Evidence map›Paper›PMID 26482232›Full record

ArticleBMC pediatrics2015

Reduced middle ear infection with non-typeable Haemophilus influenzae, but not Streptococcus pneumoniae, after transition to 10-valent pneumococcal non-typeable H. influenzae protein D conjugate vaccine.

Amanda Jane Leach, Christine Wigger, Kim Hare, Vanya Hampton, Jemima Beissbarth, Ross Andrews, Mark Chatfield, Heidi Smith-Vaughan, Peter Stanley Morris

Open access · goldAbstract read
In one paragraph

Article in BMC pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.3field-weighted citation impact, top 3% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Can non-typeablePediatric investigation · 2023
    Article
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  13. Panel 8: Vaccines and immunology.International journal of pediatric otorhinolaryngology · 2020
    Review
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  15. Article
  16. Bacteria and viruses in the nasopharynx immediately prior to onset of acute lower respiratory infections in Indigenous Australian children.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Article
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  18. Review
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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

9 authors at 2 institutions in 1 country.

Amanda Jane LeachMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Amanda.leach@menzies.edu.au.
Christine WiggerMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Christine.Wigger@menzies.edu.au.
Kim HareMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Kim.hare@menzies.edu.au.
Vanya HamptonMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Vanya.hampton@menzies.edu.au.
Jemima BeissbarthMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Jemima.beissbarth@menzies.edu.au.
Ross AndrewsMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Ross.Andrews@menzies.edu.au.
Mark ChatfieldMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Mark.Chatfield@menzies.edu.au.
Heidi Smith-VaughanMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Heidi.Smith-Vaughan@menzies.edu.au.
Peter Stanley MorrisMenzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia. Peter.Morris@menzies.edu.au.
Charles Darwin University · AURoyal Darwin Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn October 2009, 7-valent pneumococcal conjugate vaccine (PCV7: Prevenar(TM) Pfizer) was replaced in the Northern Territory childhood vaccination schedule by 10-valent pneumococcal Haemophilus influenzae protein D conjugate vaccine (PHiD-CV10; Synflorix(™) GlaxoSmithKline Vaccines). This analysis aims to determine whether the reduced prevalence of suppurative otitis media measured in the PHiD-CV10 era was associated with changes in nasopharyngeal (NP) carriage and middle ear discharge (ED) microbiology in vaccinated Indigenous children.

methodsSwabs of the NP and ED were collected in remote Indigenous communities between September 2008 and December 2012. Swabs were cultured using standardised methods for otitis media pathogens. Children less than 3 years of age and having received a primary course of 2 or more doses of one PCV formulation and not more than one dose of another PCV formulation were included in the primary analysis; children with non-mixed single formulation PCV schedules were also compared.

resultsNP swabs were obtained from 421 of 444 (95%) children in the PCV7 group and 443 of 451 (98%) children in the PHiD-CV10 group. Non-mixed PCV schedules were received by 333 (79%) and 315 (71%) children, respectively. Pneumococcal (Spn) NP carriage was 76% and 82%, and non-typeable Haemophilus influenzae (NTHi) carriage was 68% and 73%, respectively. ED was obtained from 60 children (85 perforations) in the PCV7 group and from 47 children (59 perforations) in the PHiD-CV10 group. Data from bilateral perforations were combined. Spn was cultured from 25% and 18%, respectively, and NTHi was cultured from 61% and 34% respectively (p = 0.008).

conclusionsThe observed reduction in the prevalence of suppurative OM in this population was not associated with reduced NP carriage of OM pathogens. The prevalence of NTHi-infected ED was lower in PHiD-CV10 vaccinated children compared to PCV7 vaccinated children. Changes in clinical severity may be explained by the action of PHiD-CV10 on NTHi infection in the middle ear. Randomised controlled trials are needed to answer this question.

Indexed as

Child, PreschoolCross-Sectional StudiesFemaleHaemophilus InfectionsHaemophilus influenzaeHaemophilus VaccinesHumansInfantInfant, NewbornMaleOtitis MediaPneumococcal VaccinesPrevalenceRetrospective StudiesStreptococcus pneumoniaeVaccines, ConjugateHaemophilus VaccinesPHiD-CV vaccinePneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID26482232
PMCPMC4615539
OpenAlexW2160287099

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.