoV-2, rhinovirus, and adenovirus. Respiratory complications were frequent, with apnea occurring in 51% of cases, pneumonia in 60%, and respiratory failure in 13.2%. Despite these complications, no fatalities were reported. Conclusions: This study highlights significant concerns related to low vaccination coverage in the pediatric population, emphasizing the importance of improving vaccination rates to prevent severe pertussis cases. The study also identifies the frequent occurrence of severe complications, including respiratory failure, apnea, and pneumonia, underlining the need for early intervention and effective management. Co-infections with respiratory pathogens further complicate diagnosis and treatment, underscoring the importance of comprehensive clinical evaluation in suspected cases of pertussis.

Indexed as

co-infectionsPertussisrespiratory failurewhooping cough

Identifiers

PMID40823371
PMCPMC12356347

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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.