Duration of PCR positivity by type of respiratory virus among children using a multiplex PCR test

Prolonged positive polymerase chain reaction (PCR) results, irrespective of the transmission risk, can lead to prolonged restrictions on daily activities and infection precaution interventions. Studies evaluating the duration of PCR positivity for multiple pathogens in a single patient cohort are sc...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Journal of medical virology 2024-08, Vol.96 (8), p.e29890-n/a
Hauptverfasser: Kitano, Taito, Kitagawa, Daisuke, Murata, Masayuki, Onishi, Mai, Mori, Takahiro, Hachisuka, Soshi, Okubo, Tenshin, Yamamoto, Naohiro, Nishikawa, Hiroki, Onaka, Masayuki, Suzuki, Rika, Sekine, Madoka, Suzuki, Soma, Nakamura, Fumihiko, Yoshida, Sayaka
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page n/a
container_issue 8
container_start_page e29890
container_title Journal of medical virology
container_volume 96
creator Kitano, Taito
Kitagawa, Daisuke
Murata, Masayuki
Onishi, Mai
Mori, Takahiro
Hachisuka, Soshi
Okubo, Tenshin
Yamamoto, Naohiro
Nishikawa, Hiroki
Onaka, Masayuki
Suzuki, Rika
Sekine, Madoka
Suzuki, Soma
Nakamura, Fumihiko
Yoshida, Sayaka
description Prolonged positive polymerase chain reaction (PCR) results, irrespective of the transmission risk, can lead to prolonged restrictions on daily activities and infection precaution interventions. Studies evaluating the duration of PCR positivity for multiple pathogens in a single patient cohort are scarce. This study aimed to evaluate and compare the durations of PCR positivity for multiple respiratory viruses among children and adolescents. This retrospective study was conducted between April 2018 and March 2024 using a multiplex PCR respiratory panel for symptomatic children and adolescents who had at least two tests within 90 days of study period, with the first PCR test positive. The rate and likelihood of persistent PCR positivity were evaluated for multiple respiratory viruses. For 1325 positive results, repeat tests were conducted within 90 days. The persistent PCR positivity rate at repeat testing decreased over time (60.6%, Days 1–15 and 21.7%, Days 76–90, after the first test). In multivariate logistic regression analysis, an increased likelihood of persistent PCR positivity was observed for rhinovirus/enterovirus and adenovirus, whereas decreased likelihood of persistent positivity was seen in influenza and seasonal coronaviruses, compared with parainfluenza viruses. Persistent PCR positivity is common for multiple respiratory viruses in symptomatic children.
doi_str_mv 10.1002/jmv.29890
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3097494381</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3097618941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2430-ae25f7b2152828312a81e3ac5cd1531f41bdca0afd254835a537466ba7f0c0aa3</originalsourceid><addsrcrecordid>eNp10MtKxDAUBuAgijOOLnwBCbjRRZ2TpJdkKeOdEUXUbUnbVDO0TU3a0b69nenoQnAVDvn4z-FH6JDAGQGg00W5PKOCC9hCYwIi9AREZBuNgfihF4YkGKE95xYAwAWlu2jEBOEcQjFG8qK1stGmwibHj7MnXBunG73UTYeTDjddrVY_Vrla99DYDi-1bR2WpanecPqui8yqCrdO96PEZVs0ui7U1zqsUa7ZRzu5LJw62LwT9HJ1-Ty78eYP17ez87mXUp-BJxUN8iihJKCcckao5EQxmQZpRgJGcp8kWSpB5hkNfM4CGbDID8NERjmkICWboJMht7bmo-0Xx6V2qSoKWSnTupiBiHzhM056evyHLkxrq_66tQoJF_5KnQ4qtcY5q_K4trqUtosJxKve4773eN17b482iW1SquxX_hTdg-kAPnWhuv-T4rv71yHyG1hpjDw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3097618941</pqid></control><display><type>article</type><title>Duration of PCR positivity by type of respiratory virus among children using a multiplex PCR test</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Kitano, Taito ; Kitagawa, Daisuke ; Murata, Masayuki ; Onishi, Mai ; Mori, Takahiro ; Hachisuka, Soshi ; Okubo, Tenshin ; Yamamoto, Naohiro ; Nishikawa, Hiroki ; Onaka, Masayuki ; Suzuki, Rika ; Sekine, Madoka ; Suzuki, Soma ; Nakamura, Fumihiko ; Yoshida, Sayaka</creator><creatorcontrib>Kitano, Taito ; Kitagawa, Daisuke ; Murata, Masayuki ; Onishi, Mai ; Mori, Takahiro ; Hachisuka, Soshi ; Okubo, Tenshin ; Yamamoto, Naohiro ; Nishikawa, Hiroki ; Onaka, Masayuki ; Suzuki, Rika ; Sekine, Madoka ; Suzuki, Soma ; Nakamura, Fumihiko ; Yoshida, Sayaka</creatorcontrib><description>Prolonged positive polymerase chain reaction (PCR) results, irrespective of the transmission risk, can lead to prolonged restrictions on daily activities and infection precaution interventions. Studies evaluating the duration of PCR positivity for multiple pathogens in a single patient cohort are scarce. This study aimed to evaluate and compare the durations of PCR positivity for multiple respiratory viruses among children and adolescents. This retrospective study was conducted between April 2018 and March 2024 using a multiplex PCR respiratory panel for symptomatic children and adolescents who had at least two tests within 90 days of study period, with the first PCR test positive. The rate and likelihood of persistent PCR positivity were evaluated for multiple respiratory viruses. For 1325 positive results, repeat tests were conducted within 90 days. The persistent PCR positivity rate at repeat testing decreased over time (60.6%, Days 1–15 and 21.7%, Days 76–90, after the first test). In multivariate logistic regression analysis, an increased likelihood of persistent PCR positivity was observed for rhinovirus/enterovirus and adenovirus, whereas decreased likelihood of persistent positivity was seen in influenza and seasonal coronaviruses, compared with parainfluenza viruses. Persistent PCR positivity is common for multiple respiratory viruses in symptomatic children.</description><identifier>ISSN: 0146-6615</identifier><identifier>ISSN: 1096-9071</identifier><identifier>EISSN: 1096-9071</identifier><identifier>DOI: 10.1002/jmv.29890</identifier><identifier>PMID: 39188069</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>adenovirus ; Adolescent ; Adolescents ; Child ; Child, Preschool ; Children ; Coronaviruses ; COVID‐19 ; Enterovirus - classification ; Enterovirus - genetics ; Enterovirus - isolation &amp; purification ; Enteroviruses ; Female ; Humans ; Infant ; influenza ; Male ; multiplex polymerase chain reaction ; Multiplex Polymerase Chain Reaction - methods ; Multiplexing ; Parainfluenza ; Polymerase chain reaction ; Regression analysis ; respiratory syncytial virus infections ; respiratory tract infections ; Respiratory Tract Infections - diagnosis ; Respiratory Tract Infections - virology ; Retrospective Studies ; Rhinovirus ; Rhinovirus - genetics ; Rhinovirus - isolation &amp; purification ; SARS‐CoV‐2 ; Time Factors ; Virus Diseases - diagnosis ; Virus Diseases - virology ; Viruses ; Viruses - classification ; Viruses - genetics ; Viruses - isolation &amp; purification</subject><ispartof>Journal of medical virology, 2024-08, Vol.96 (8), p.e29890-n/a</ispartof><rights>2024 Wiley Periodicals LLC.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2430-ae25f7b2152828312a81e3ac5cd1531f41bdca0afd254835a537466ba7f0c0aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fjmv.29890$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fjmv.29890$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39188069$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kitano, Taito</creatorcontrib><creatorcontrib>Kitagawa, Daisuke</creatorcontrib><creatorcontrib>Murata, Masayuki</creatorcontrib><creatorcontrib>Onishi, Mai</creatorcontrib><creatorcontrib>Mori, Takahiro</creatorcontrib><creatorcontrib>Hachisuka, Soshi</creatorcontrib><creatorcontrib>Okubo, Tenshin</creatorcontrib><creatorcontrib>Yamamoto, Naohiro</creatorcontrib><creatorcontrib>Nishikawa, Hiroki</creatorcontrib><creatorcontrib>Onaka, Masayuki</creatorcontrib><creatorcontrib>Suzuki, Rika</creatorcontrib><creatorcontrib>Sekine, Madoka</creatorcontrib><creatorcontrib>Suzuki, Soma</creatorcontrib><creatorcontrib>Nakamura, Fumihiko</creatorcontrib><creatorcontrib>Yoshida, Sayaka</creatorcontrib><title>Duration