Evidence map›Paper›PMID 19099489›Full record

ArticleThe Journal of infectious diseases2009

Increase in the prevalence of the newly discovered pneumococcal serotype 6C in the nasopharynx after introduction of pneumococcal conjugate vaccine.

Moon H Nahm, Jisheng Lin, Jonathan A Finkelstein, Stephen I Pelton

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
8.2field-weighted citation impact, top 2% of its field
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

53 citing papers in PubMed, 99 citations in OpenAlex.

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  18. Panel 6: Vaccines.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2013
    Review
  19. Panel 5: Microbiology and immunology panel.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2013
    Review
  20. Article
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

4 authors at 4 institutions in 1 country.

Moon H NahmDepartment of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA. nahm@UAB.edu
Jisheng Lin
Jonathan A Finkelstein
Stephen I Pelton
Boston University · USHarvard University · USUniversity of Alabama · USUniversity of Alabama at Birmingham Hospital · US

Funding

Post-PCV pneumococcal population genetics and resistanceR01AI066304 · NIAID · HARVARD PILGRIM HEALTH CARE, INC. · PI FINKELSTEIN, JONATHAN A · 2006 to 2014
$6.4M
Impact of a new group 6 serotype on pneumococcal vaccinesR01AI031473 · NIAID · WASHINGTON UNIVERSITY · PI NAHM, MOON H. · 1991 to 2011
$1.7M
NIAID NIH HHS R01 AI031473NIAID NIH HHS R01 AI066304NIAID NIH HHS R01 AI-31473NIAID NIH HHS R01 AI-66304-01A1
6 · The paper itself

Abstract

backgroundBecause pneumococcal serotype 6C was previously not distinguished from serotype 6A, the impact of the 7-valent pneumococcal conjugate vaccine (PCV7) on the carriage of serotype 6C is unknown.

methodsThe nasopharyngeal (NP) prevalence of the 6C serotype was determined using 1326 pneumococcal isolates collected from 7 cohorts of Massachusetts children between 1994 and 2007. Initially, the isolates were serotyped using the quellung reaction; subsequently, stored specimens of all putative 6A isolates were tested for 6C using monoclonal antibodies. The opsonophagocytic and antibiotic susceptibilities of the isolates were determined.

resultsThe prevalence of 6A was 9.6% (33/343) before 2001, 8.0% (18/226) in 2004, and 2.9% (12/416) in 2007. In contrast, the prevalence of 6C was 0.6% (2/343) before 2001, 2.2% (5/226) in 2004, and 8.7% (36/416) in 2007 (P<.001 for 2/343 vs. 36/416). 6C isolates from 2007 were more susceptible to antibiotics than were 6A isolates. PCV7 induced a low ability to opsonize different isolates of 6C.

conclusionsAmong NP isolates, the prevalence of 6C isolates has increased and the prevalence of 6A isolates has decreased since the introduction of PCV7 in Massachusetts in 2000. The observed increase in serotype 6C prevalence may be explained by the induction by PCV7 of low amounts of functional anti-6C antibody, compared with anti-6A and anti-6B antibodies.

Indexed as

Anti-Bacterial AgentsCarrier StateChildChild, PreschoolDrug Resistance, Multiple, BacterialHeptavalent Pneumococcal Conjugate VaccineHumansInfantMassachusettsNasopharynxPneumococcal InfectionsPneumococcal VaccinesPrevalenceSerotypingStreptococcus pneumoniaeTime FactorsAnti-Bacterial AgentsHeptavalent Pneumococcal Conjugate VaccinePneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID19099489
PMCPMC2743180
OpenAlexW2131411088

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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.