Evidence map›Paper›PMID 27907129›Full record

ArticlePloS one2016

Meningococcal Carriage in Military Recruits and University Students during the Pre MenB Vaccination Era in Greece (2014-2015).

Kyriaki Tryfinopoulou, Konstantinos Kesanopoulos, Athanasia Xirogianni, Nektarios Marmaras, Anastasia Papandreou, Vassiliki Papaevangelou, Maria Tsolia, Aftab Jasir, Georgina Tzanakaki

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 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 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. Prevalence and Characteristics of Carriage ofOpen forum infectious diseases · 2022
    Article
  3. Article
  4. Article
  5. Article
  6. Human Immunodeficiency Virus Infection Is Associated With Increased Meningococcal Carriage Acquisition Among First-year Students in 2 South African Universities.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  7. Pharyngeal carriage rates of Neisseria meningitidis in health care professionals at a tertiary university pediatric hospital.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  8. Article
  9. Article
  10. Increase of invasive meningococcal serogroup W disease in Europe, 2013 to 2017.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2019
    Observational
  11. Article
  12. Evaluation ofPolish journal of microbiology
    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.

Kyriaki TryfinopoulouNational Meningitis Reference Laboratory (NMRL), Dept of Public Health, National School of Public Health, Athens, Greece.
Konstantinos KesanopoulosNational Meningitis Reference Laboratory (NMRL), Dept of Public Health, National School of Public Health, Athens, Greece.
Athanasia XirogianniNational Meningitis Reference Laboratory (NMRL), Dept of Public Health, National School of Public Health, Athens, Greece.
Nektarios MarmarasNational Meningitis Reference Laboratory (NMRL), Dept of Public Health, National School of Public Health, Athens, Greece.
Anastasia PapandreouNational Meningitis Reference Laboratory (NMRL), Dept of Public Health, National School of Public Health, Athens, Greece.
Vassiliki PapaevangelouThird Department of Paediatrics University General Hospital ATTIKON National Kapodistrian University of Athens, Athens, Greece.
Maria TsoliaSecond Dept of Paediatrics "Aglaia Kyriakou" Children's Hospital, School of Medicine, National Kapodistrian University of Athens, Athens, Greece.
Aftab JasirEuropean Public Health Microbiology Training Programme (EUPHEM), European Centre For Disease Prevention and Control, Stockholm, Sweden.
Georgina TzanakakiNational Meningitis Reference Laboratory (NMRL), Dept of Public Health, National School of Public Health, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the study was to estimate the meningococcal carriage rate and to identify the genotypic characteristics of the strains isolated from healthy military recruits and university students in order to provide data that might increase our understanding on the epidemiology of meningococcus and obtain information which helps to evaluate the potential effects on control programs such as vaccination.

methodsA total of 1420 oropharyngeal single swab samples were collected from military recruits and university students on voluntary basis, aged 18-26 years. New York City Medium was used for culture and the suspected N. meningitidis colonies were identified by Gram stain, oxidase and rapid carbohydrate utilization tests. Further characterisation was carried out by molecular methods (multiplex PCR, MLST, WGS).

resultsThe overall carriage rate was of 12.7%; 15% and 10.4% for recruits and university students respectively. MenB (39.4%) was the most prevalent followed by MenY (12.8%) and MenW (4.4%). Among the initial 76 Non Groupable (NG) isolates, Whole Genome Sequence Analysis (WGS) revealed that 8.3% belonged to MenE, 3.3% to MenX and 1.1% to MenZ, while, 53 strains (29.4%) were finally identified as capsule null. Genetic diversity was found among the MenB isolates, with 41/44 cc and 35 cc predominating.

conclusionMeningococcal carriage rate in both groups was lower compared to our previous studies (25% and 18% respectively) with predominance of MenB isolates. These findings, help to further our understanding on the epidemiology of meningococcal disease in Greece. Although the prevalence of carriage seems to have declined compared to our earlier studies, the predominant MenB clonal complexes (including 41/44cc and 35cc) are associated with invasive meningococcal disease.

Indexed as

AdultAntigens, BacterialCarrier StateFemaleGreeceHumansMaleMeningococcal InfectionsMeningococcal VaccinesMilitary PersonnelNeisseria meningitidisOropharynxSerotypingStudentsUniversitiesAntigens, BacterialMeningococcal Vaccines

Identifiers

PMID27907129
PMCPMC5131982

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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.