Evidence map›Paper›PMID 22128315›Full record

ArticleThe Journal of infectious diseases2012

Impact of more than a decade of pneumococcal conjugate vaccine use on carriage and invasive potential in Native American communities.

Jennifer R Scott, Eugene V Millar, Marc Lipsitch, Lawrence H Moulton, Robert Weatherholtz, Mindy J Perilla, Delois M Jackson, Bernard Beall, Mariddie J Craig, Raymond Reid and 2 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 5 pooled it
6.4field-weighted citation impact, top 3% 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

58 citing papers in PubMed, 5 syntheses or guidelines pooled it, 101 citations in OpenAlex.

  1. Pooled it
  2. Molecular Epidemiology ofInternational journal of molecular sciences · 2025
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Differential B-cell memory around the 11-month booster in children vaccinated with a 10- or 13-valent pneumococcal conjugate vaccine.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2015
    Trial
  7. Seasonal drivers of pneumococcal disease incidence: impact of bacterial carriage and viral activity.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014
    Trial
  8. Trial
  9. Article
  10. Article
  11. Microbial genomics · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Serotype Patterns of Pneumococcal Disease in Adults Are Correlated With Carriage Patterns in Older Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  17. High Burden ofOpen forum infectious diseases · 2020
    Article
  18. Article
  19. Article
  20. Observational
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

12 authors at 4 institutions in 1 country.

Jennifer R ScottCenter for American Indian Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 21205, USA.
Eugene V Millar
Marc Lipsitch
Lawrence H Moulton
Robert Weatherholtz
Mindy J Perilla
Delois M Jackson
Bernard Beall
Mariddie J Craig
Raymond Reid
Mathuram Santosham
Katherine L O'Brien
National Center for Immunization and Respiratory Diseases · USHarvard University · USJohns Hopkins University · USUniformed Services University of the Health Sciences · US

Funding

Canadian Institutes of Health ResearchWellcome Trust
6 · The paper itself

Abstract

backgroundWe assessed the impact of 12 years of pneumococcal conjugate vaccine (PCV7) use on pneumococcal nasopharyngeal carriage and serotype-specific invasive disease potential among Native Americans.

methodsFamilies were enrolled in a carriage study from 2006 to 2008; nasopharyngeal specimens and risk factor information were collected monthly for 7 visits. Pneumococcal carriage prevalence was compared with that before (1998-2000) and during (2001-2002) PCV7 introduction. We compared invasive disease incidence and carriage prevalence before and after PCV7 introduction to estimate changes in serotype-specific invasive potential.

resultsWe enrolled 1077 subjects from 302 households. There was an absolute reduction in carriage prevalence of 8.0% (95% confidence interval [CI], 4.5%-11.4%) in children aged <5 years and 3.1% (95% CI, 1.1%-5.1%) in adults. In children aged <5 years, vaccine-serotype carriage prevalence decreased by 22.8% (95% CI, 20.1%-25.3%), and nonvaccine serotype (NVT) increased by 15.9% (95% CI, 12.4%-19.3%). No significant change was detected in serotype-specific invasive potential after PCV7 introduction.

conclusionsPneumococcal carriage prevalence decreased in all ages since PCV7 introduction; vaccine-serotype carriage has been nearly eliminated, whereas the prevalence of NVT carriage has increased. The increase in the NVT invasive disease rate seems to be proportional to the increase in colonization prevalence.

Indexed as

Indians, North AmericanPneumococcal VaccinesStreptococcus pneumoniaeVaccinationAdolescentAdultAgedAged, 80 and overCarrier StateChildChild, PreschoolChi-Square DistributionConfidence IntervalsFemaleHumansIncidencePneumococcal Vaccines

Identifiers

PMID22128315
PMCPMC3244367
OpenAlexW2110573889

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.