Evidence map›Paper›PMID 27861618›Full record

ArticlePloS one2016

Meningococcal Carriage among Adolescents after Mass Meningococcal C Conjugate Vaccination Campaigns in Salvador, Brazil.

Amélia Maria Pithon Borges Nunes, Guilherme Sousa Ribeiro, Ítalo Eustáquio Ferreira, Ana Rafaela Silva Simões Moura, Ridalva Dias Martins Felzemburgh, Ana Paula Silva de Lemos, Mitermayer Galvão Reis, José Cassio de Moraes, Leila Carvalho Campos

Abstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Carriage prevalence of Neisseria meningitidis in the Americas in the 21st century: a systematic review.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Pooled it
  2. Trial
  3. Article
  4. Evaluation of pharyngeal carriage ofNew microbes and new infections · 2022
    Article
  5. Article
  6. Epidemiology and infection · 2020
    Article
  7. Observational
  8. Review
  9. Article
  10. Serogroup CEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Article
  11. Article
  12. Article
  13. 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

9 authors.

Amélia Maria Pithon Borges NunesInstituto Gonçalo Moniz, FIOCRUZ-BA, 40296-710, Salvador, Brazil.
Guilherme Sousa RibeiroInstituto Gonçalo Moniz, FIOCRUZ-BA, 40296-710, Salvador, Brazil.
Ítalo Eustáquio FerreiraInstituto Gonçalo Moniz, FIOCRUZ-BA, 40296-710, Salvador, Brazil.
Ana Rafaela Silva Simões MouraInstituto Gonçalo Moniz, FIOCRUZ-BA, 40296-710, Salvador, Brazil.
Ridalva Dias Martins FelzemburghEscola de Enfermagem, Universidade Federal da Bahia, 40110-060, Salvador, Brazil.
Ana Paula Silva de LemosCentro de Bacteriologia, Instituto Adolfo Lutz, 01246-000, São Paulo, Brazil.
Mitermayer Galvão ReisInstituto Gonçalo Moniz, FIOCRUZ-BA, 40296-710, Salvador, Brazil.
José Cassio de MoraesFaculdade de Ciências Médicas da Santa Casa de São Paulo, 01221-020, São Paulo, Brazil.
Leila Carvalho CamposInstituto Gonçalo Moniz, FIOCRUZ-BA, 40296-710, Salvador, Brazil.ORCID http://orcid.org/0000-0001-9150-464X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neisseria meningitidis is a commensal bacterium of the human nasopharynx. In rare cases, it penetrates the mucosa, entering the blood stream and causing various forms of disease. Meningococcal conjugate vaccines can prevent invasive disease not only by direct effect in vaccinated individuals but also by herd protection, preventing acquisition of carriage, which interrupts transmission and leads to protection of unvaccinated persons. In 2010 in Salvador, Brazil, an outbreak of group C meningococcal disease led to a mass meningococcal serogroup C conjugate vaccination drive, targeting those <5 and 10-24 years of age. The present study aimed to estimate the prevalence of and identify factors associated with N. meningitidis carriage among adolescents from Salvador, Brazil, in the post-vaccination period. In spring 2014, we performed a cross-sectional study involving 1,200 public school students aged 11-19 years old. Oropharyngeal swabs were collected to identify N. meningitidis. Of the 59 colonized participants, 36 (61.0%) carried non-groupable N. meningitidis, while genogroup B (11.9%), Y (8.5%), E (6.8%), Z (5.1%), C (3.4%), and W (3.4%) were also detected. The overall prevalence of N. meningitidis carriage was 4.9% (95% confidence interval [CI], 3.6-6.1%); the prevalence of N. meningitidis genogroup C was 0.17% (95% CI, 0.0-0.40%). There was no difference by age. Factors associated with carriage were having only one, shared, bedroom in the household (PR, 2.02; 95% CI, 0.99-4.12, p = 0.05); the mother being the only smoker in the home (PR, 2.48; 95% CI, 1.16-5.29; p = 0.01); and going to pubs/parties more than 5 times/month (PR, 2.61; 95% CI, 1.38-4.92; p = 0.02). Our findings show that the N. meningitidis carriage rate in adolescents from Salvador, Bahia, is low and is potentially influenced by the low prevalence of N. meningitidis genogroup C. However, continued surveillance is important to identify changes in the dynamics of N. meningitidis, including the emergence of diseases due to a non-C serogroup.

Indexed as

VaccinationAdolescentBrazilCarrier StateChildCross-Sectional StudiesFemaleGenotypeHumansMaleMeningococcal InfectionsMeningococcal VaccinesNeisseria meningitidisPrevalenceRisk FactorsYoung AdultMeningococcal Vaccinesserogroup C meningococcal conjugate vaccine

Identifiers

PMID27861618
PMCPMC5115742

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.