of PCR positivity by type of respiratory virus among children using a multiplex PCR test</title><title>Journal of medical virology</title><addtitle>J Med Virol</addtitle><description>Prolonged positive polymerase chain reaction (PCR) results, irrespective of the transmission risk, can lead to prolonged restrictions on daily activities and infection precaution interventions. Studies evaluating the duration of PCR positivity for multiple pathogens in a single patient cohort are scarce. This study aimed to evaluate and compare the durations of PCR positivity for multiple respiratory viruses among children and adolescents. This retrospective study was conducted between April 2018 and March 2024 using a multiplex PCR respiratory panel for symptomatic children and adolescents who had at least two tests within 90 days of study period, with the first PCR test positive. The rate and likelihood of persistent PCR positivity were evaluated for multiple respiratory viruses. For 1325 positive results, repeat tests were conducted within 90 days. The persistent PCR positivity rate at repeat testing decreased over time (60.6%, Days 1–15 and 21.7%, Days 76–90, after the first test). In multivariate logistic regression analysis, an increased likelihood of persistent PCR positivity was observed for rhinovirus/enterovirus and adenovirus, whereas decreased likelihood of persistent positivity was seen in influenza and seasonal coronaviruses, compared with parainfluenza viruses. Persistent PCR positivity is common for multiple respiratory viruses in symptomatic children.</description><subject>adenovirus</subject><subject>Adolescent</subject><subject>Adolescents</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Coronaviruses</subject><subject>COVID‐19</subject><subject>Enterovirus - classification</subject><subject>Enterovirus - genetics</subject><subject>Enterovirus - isolation &amp; purification</subject><subject>Enteroviruses</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>influenza</subject><subject>Male</subject><subject>multiplex polymerase chain reaction</subject><subject>Multiplex Polymerase Chain Reaction - methods</subject><subject>Multiplexing</subject><subject>Parainfluenza</subject><subject>Polymerase chain reaction</subject><subject>Regression analysis</subject><subject>respiratory syncytial virus infections</subject><subject>respiratory tract infections</subject><subject>Respiratory Tract Infections - diagnosis</subject><subject>Respiratory Tract Infections - virology</subject><subject>Retrospective Studies</subject><subject>Rhinovirus</subject><subject>Rhinovirus - genetics</subject><subject>Rhinovirus - isolation &amp; purification</subject><subject>SARS‐CoV‐2</subject><subject>Time Factors</subject><subject>Virus Diseases - diagnosis</subject><subject>Virus Diseases - virology</subject><subject>Viruses</subject><subject>Viruses - classification</subject><subject>Viruses - genetics</subject><subject>Viruses - isolation &amp; purification</subject><issn>0146-6615</issn><issn>1096-9071</issn><issn>1096-9071</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10MtKxDAUBuAgijOOLnwBCbjRRZ2TpJdkKeOdEUXUbUnbVDO0TU3a0b69nenoQnAVDvn4z-FH6JDAGQGg00W5PKOCC9hCYwIi9AREZBuNgfihF4YkGKE95xYAwAWlu2jEBOEcQjFG8qK1stGmwibHj7MnXBunG73UTYeTDjddrVY_Vrla99DYDi-1bR2WpanecPqui8yqCrdO96PEZVs0ui7U1zqsUa7ZRzu5LJw62LwT9HJ1-Ty78eYP17ez87mXUp-BJxUN8iihJKCcckao5EQxmQZpRgJGcp8kWSpB5hkNfM4CGbDID8NERjmkICWboJMht7bmo-0Xx6V2qSoKWSnTupiBiHzhM056evyHLkxrq_66tQoJF_5KnQ4qtcY5q_K4trqUtosJxKve4773eN17b482iW1SquxX_hTdg-kAPnWhuv-T4rv71yHyG1hpjDw</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Kitano, Taito</creator><creator>Kitagawa, Daisuke</creator><creator>Murata, Masayuki</creator><creator>Onishi, Mai</creator><creator>Mori, Takahiro</creator><creator>Hachisuka, Soshi</creator><creator>Okubo, Tenshin</creator><creator>Yamamoto, Naohiro</creator><creator>Nishikawa, Hiroki</creator><creator>Onaka, Masayuki</creator><creator>Suzuki, Rika</creator><creator>Sekine, Madoka</creator><creator>Suzuki, Soma</creator><creator>Nakamura, Fumihiko</creator><creator>Yoshida, Sayaka</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7TK</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>202408</creationdate><title>Duration of PCR positivity by type of respiratory virus among children using a multiplex PCR test</title><author>Kitano, Taito ; Kitagawa, Daisuke ; Murata, Masayuki ; Onishi, Mai ; Mori, Takahiro ; Hachisuka, Soshi ; Okubo, Tenshin ; Yamamoto, Naohiro ; Nishikawa, Hiroki ; Onaka, Masayuki ; Suzuki, Rika ; Sekine, Madoka ; Suzuki, Soma ; Nakamura, Fumihiko ; Yoshida, Sayaka</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2430-ae25f7b2152828312a81e3ac5cd1531f41bdca0afd254835a537466ba7f0c0aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>adenovirus</topic><topic>Adolescent</topic><topic>Adolescents</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Coronaviruses</topic><topic>COVID‐19</topic><topic>Enterovirus - classification</topic><topic>Enterovirus - genetics</topic><topic>Enterovirus - isolation &amp; purification</topic><topic>Enteroviruses</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>influenza</topic><topic>Male</topic><topic>multiplex polymerase chain reaction</topic><topic>Multiplex Polymerase Chain Reaction - methods</topic><topic>Multiplexing</topic><topic>Parainfluenza</topic><topic>Polymerase chain reaction</topic><topic>Regression analysis</topic><topic>respiratory syncytial virus infections</topic><topic>respiratory tract infections</topic><topic>Respiratory Tract Infections - diagnosis</topic><topic>Respiratory Tract Infections - virology</topic><topic>Retrospective Studies</topic><topic>Rhinovirus</topic><topic>Rhinovirus - genetics</topic><topic>Rhinovirus - isolation &amp; purification</topic><topic>SARS‐CoV‐2</topic><topic>Time Factors</topic><topic>Virus Diseases - diagnosis</topic><topic>Virus Diseases - virology</topic><topic>Viruses</topic><topic>Viruses - classification</topic><topic>Viruses - genetics</topic><topic>Viruses - isolation &amp; purification</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kitano, Taito</creatorcontrib><creatorcontrib>Kitagawa, Daisuke</creatorcontrib><creatorcontrib>Murata, Masayuki</creatorcontrib><creatorcontrib>Onishi, Mai</creatorcontrib><creatorcontrib>Mori, Takahiro</creatorcontrib><creatorcontrib>Hachisuka, Soshi</creatorcontrib><creatorcontrib>Okubo, Tenshin</creatorcontrib><creatorcontrib>Yamamoto, Naohiro</creatorcontrib><creatorcontrib>Nishikawa, Hiroki</creatorcontrib><creatorcontrib>Onaka, Masayuki</creatorcontrib><creatorcontrib>Suzuki, Rika</creatorcontrib><creatorcontrib>Sekine, Madoka</creatorcontrib><creatorcontrib>Suzuki, Soma</creatorcontrib><creatorcontrib>Nakamura, Fumihiko</creatorcontrib><creatorcontrib>Yoshida, Sayaka</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of medical virology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kitano, Taito</au><au>Kitagawa, Daisuke</au><au>Murata, Masayuki</au><au>Onishi, Mai</au><au>Mori, Takahiro</au><au>Hachisuka, Soshi</au><au>Okubo, Tenshin</au><au>Yamamoto, Naohiro</au><au>Nishikawa, Hiroki</au><au>Onaka, Masayuki</au><au>Suzuki, Rika</au><au>Sekine, Madoka</au><au>Suzuki, Soma</au><au>Nakamura, Fumihiko</au><au>Yoshida, Sayaka</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Duration