Evidence map›Paper›PMID 25268974›Full record

SynthesisPloS one2014

Distribution of serotypes, vaccine coverage, and antimicrobial susceptibility pattern of Streptococcus pneumoniae in children living in SAARC countries: a systematic review.

Nishant Jaiswal, Meenu Singh, Rashmi Ranjan Das, Ishita Jindal, Amit Agarwal, Kiran Kumar Thumburu, Ajay Kumar, Anil Chauhan

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 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

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Serotype distribution of Streptococcus pneumoniae among healthy carriers and clinical patients: a systematic review from Iran.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Review
  8. Review
  9. Human vaccines & immunotherapeutics · 2025
    Review
  10. Article
  11. Comparative analysis of theFrontiers in microbiology · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Serotype distribution ofHuman vaccines & immunotherapeutics · 2020
    Article
  18. Improving vaccines againstProceedings of the National Academy of Sciences of the United States of America · 2018
    Article
  19. Review
  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

8 authors at 3 institutions in 2 countries.

Nishant JaiswalICMR Advanced Centre for evidence based Child Health, Department of Pediatrics, Post-Graduate Institute of Medical Education & Research, Chandigarh, India.
Meenu SinghDepartment of Pediatrics, Post-Graduate Institute of Medical Education & Research, Chandigarh, India.
Rashmi Ranjan DasDepartment of Pediatrics, All India Institute of Medical Sciences, Bhubaneswar, India.
Ishita JindalICMR Advanced Centre for evidence based Child Health, Department of Pediatrics, Post-Graduate Institute of Medical Education & Research, Chandigarh, India.
Amit AgarwalICMR Advanced Centre for evidence based Child Health, Department of Pediatrics, Post-Graduate Institute of Medical Education & Research, Chandigarh, India.
Kiran Kumar ThumburuICMR Advanced Centre for evidence based Child Health, Department of Pediatrics, Post-Graduate Institute of Medical Education & Research, Chandigarh, India.
Ajay KumarDepartment of Ophthalmology, Wayne State University, Detroit, Michigan, United States of America.
Anil ChauhanDepartment of Pediatrics, Post-Graduate Institute of Medical Education & Research, Chandigarh, India.
Post Graduate Institute of Medical Education and Research · INAll India Institute of Medical Sciences Bhubaneswar · INMichigan United · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEach SAARC nation falls in the zone of high incidence of pneumococcal disease but there is a paucity of literature estimating the burden of pneumococcal disease in this region.

objectiveTo identify the prevalent serotypes causing invasive pneumococcal disease in children of SAARC countries, to determine the coverage of these serotypes by the available vaccines, and to determine the antibiotic resistance pattern of Streptococcus pneumoniae.

methodsWe searched major electronic databases using a comprehensive search strategy, and additionally searched the bibliography of the included studies and retrieved articles till July 2014. Both community and hospital based observational studies which included children aged ≤12 years as/or part of the studied population in SAARC countries were included.

resultsA total of 17 studies were included in the final analysis. The period of surveillance varied from 12-96 months (median, 24 months). The most common serotypes country-wise were as follows: serotype 1 in Nepal; serotype 14 in Bangladesh and India; serotype 19F in Sri Lanka and Pakistan. PCV-10 was found to be suitable for countries like India, Nepal, Bangladesh, and Sri Lanka, whereas PCV-13 may be more suitable for Pakistan. An increasing trend of non-susceptibility to antibiotics was noted for co-trimoxazole, erythromycin and chloramphenicol, whereas an increasing trend of susceptibility was noted for penicillin.

conclusionDue to paucity of recent data in majority of the SAARC countries, urgent large size prospective studies are needed to formulate recommendations for specific pneumococcal vaccine introduction and usage of antimicrobial agents in these regions.

Indexed as

Drug Resistance, BacterialSerogroupAnti-Bacterial AgentsAsia, WesternChildChild, PreschoolChloramphenicolErythromycinFemaleHumansInfantInfant, NewbornMalePneumococcal VaccinesPneumonia, PneumococcalSerotypingAnti-Bacterial AgentsChloramphenicolErythromycinPneumococcal VaccinesTrimethoprim, Sulfamethoxazole Drug CombinationVaccines, Conjugate

Identifiers

PMID25268974
PMCPMC4182530
OpenAlexW2088781916

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.