Evidence map›Paper›PMID 27514843›Full record

ArticleBMC infectious diseases2016

Reduction of Streptococcus pneumoniae in upper respiratory tract cultures and a decreased incidence of related acute otitis media following introduction of childhood pneumococcal conjugate vaccines in a Swedish county.

Nils Littorin, Jonas Ahl, Fabian Uddén, Fredrik Resman, Kristian Riesbeck

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
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  8. Article
  9. Serotype distribution and antimicrobial resistance ofIranian journal of microbiology · 2022
    Article
  10. Gene Expression Regulation in Airway Pathogens: Importance for Otitis Media.Frontiers in cellular and infection microbiology · 2022
    Review
  11. Silver Nanoparticles as an Effective Antimicrobial against Otitis Media Pathogens.AIChE journal. American Institute of Chemical Engineers · 2021
    Article
  12. Prevalence of InvasiveIranian journal of public health · 2021
    Review
  13. Article
  14. Panel 8: Vaccines and immunology.International journal of pediatric otorhinolaryngology · 2020
    Review
  15. Synergy between chemical permeation enhancers and drug permeation across the tympanic membrane.Journal of controlled release : official journal of the Controlled Release Society · 2018
    Article
  16. Article
  17. Current otorhinolaryngology reports · 2017
    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

5 authors at 1 institution in 1 country.

Nils LittorinClinical Microbiology, Department of Translational Medicine, Lund University, Malmö, Sweden.
Jonas AhlClinical Microbiology, Department of Translational Medicine, Lund University, Malmö, Sweden.
Fabian UddénClinical Microbiology, Department of Translational Medicine, Lund University, Malmö, Sweden.
Fredrik ResmanClinical Microbiology, Department of Translational Medicine, Lund University, Malmö, Sweden.
Kristian RiesbeckClinical Microbiology, Department of Translational Medicine, Lund University, Malmö, Sweden. kristian.riesbeck@med.lu.se.
Lund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of pneumococcal conjugate vaccines (PCV) on invasive pneumococcal disease is frequently reported, but the impact on upper respiratory tract infections in a clinical setting is less documented. Our aim in this 5-year observational study was to investigate serotype changes in a large number of Streptococcus pneumoniae upper respiratory tract isolates following sequential introduction of PCV7 and pneumococcal Haemophilus influenza protein D conjugate vaccine (PHiD-CV10) in a Swedish county.

methodsAll bacterial isolates from the upper respiratory tract (nasopharynx, sinus or middle ear fluid) from patients with respiratory tract infections referred to a clinical microbiology laboratory prior to (2 years 2007-2008; n = 1566) and after introduction of PCV (3 years 2011-2013; n = 1707) were prospectively collected. Microbiological findings were compared between the two periods, and information from clinical referrals was recorded in order to explore changes in incidence of pneumococcal acute otitis media (AOM).

resultsPneumococcal serotypes covered by PHiD-CV10 decreased from 45 to 12 % prior to and after immunization (p < 0.001), respectively. Despite non-PHiD-CV10 serotypes increased from 49 to 80 %, a significant decline of 35 % in the absolute incidence of pneumocococal isolates (p < 0.001) was observed. Finally, the frequency of complicated AOM caused by S. pneumoniae decreased by 32 % (p < 0.001).

conclusionsAfter introduction of PCV in 2009, we have observed a significantly decreased number of pneumococcal isolates in the upper respiratory tract, a shift to non-PHiD-CV10 serotypes, and a reduction of complicated AOM. Our findings may have implications for future vaccine design.

Indexed as

Acute DiseaseAdolescentAdultAged, 80 and overChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornMaleMiddle AgedNasopharynxOtitis MediaPneumococcal InfectionsPneumococcal VaccinesVaccines, ConjugateOtitis mediaPneumococcal vaccinesSerogroupStreptococcus pneumoniae

Identifiers

PMID27514843
PMCPMC4982432
OpenAlexW2512570674

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.