Evidence map›Paper›PMID 26606172›Full record

ArticleHuman vaccines & immunotherapeutics2016

Why the recent ACIP recommendations regarding conjugate pneumococcal vaccine in adults may be irrelevant.

Daniel M Musher, Maria B Rodriguez-Barradas

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Vaccinations in patients with interstitial lung diseases: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Influence of immune aging on vaccine responses.The Journal of allergy and clinical immunology · 2020
    Review
  7. Review
  8. Article
  9. Decision-making for PCV in adults.Human vaccines & immunotherapeutics · 2019
    Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Reply to Dr. Peter Paradiso.Human vaccines & immunotherapeutics · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Daniel M Mushera Medical Care Line (Infectious Disease Section); Michael E. DeBakey Veterans Affairs Medical Center ; Houston , TX USA.
Maria B Rodriguez-Barradasa Medical Care Line (Infectious Disease Section); Michael E. DeBakey Veterans Affairs Medical Center ; Houston , TX USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Advisory Committee on Immunization Practices of the US Centers for Disease Control (ACIP) has recently recommended the 13-valent protein-conjugate pneumococcal vaccine (PCV13) for routine use in adults age 18-65 who have immunocompromising conditions as well as in all adults over the age of 65. By comparison to 23-valent pneumococcal polysaccharide vaccine (PPSV23), antibody responses to PCV13 are similar or modestly better one month after vaccination. The implication that PCV13 will provide more persistent immunity has been disproven; 12 months later, recipients of PPSV23 or PCV13 have identical anti-pneumococcal activity. The theoretical concept that a protein-based vaccine will be followed by a booster effect when pure polysaccharide antigens are administered is based on remarkably little evidence. The strongest objection to the current recommendations is that, since PCVs stimulate mucosal antibodies, the widespread use of these PCVs has led to a near-disappearance of vaccine serotypes from the population. This phenomenon has been amply documented for PCV7, and PCV13 is well on its way to doing the same. Thus, as US physicians are convincing their adult patients to receive 2 "pneumonia shots" instead of one, the use of PCV13 in the USA is rapidly becoming irrelevant.

Indexed as

AdolescentAdultAdvisory CommitteesAgedAntibodies, ViralCenters for Disease Control and Prevention, U.S.HumansImmunization ScheduleImmunization, SecondaryImmunocompromised HostMiddle AgedPneumococcal InfectionsPneumococcal VaccinesStreptococcus pneumoniaeUnited StatesVaccination13-valent pneumococcal vaccine23-valent pneumococcal capsular polysaccharide vaccineAntibodies, ViralPneumococcal VaccinesVaccines, Conjugatebacteremic pneumonianonbacteremic pneumoniapneumococcal vaccinepneumococcus

Identifiers

PMID26606172
PMCPMC5049714

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.