Evidence map›Paper›PMID 21393453›Full record

ArticleJournal of medical microbiology2011

Death or survival from invasive pneumococcal disease in Scotland: associations with serogroups and multilocus sequence types.

Donald Inverarity, Karen Lamb, Mathew Diggle, Chris Robertson, David Greenhalgh, Tim J Mitchell, Andrew Smith, Johanna M C Jefferies, Stuart C Clarke, Jim McMenamin and 1 more

Abstract read
In one paragraph

Article in Journal of medical microbiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
–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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Properties of Mucoid Serotype 3Frontiers in cellular and infection microbiology · 2021
    Article
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  12. Sex differences in invasive pneumococcal disease and the impact of pneumococcal conjugate vaccination in the Netherlands, 2004 to 2015.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2017
    Article
  13. Article
  14. 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
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  19. Clinical and microbiological implications of invasive pneumococcal disease in hospitalized patients (1998-2013).The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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

11 authors.

Donald InverarityInstitute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, 120 University Place, Glasgow G12 8QQ, UK.
Karen LambDepartment of Mathematics and Statistics, University of Strathclyde, Glasgow G1 1XH, UK.
Mathew DiggleScottish Haemophilus, Legionella, Meningococcal and Pneumococcal Reference Laboratory (SHLMPRL), Stobhill General Hospital, Glasgow G21 3UW, UK.
Chris RobertsonHealth Protection Scotland, Clifton House, Clifton Place, Glasgow G3 7LN, UK.
David GreenhalghDepartment of Mathematics and Statistics, University of Strathclyde, Glasgow G1 1XH, UK.
Tim J MitchellInstitute of Infection, Immunity and Inflammation, College of Medical, Veterinary and Life Sciences, University of Glasgow, 120 University Place, Glasgow G12 8QQ, UK.
Andrew SmithCollege of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow G12 8QQ, UK.
Johanna M C JefferiesSouthampton NIHR Respiratory Biomedical Research Unit, Southampton SO16 6YD, UK.
Stuart C ClarkeSouthampton NIHR Respiratory Biomedical Research Unit, Southampton SO16 6YD, UK.
Jim McMenaminHealth Protection Scotland, Clifton House, Clifton Place, Glasgow G3 7LN, UK.
Giles F S EdwardsScottish Haemophilus, Legionella, Meningococcal and Pneumococcal Reference Laboratory (SHLMPRL), Stobhill General Hospital, Glasgow G21 3UW, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We describe associations between death from invasive pneumococcal disease (IPD) and particular serogroups and sequence types (STs) determined by multilocus sequence typing (MLST) using data from Scotland. All IPD episodes where blood or cerebrospinal fluid (CSF) culture isolates were referred to the Scottish Haemophilus, Legionella, Meningococcal and Pneumococcal Reference Laboratory (SHLMPRL) from January 1992 to February 2007 were matched to death certification records by the General Register Office for Scotland. This represented 5959 patients. The median number of IPD cases in Scotland each year was 292. Deaths, from any cause, within 30 days of pneumococcal culture from blood or CSF were considered to have IPD as a contributing factor. Eight hundred and thirty-three patients died within 30 days of culture of Streptococcus pneumoniae from blood or CSF [13.95 %; 95 % confidence interval (13.10, 14.80)]. The highest death rates were in patients over the age of 75. Serotyping data exist for all years but MLST data were only available from 2001 onward. The risk ratio of dying from infection due to particular serogroups or STs compared to dying from IPD due to all other serogroups or STs was calculated. Fisher's exact test with Bonferroni adjustment for multiple testing was used. Age adjustment was accomplished using the Cochran-Mantel-Haenszel test and 95 % confidence intervals were reported. Serogroups 3, 11 and 16 have increased probability of causing fatal IPD in Scotland while serogroup 1 IPD has a reduced probability of causing death. None of the 20 most common STs were significantly associated with death within 30 days of pneumococcal culture, after age adjustment. We conclude that there is a stronger association between a fatal outcome and pneumococcal capsular serogroup than there is between a fatal outcome and ST.

Indexed as

AdolescentAdultAgedAged, 80 and overBacterial Typing TechniquesBloodCerebrospinal FluidChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMiddle AgedMultilocus Sequence Typing

Identifiers

PMID21393453
PMCPMC3167921

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.