Evidence map›Paper›PMID 22709949›Full record

Trial reportVaccine2012

Antibody persistence in mothers one year after pneumococcal immunization in pregnancy.

Elizabeth P Schlaudecker, Mark C Steinhoff, Saad B Omer, Eliza Roy, Shams E Arifeen, Caitlin N Dodd, Mekibib Altaye, Rubhana Raqib, Robert F Breiman, K Zaman

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Vaccine, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pneumococcal vaccination during pregnancy for preventing infant infection.The Cochrane database of systematic reviews · 2015
    Pooled it
  2. Article
  3. Maternal immunization: opportunities for scientific advancement.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2014
    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

10 authors at 4 institutions in 3 countries.

Elizabeth P SchlaudeckerCincinnati Children's Hospital and Medical Center, Division of Infectious Diseases, Global Health Center, 3333 Burnet Avenue, ML 2048, Cincinnati, OH 45229, USA. Elizabeth.Schlaudecker@cchmc.org
Mark C Steinhoff
Saad B Omer
Eliza Roy
Shams E Arifeen
Caitlin N Dodd
Mekibib Altaye
Rubhana Raqib
Robert F Breiman
K Zaman
Cincinnati Children's Hospital Medical Center · USInternational Centre for Diarrhoeal Disease Research · BDCenters for Disease Control and Prevention · KEEmory University · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
NCATS NIH HHS UL1 TR000077
6 · The paper itself

Abstract

backgroundPneumococcal infections are a significant cause of morbidity and mortality, and young infants are particularly vulnerable to infection. Maternal immunization can protect infants, but there are limited data on the duration of pneumococcal vaccine antibody in pregnant women. We report on maternal antibody concentrations one year after immunization with 23-valent pneumococcal polysaccharide (23vPPS) vaccine.

methodThe Mother's Gift study randomly assigned 340 pregnant Bangladeshi mothers between ages 18 and 36 to receive either inactivated influenza vaccine (Fluarix(®)) or the 23vPPS vaccine (Pneumovax(®)) during the third trimester. Sera were collected before immunization, at delivery, and at one year post-delivery. We determined anti-capsular IgG antibody to 9 pneumococcal serotypes by a multiplex Luminex ELISA. We report antibody geometric mean concentrations (GMCs) for 9 serotypes, 12 month/delivery geometric mean ratios (GMRs) and proportions seroprotected (>0.35 mcg/mL) in 23vPPS vaccine recipients and controls at delivery and at 12 months.

resultsAmong pneumococcal vaccinees, GMCs remained stable, with an overall 12 month/delivery GMR of 0.83 (95% CI, 0.75-0.92). In the control group, GMCs increased with a mean ratio of 1.98 (95% CI, 1.81-2.17; P<0.0001). GMCs in these vaccinees did not decline significantly in the 12 months after antenatal immunization.

conclusionGMCs in these adult vaccinees and controls did not decline significantly in the 12 months after antenatal immunization. Interestingly, mothers who did not receive 23vPPS in pregnancy show a substantial increase of GMC for most serotypes in the first year after immunization. Further studies are needed to determine the need for repeat doses of 23vPPS vaccine in subsequent pregnancies more than a year later.

Indexed as

AdolescentAdultAntibodies, BacterialBangladeshEnzyme-Linked Immunosorbent AssayFemaleHumansInfluenza VaccinesPneumococcal InfectionsPneumococcal VaccinesPregnancyProspective StudiesTime FactorsVaccines, InactivatedYoung Adult23-valent pneumococcal capsular polysaccharide vaccineAntibodies, BacterialfluarixInfluenza VaccinesPneumococcal VaccinesVaccines, Inactivated

Identifiers

PMID22709949
PMCPMC4133759
OpenAlexW2081182573

What OpenQuestion holds

Textmetadata
LicenceTDM
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.