Evidence map›Paper›PMID 24096297›Full record

ArticleHuman vaccines & immunotherapeutics2014

Towards the 13-valent pneumococcal conjugate universal vaccination: effectiveness in the transition era between PCV7 and PCV13 in Italy, 2010-2013.

Domenico Martinelli, Biagio Pedalino, Maria Giovanna Cappelli, Giovanni Caputi, Anna Sallustio, Francesca Fortunato, Silvio Tafuri, Vanessa Cozza, Cinzia Germinario, Maria Chironna and 2 more

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  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

12 authors.

Domenico MartinelliDepartment of Medical and Surgical Sciences; University of Foggia; Foggia, Italy.
Biagio PedalinoDepartment of Medical and Surgical Sciences; University of Foggia; Foggia, Italy.
Maria Giovanna CappelliDepartment of Biomedical Sciences and Human Oncology; University of Bari Aldo Moro; Bari, Italy.
Giovanni CaputiPrevention Department; Taranto Local Health Unit; Taranto, Italy.
Anna SallustioDepartment of Biomedical Sciences and Human Oncology; University of Bari Aldo Moro; Bari, Italy.
Francesca FortunatoDepartment of Medical and Surgical Sciences; University of Foggia; Foggia, Italy.
Silvio TafuriDepartment of Biomedical Sciences and Human Oncology; University of Bari Aldo Moro; Bari, Italy.
Vanessa CozzaDepartment of Medical and Surgical Sciences; University of Foggia; Foggia, Italy; European Programme for Intervention Epidemiology Training (EPIET); European Centre for Disease Prevention and Control (ECDC); Stockholm, Sweden.
Cinzia GerminarioDepartment of Biomedical Sciences and Human Oncology; University of Bari Aldo Moro; Bari, Italy.
Maria ChironnaDepartment of Biomedical Sciences and Human Oncology; University of Bari Aldo Moro; Bari, Italy.
Rosa PratoDepartment of Medical and Surgical Sciences; University of Foggia; Foggia, Italy.
Apulian Group for the surveillance of pediatric IPD

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pneumococcal disease epidemiology has changed after introduction of pneumococcal conjugate vaccines. Seven-valent vaccine (PCV7) has been effective in reducing invasive pneumococcal disease (IPD). In Europe, PCV13 effectiveness was estimated at 78% (95% CI: -18-96%) for 2-priming doses. In Italy, PCV7 was introduced in 2006 in the childhood immunization schedule and replaced with PCV13 in 2010. In Apulia, vaccination coverage has reached 95.1% (birth-cohort 2010). We estimated PCV program effectiveness and its impact on S. pneumoniae diseases. PCV EFFECTIVENESS: We used the screening method. We calculated the Proportion of Population Vaccinated from immunization registries and detected cases through a laboratory-confirmed surveillance among hospitalized children≤60 months. A confirmed IPD case was a child with PCR positive for S. pneumoniae. Differences among children were assessed with the Chi-square or the Fisher exact test (P value<0.05). PCV IMPACT: We constructed time series using outcome-specific Poisson regression models: hospitalization rate in pre-PCV era and hospitalization risk ratios (RRs) with 95% CIs for both PCV7 and PCV7/PCV13 shifting era. We calculated hospitalization RR with 95% CIs comparing pre-PCV years with vaccination period. The PCV effectiveness was 84.3% (95% CI: 84.0-84.6%). In May 2010-January 2013, we enrolled 159 suspected IPD of whom 4 were confirmed. Two (fully vaccinated) were caused by serotype 9V, 1 (not vaccinated) by serotype 3, 1 (vaccinated with 2 PCV13 doses) by 15B/C. The most important reduction was for pneumococcal pneumonia (RR: 0.43, 95% CI: 0.21-0.90). The PCV program show promising results in terms of both PCV13 effectiveness and its impact in reducing IPD in children<5 years.

Indexed as

Child, PreschoolFemaleHeptavalent Pneumococcal Conjugate VaccineHumansInfantInfant, NewbornItalyMalePneumococcal InfectionsPneumococcal VaccinesPrevalenceVaccination13-valent pneumococcal vaccineHeptavalent Pneumococcal Conjugate VaccinePneumococcal Vaccineshospitalizationpneumococcal conjugate vaccinescreening methodvaccine effectivenessvaccine impact

Identifiers

PMID24096297
PMCPMC4181029

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.