Evidence map›Paper›PMID 42565267›Full record

ArticleEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2026

Transient Andes orthohantavirus RNA detection in an asymptomatic healthcare worker following indirect exposure during hospital care of an imported case, the Netherlands, 2026.

Alma Tostmann, Annelies Brilman, Loek Smits, Bram Huizer, Chantal Reusken, Margreet Te Wierik, Helma Ruijs, Corine Geurts van Kessel, Marloes Mattijssen, Manon Tingen-Wieland and 9 more

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In one paragraph

Article in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Alma TostmannDepartment of Medical Microbiology, Radboud University Medical Center (Radboudumc), Nijmegen, The Netherlands.
Annelies BrilmanCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Loek SmitsDepartment of Internal Medicine, Radboudumc, Nijmegen, The Netherlands.
Bram HuizerRadboudumc Center for Inflammation, Infection and Immunity, Radboudumc, Nijmegen, The Netherlands.
Chantal ReuskenVirology Section, Division Infectious Diseases & Immunology, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Margreet Te WierikCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Helma RuijsCenter for Infectious Disease Control, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Corine Geurts van KesselDepartment of Viroscience, Erasmus University Medical Center (ErasmusMC), Rotterdam, The Netherlands.
Marloes MattijssenMunicipal Health Service Gelderland-Zuid, Nijmegen, The Netherlands.
Manon Tingen-WielandDepartment of Medical Microbiology, Radboud University Medical Center (Radboudumc), Nijmegen, The Netherlands.
Olga Coenen-BouwmanDepartment of Medical Microbiology, Radboud University Medical Center (Radboudumc), Nijmegen, The Netherlands.
Matthew McCallDepartment of Medical Microbiology, Radboud University Medical Center (Radboudumc), Nijmegen, The Netherlands.
Esmée RuizendaalDepartment of Medical Microbiology, Radboud University Medical Center (Radboudumc), Nijmegen, The Netherlands.
Ingrid van SchalenRadboudumc Center for Inflammation, Infection and Immunity, Radboudumc, Nijmegen, The Netherlands.
Karin Ellen VeldkampDepartment of Medical Microbiology & Infection Control, LUCID, Leiden University Medical Centre, Leiden, The Netherlands.
Rosa van MansfeldDepartment of Medical Microbiology, Amsterdam University Medical Centre, Amsterdam, The Netherlands.
Annemiek van der EijkVirology Section, Division Infectious Diseases & Immunology, Department of Biomolecular Health Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, The Netherlands.
Heiman Fl WertheimThese authors contributed equally to this work and share last authorship.
Chantal P RoversThese authors contributed equally to this work and share last authorship.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Following an outbreak of Andes hantavirus (ANDV) infections on a cruise ship in May 2026, a healthcare worker not directly involved in caring for an imported ANDV case in the Netherlands had a single low-positive ANDV PCR result. The healthcare worker remained asymptomatic, showed no seroconversion, and all subsequent samples tested negative. We describe a retrospective investigation, including detailed reconstruction of potential transmission routes. Our finding may indicate that asymptomatic ANDV infections with low-level viraemia can occur after indirect exposure.

Indexed as

Hantavirus InfectionsHealth PersonnelOccupational ExposureOrthohantavirusRNA, ViralAdultCommunicable Diseases, ImportedDisease OutbreaksHumansMaleNetherlandsPolymerase Chain ReactionRetrospective StudiesShipsTravelRNA, ViralAndes hantavirusinfection prevention and controloccupational healthvirus transmission

Identifiers

PMID42565267
PMCPMC13451862

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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.