Evidence map›Paper›PMID 19116353›Full record

ArticleJournal of clinical microbiology2009

PCR-based quantitation and clonal diversity of the current prevalent invasive serogroup 6 pneumococcal serotype, 6C, in the United States in 1999 and 2006 to 2007.

Maria da Gloria Carvalho, Fabiana C Pimenta, Robert E Gertz, Hari Har Joshi, Alma A Trujillo, Logan E Keys, Joy Findley, Iaci S Moura, In H Park, Susan K Hollingshead and 5 more

Abstract readComparative Study
In one paragraph

Article in Journal of clinical microbiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing 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

61 citing papers in PubMed.

  1. Trial
  2. Population snapshot ofMicrobial genomics · 2025
    Article
  3. Review
  4. Article
  5. Molecular and phenotypic characterization ofFrontiers in cellular and infection microbiology · 2024
    Article
  6. Article
  7. Influence of glycan structure on the colonization ofProceedings of the National Academy of Sciences of the United States of America · 2023
    Article
  8. Article
  9. AMicrobial genomics · 2022
    Article
  10. Article
  11. Article
  12. Genomic surveillance of invasiveMicrobial genomics · 2021
    Article
  13. A Laboratory-Based Surveillance Study of InvasiveDiagnostics (Basel, Switzerland) · 2021
    Article
  14. Serotypes & penicillin susceptibility ofThe Indian journal of medical research · 2018
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Serotypes and genotypes of Streptococcus pneumoniae isolates from Trinidad and Tobago.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2016
    Article
  20. Strain features and distributions in pneumococci from children with invasive disease before and after 13-valent conjugate vaccine implementation in the USA.Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases · 2016
    Article

1 more citing papers are in PubMed but not listed here.

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

15 authors.

Maria da Gloria CarvalhoRespiratory Diseases Branch, Centers for Disease Control & Prevention, Atlanta, Georgia 30333, USA.
Fabiana C Pimenta
Robert E Gertz
Hari Har Joshi
Alma A Trujillo
Logan E Keys
Joy Findley
Iaci S Moura
In H Park
Susan K Hollingshead
Tamara Pilishvili
Cynthia G Whitney
Moon H Nahm
Bernard W Beall
Active Bacterial Core Surveillance Team

Funding

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 AI-31473Wellcome Trust
6 · The paper itself

Abstract

Following introduction of the 7-valent pneumococcal conjugate vaccine to the United States, rates of invasive pneumococcal disease (IPD) caused by serotype 6A declined among all age groups, while rates of IPD caused by newly identified serotype 6C increased slightly among persons 5 years of age and older. Conventionally serotyped 6A isolates (CS6As) from active population-based surveillance during 1999 and 2006 to 2007 were classified as serotypes 6A and 6C by an expedient and highly accurate serotype 6C-specific PCR assay developed during this study. PCR testing of 636 year 1999, 2006, and 2007 CS6As revealed 6C proportions of 35/214 (16.4%), 141/218 (64.7%), and 141/204 (69.1%), respectively. These results agreed with those from a previously devised monoclonal antibody-based serotyping system (346 CS6As compared). Type 6C IPD incidence significantly increased during 2006 and 2007 compared to during 1999 (0.57 to 0.58 cases per 100,000 and 0.22 cases per 100,000, respectively; 164% increase from 1999 to 2007 [95% confidence interval, 87 to 270%]), while rates of IPD due to types 6A and 6B markedly decreased. In 2007, 31.2% of 6C isolates were not susceptible to penicillin. Serotype 6C is now the predominant serotype associated with serogroup 6 IPD in the United States and is often penicillin nonsusceptible. We performed multilocus sequence typing (MLST) on a limited sampling of 6C isolates with different antimicrobial susceptibility profiles. MLST of 42 6C isolates revealed 12 genotypes distributed among six distinct genetic groups. Fifteen 6C isolates shared one of four different MLST types with 6C-negative CS6As. MLST results suggest 6C strains arose from independent recombination events involving only serotype 6A and 6C parental strains.

Indexed as

Bacterial Typing TechniquesAdolescentAdultAgedAged, 80 and overChildChild, PreschoolDNA, BacterialFemaleGenotypeHumansIncidenceInfantInfant, NewbornMaleMiddle AgedDNA, Bacterial

Identifiers

PMID19116353
PMCPMC2650953

What OpenQuestion holds

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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.