Evidence map›Paper›PMID 42404485›Full record

ArticleRevista panamericana de salud publica = Pan American journal of public health2026

Factors associated with laboratory confirmation of suspected hantavirus pulmonary syndrome in southern Argentina: a retrospective observational case-control study.

Fernando Tortosa, Victoria Lucca, Rodrigo Bustamante, Yesica Espasandin, Ayelén Iglesias, Ariel Izcovich, Martin Lammel

Abstract read
In one paragraph

Article in Revista panamericana de salud publica = Pan American journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Fernando TortosaUniversidad Nacional de Río Negro Río Negro Argentina Universidad Nacional de Río Negro, Río Negro, Argentina.
Victoria LuccaMinisterio de Salud de Neuquén Neuquén Argentina Ministerio de Salud de Neuquén, Neuquén, Argentina.
Rodrigo BustamanteHospital Zonal de Bariloche "Dr. Ramón Carrillo" San Carlos de Bariloche Argentina Hospital Zonal de Bariloche "Dr. Ramón Carrillo", San Carlos de Bariloche, Argentina.
Yesica EspasandinHospital Zonal de Bariloche "Dr. Ramón Carrillo" San Carlos de Bariloche Argentina Hospital Zonal de Bariloche "Dr. Ramón Carrillo", San Carlos de Bariloche, Argentina.
Ayelén IglesiasHospital Zonal de Bariloche "Dr. Ramón Carrillo" San Carlos de Bariloche Argentina Hospital Zonal de Bariloche "Dr. Ramón Carrillo", San Carlos de Bariloche, Argentina.
Ariel IzcovichUniversidad del Salvador Buenos Aires Argentina Universidad del Salvador, Buenos Aires, Argentina.
Martin LammelMinisterio de Salud de Neuquén Neuquén Argentina Ministerio de Salud de Neuquén, Neuquén, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To identify demographic, occupational, exposure, clinical, and laboratory factors independently associated with diagnostic confirmation of hantavirus infection by RT-PCR or IgM among patients with suspected hantavirus pulmonary syndrome evaluated in Río Negro and Neuquén, Argentina. Methods: A retrospective case-control study using emergency department records and epidemiological notification forms from public hospitals in Río Negro and Neuquén, Argentina, during 1996-2025. Cases were patients with suspected hantavirus pulmonary syndrome confirmed by RT-PCR detection of hantavirus RNA and/or hantavirus-specific IgM ELISA through a standardized laboratory confirmation pathway verified by the reference laboratory. Controls were suspected cases in whom hantavirus infection was ruled out through the same pathway. Demographic, occupational, exposure, clinical, laboratory, and chest radiography variables were analyzed. Logistic regression models were adjusted for age and sex; symptoms were mutually adjusted in the clinical block. Results: We included 325 suspected cases: 113 confirmed and 212 ruled out. Compared with no evident risk, the activity-based exposure scale showed strong associations for high-risk activity (aOR 156; 95% CI [10, 2 448]) and moderate-risk activity (aOR 33; 95% CI [2.4, 456]). Confirmed cases more often had elevated hematocrit (aOR 7.40; 95% CI [3.96, 13.8]), elevated lactate dehydrogenase (aOR 10.67; 95% CI [4.85, 23.3]), thrombocytopenia (aOR 11.08; 95% CI [5.59, 21.9]), and elevated creatinine (aOR 2.91; 95% CI [1.59, 5.34]). Severe respiratory failure/criteria for mechanical ventilation (aOR 5.58; 95% CI [3.16, 9.85]) and neurological symptoms (aOR 5.17; 95% CI [1.16, 28.0]) were independently associated with confirmation. Conclusions: Among patients with suspected hantavirus pulmonary syndrome evaluated in southern Argentina, structured exposure assessment and selected laboratory abnormalities were associated with laboratory confirmation. Given the study limitations, these hypothesis-generating findings may inform future development and prospective validation of clinical prediction tools.

Indexed as

case-control studiesemergency service, hospitalepidemiological monitoringhantavirus infectionsHantavirus pulmonary syndromeL-lactate dehydrogenaserisk factorsthrombocytopenia

Identifiers

PMID42404485
PMCPMC13330638

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.