Evidence map›Paper›PMID 22902945›Full record

ArticleThe Journal of infection2012

Invasive Haemophilus influenzae in the United States, 1999-2008: epidemiology and outcomes.

Daniel J Livorsi, Jessica R Macneil, Amanda C Cohn, Joseph Bareta, Shelly Zansky, Susan Petit, Ken Gershman, Lee H Harrison, Ruth Lynfield, Arthur Reingold and 3 more

Abstract read
In one paragraph

Article in The Journal of infection, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Articulating What Makes Sense: An Exercise in Clinical Reasoning.Journal of general internal medicine · 2025
    Article
  4. Article
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  6. Article
  7. Article
  8. Article
  9. Article
  10. Epidemiology of Invasive Haemophilus influenzae Serotype a Disease-United States, 2008-2017.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  11. Review
  12. Article
  13. The situation of vaccines for the prevention of infections in adults: An opinion paper on the situation in Spain.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2019
    Article
  14. Article
  15. Article
  16. Current Epidemiology and Trends in Invasive Haemophilus influenzae Disease-United States, 2009-2015.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  17. Article
  18. Article
  19. Article
  20. Vaccines for Nontypeable Haemophilus influenzae: the Future Is Now.Clinical and vaccine immunology : CVI · 2015
    Review
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

13 authors at 12 institutions in 1 country.

Daniel J LivorsiDepartment of Medicine, Emory University School of Medicine, The Atlanta VA Medical Center, 1670 Clairmont Road, Mail Code 151-ID, Atlanta, GA 30333, USA. dlivorsi@iupui.edu
Jessica R Macneil
Amanda C Cohn
Joseph Bareta
Shelly Zansky
Susan Petit
Ken Gershman
Lee H Harrison
Ruth Lynfield
Arthur Reingold
William Schaffner
Ann Thomas
Monica M Farley
Atlanta VA Medical Center · USCenters for Disease Control and Prevention · USColorado Department of Public Health and Environment · USConnecticut Department of Public Health · USEmory University · USJohns Hopkins University · USMinnesota Department of Health · USNational Center for Immunization and Respiratory Diseases · USNew Mexico Department of Health · USNew York State Department of Health · USOregon Department of Human Services · USVanderbilt University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Atlanta Clinical and Translational Science Institute (ACTSI) RenewalUL1TR000454 · NCATS · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2012 to 2016
$25.8M
Intramural CDC HHS 2000183348Intramural CDC HHS CC999999NCATS NIH HHS UL1 TR000454NCRR NIH HHS UL1 RR025008NCRR NIH HHS UL1RR025008
6 · The paper itself

Abstract

objectivesIntroduction of the Haemophilus influenzae type b (Hib) conjugate vaccine has resulted in a dramatic reduction of Hib disease in the U.S. and an increase in the relative importance of infections caused by nontypeable strains. The current project describes the characteristics and clinical outcomes of pediatric and adult patients with invasive H. influenzae (HI) and, through multivariable analysis, identifies risk factors for in-hospital mortality.

methodsHI cases were identified during 1999-2008 through active surveillance as part of active bacterial core surveillance (ABCs). Multivariable analysis was performed with logistic regression to identify factors predictive of in-hospital death.

results4839 cases of HI were identified from 1999-2008. Children accounted for 17.1% of cases and adults 82.9%. Underlying conditions were present in 20.7% of children and 74.8% of adults. In-hospital mortality was highest in cases ≥65 years (21.9%) and <3 months (16.2%). The risk of in-hospital death in children <1 year was higher among those who were prematurely-born (<28 weeks, OR 7.1, 95% CI 3.2-15.6; 28-36 weeks OR 2.1, 95% CI 0.9-4.8) and, among children aged 1-17 years, higher in those with healthcare-associated onset and dialysis (OR 5.66, 95% CI 1.84-17.39; OR 18.11, 95% CI 2.77-118.65). In adults, age ≥40 was associated with death in nontypeable, but not encapsulated, infections. Infections with nontypeable strains increased the risk of death in cases ≥65 years (OR 1.81, 95% CI 1.31-2.52). Healthcare-associated HI, bacteremia without identifiable focus, bacteremic pneumonia, associated cirrhosis, cerebrovascular accident, dialysis, heart failure, and non-hematologic malignancy also increased the risk of death in adults.

conclusionPrematurity in infants, advanced age and certain chronic diseases in adults were associated with an increased risk of in-hospital death. Nontypeable HI was associated with higher mortality in the elderly.

Indexed as

AdolescentAdultAgedAged, 80 and overAnalysis of VarianceChildChild, PreschoolCohort StudiesCommunity-Acquired InfectionsCross InfectionHaemophilus InfectionsHaemophilus influenzaeHospital MortalityHumansInfantLogistic Models

Identifiers

PMID22902945
PMCPMC4329643
OpenAlexW2069127159

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.