of PCR positivity by type of respiratory virus among children using a multiplex PCR test</atitle><jtitle>Journal of medical virology</jtitle><addtitle>J Med Virol</addtitle><date>2024-08</date><risdate>2024</risdate><volume>96</volume><issue>8</issue><spage>e29890</spage><epage>n/a</epage><pages>e29890-n/a</pages><issn>0146-6615</issn><issn>1096-9071</issn><eissn>1096-9071</eissn><abstract>Prolonged positive polymerase chain reaction (PCR) results, irrespective of the transmission risk, can lead to prolonged restrictions on daily activities and infection precaution interventions. Studies evaluating the duration of PCR positivity for multiple pathogens in a single patient cohort are scarce. This study aimed to evaluate and compare the durations of PCR positivity for multiple respiratory viruses among children and adolescents. This retrospective study was conducted between April 2018 and March 2024 using a multiplex PCR respiratory panel for symptomatic children and adolescents who had at least two tests within 90 days of study period, with the first PCR test positive. The rate and likelihood of persistent PCR positivity were evaluated for multiple respiratory viruses. For 1325 positive results, repeat tests were conducted within 90 days. The persistent PCR positivity rate at repeat testing decreased over time (60.6%, Days 1–15 and 21.7%, Days 76–90, after the first test). In multivariate logistic regression analysis, an increased likelihood of persistent PCR positivity was observed for rhinovirus/enterovirus and adenovirus, whereas decreased likelihood of persistent positivity was seen in influenza and seasonal coronaviruses, compared with parainfluenza viruses. Persistent PCR positivity is common for multiple respiratory viruses in symptomatic children.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>39188069</pmid><doi>10.1002/jmv.29890</doi><tpages>7</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0146-6615
ispartof Journal of medical virology, 2024-08, Vol.96 (8), p.e29890-n/a
issn 0146-6615
1096-9071
1096-9071
language eng
recordid cdi_proquest_miscellaneous_3097494381
source MEDLINE; Access via Wiley Online Library
subjects adenovirus
Adolescent
Adolescents
Child
Child, Preschool
Children
Coronaviruses
COVID‐19
Enterovirus - classification
Enterovirus - genetics
Enterovirus - isolation & purification
Enteroviruses
Female
Humans
Infant
influenza
Male
multiplex polymerase chain reaction
Multiplex Polymerase Chain Reaction - methods
Multiplexing
Parainfluenza
Polymerase chain reaction
Regression analysis
respiratory syncytial virus infections
respiratory tract infections
Respiratory Tract Infections - diagnosis
Respiratory Tract Infections - virology
Retrospective Studies
Rhinovirus
Rhinovirus - genetics
Rhinovirus - isolation & purification
SARS‐CoV‐2
Time Factors
Virus Diseases - diagnosis
Virus Diseases - virology
Viruses
Viruses - classification
Viruses - genetics
Viruses - isolation & purification
title Duration of PCR positivity by type of respiratory virus among children using a multiplex PCR test
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-20T00%3A48%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Duration%20of%20PCR%20positivity%20by%20type%20of%20respiratory%20virus%20among%20children%20using%20a%20multiplex%20PCR%20test&rft.jtitle=Journal%20of%20medical%20virology&rft.au=Kitano,%20Taito&rft.date=2024-08&rft.volume=96&rft.issue=8&rft.spage=e29890&rft.epage=n/a&rft.pages=e29890-n/a&rft.issn=0146-6615&rft.eissn=1096-9071&rft_id=info:doi/10.1002/jmv.29890&rft_dat=%3Cproquest_cross%3E3097618941%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3097618941&rft_id=info:pmid/39188069&rfr_iscdi=true