Evidence map›Paper›PMID 26449949›Full record

ReviewClinical infectious diseases : an official publication of the Infectious Diseases Society of America2015

Invasive Nontyphoidal Salmonella Infections Among Children in Mali, 2002-2014: Microbiological and Epidemiologic Features Guide Vaccine Development.

Milagritos D Tapia, Sharon M Tennant, Kristin Bornstein, Uma Onwuchekwa, Boubou Tamboura, Almoustapha Maiga, Mamadou B Sylla, Seydou Sissoko, Nana Kourouma, Aliou Toure and 4 more

Open access · bronzeAbstract readReview
In one paragraph

Review in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 9% 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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
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  7. Article
  8. Microbiology spectrum · 2026
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  13. Deletion of an immune evasion gene,Frontiers in immunology · 2024
    Article
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  15. Prevalence of Salmonella in Stool During the Vaccine Impact on Diarrhea in Africa (VIDA) Study, 2015-2018.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  16. Article
  17. Clinical profiles and antimicrobial resistance patterns of invasive Salmonella infections in children in China.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2022
    Article
  18. Evaluation ofVaccines · 2022
    Article
  19. Article
  20. 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

14 authors at 2 institutions in 2 countries.

Milagritos D TapiaCenter for Vaccine Development.
Sharon M TennantCenter for Vaccine Development.
Kristin BornsteinCenter for Vaccine Development Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore.
Uma OnwuchekwaCenter for Vaccine Development-Mali, Bamako.
Boubou TambouraCenter for Vaccine Development-Mali, Bamako.
Almoustapha MaigaCenter for Vaccine Development-Mali, Bamako.
Mamadou B SyllaCenter for Vaccine Development-Mali, Bamako.
Seydou SissokoCenter for Vaccine Development-Mali, Bamako.
Nana KouroumaCenter for Vaccine Development-Mali, Bamako.
Aliou ToureCenter for Vaccine Development-Mali, Bamako.
Dramane MalleCenter for Vaccine Development-Mali, Bamako.
Sofie LivioCenter for Vaccine Development.
Samba O SowCenter for Vaccine Development-Mali, Bamako.
Myron M LevineCenter for Vaccine Development.
Centre Pour le Développement des Vaccins-Mali · MLUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn 2002, following establishment of a clinical microbiology laboratory in the government hospital that admits children with severe illnesses in Bamako, Mali, surveillance to identify pathogens causing invasive bacterial infections (septicemia, bacteremia, meningitis, etc) was initiated.

methodsParents/guardians of children aged <16 years admitted to l'Hôpital Gabriel Touré with high fever or clinical syndromes compatible with focal invasive bacterial disease were asked for consent to culture their child's blood/body fluid. Standard bacteriologic techniques speciated isolates; Salmonella serovars were determined.

resultsFrom July 2002 through June 2014, 687 nontyphoidal Salmonella (NTS) isolates were obtained from 667 children; 667 yielded a single serovar and 20 grew 2 Salmonella serovars, 1 being NTS. Four serovars accounted for 87% of the 687 NTS isolates, including Salmonella Enteritidis (n = 244 [35.5%]), Salmonella Typhimurium (n = 221 [32.2%]), I:4,[5],12:i:- (n = 42 [6.1%]), and Salmonella Dublin (n = 89 [13.0%]). Of 553 patients with invasive NTS from whom 1 of the 4 predominant serovars was isolated in pure culture, 448 (81.0%) were aged <5 years and case fatality was 20.3%; Salmonella Enteritidis case fatality (27.8%) was higher than for other serovars (P = .0009). NTS disease showed a seasonal peak following the rainy season and into the cool, dry season. Since 2010, Salmonella Enteritidis cases have risen and Salmonella Typhimurium fallen.

conclusionsNTS has become the predominant invasive pathogen as Haemophilus influenzae type b and pneumococcal vaccine use in Mali has diminished invasive disease due to those pathogens. The age distribution and limited serovars involved make control of NTS disease by vaccines epidemiologically feasible, if products under development prove safe and efficacious.

Indexed as

Salmonella VaccinesAdolescentBacteremiaChildChild, PreschoolCommunicable Diseases, EmergingDrug DiscoveryEpidemiological MonitoringFemaleHumansInfantMaleMaliSalmonella entericaSalmonella enteritidisSalmonella InfectionsSalmonella Vaccinesemerging infectionsinvasive bacterial infectionsMalinontyphoidal Salmonellasurveillance

Identifiers

PMID26449949
PMCPMC4596934
OpenAlexW2221764305

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.