Evidence map›Paper›PMID 21881120›Full record

ArticleThe Journal of infectious diseases2011

Changes in serogroup and genotype prevalence among carried meningococci in the United Kingdom during vaccine implementation.

Ana Belén Ibarz-Pavón, Jenny Maclennan, Nicholas J Andrews, Stephen J Gray, Rachel Urwin, Stuart C Clarke, A Mark Walker, Meirion R Evans, J Simon Kroll, Keith R Neal and 12 more

Abstract readMulticenter Study
In one paragraph

Article in The Journal of infectious diseases, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing 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

31 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
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  6. Article
  7. Suspected cluster ofEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Article
  8. Article
  9. Article
  10. Review
  11. Genomic analysis of urogenital and rectalSexually transmitted infections · 2017
    Article
  12. Article
  13. Review
  14. Review
  15. Impact of vaccination on meningococcal epidemiology.Human vaccines & immunotherapeutics · 2016
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  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

22 authors.

Ana Belén Ibarz-PavónDepartment of Zoology, University of Oxford, United Kingdom.
Jenny Maclennan
Nicholas J Andrews
Stephen J Gray
Rachel Urwin
Stuart C Clarke
A Mark Walker
Meirion R Evans
J Simon Kroll
Keith R Neal
Dlawer Ala'aldeen
Derrick W Crook
Kathryn Cann
Sarah Harrison
Richard Cunningham
David Baxter
Edward Kaczmarski
Noel D McCarthy
Keith A Jolley
J Claire Cameron
James M Stuart
Martin C J Maiden

Funding

Wellcome Trust 062057Wellcome Trust 087622
6 · The paper itself

Abstract

backgroundHerd immunity is important in the effectiveness of conjugate polysaccharide vaccines against encapsulated bacteria. A large multicenter study investigated the effect of meningococcal serogroup C conjugate vaccine introduction on the meningococcal population.

methodsCarried meningococci in individuals aged 15-19 years attending education establishments were investigated before and for 2 years after vaccine introduction. Isolates were characterized by multilocus sequence typing, serogroup, and capsular region genotype and changes in phenotypes and genotypes assessed.

resultsA total of 8462 meningococci were isolated from 47 765 participants (17.7%). Serogroup prevalence was similar over the 3 years, except for decreases of 80% for serogroup C and 40% for serogroup 29E. Clonal complexes were associated with particular serogroups and their relative proportions fluctuated, with 12 statistically significant changes (6 up, 6 down). The reduction of ST-11 complex serogroup C meningococci was probably due to vaccine introduction. Reasons for a decrease in serogroup 29E ST-254 meningococci (from 1.8% to 0.7%) and an increase in serogroup B ST-213 complex meningococci (from 6.7% to 10.6%) were less clear.

conclusionsNatural fluctuations in carried meningococcal genotypes and phenotypes a can be affected by the use of conjugate vaccines, and not all of these changes are anticipatable in advance of vaccine introduction.

Indexed as

AdolescentAdultBacterial CapsulesCarrier StateGenotypeHumansImmunity, HerdMass VaccinationMeningitis, MeningococcalMeningococcal VaccinesMultilocus Sequence TypingN-Acetylneuraminic AcidNeisseria meningitidisSerotypingUnited KingdomYoung AdultMeningococcal VaccinesN-Acetylneuraminic Acidserogroup C meningococcal conjugate vaccine

Identifiers

PMID21881120
PMCPMC3164428

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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.