Evidence map›Paper›PMID 28612153›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2017

Streptococcus pneumoniae antimicrobial resistance decreased in the Helsinki Metropolitan Area after routine 10-valent pneumococcal conjugate vaccination of infants in Finland.

R Sihvonen, L Siira, M Toropainen, P Kuusela, A Pätäri-Sampo

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In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 25% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Management and prevention of Neisseria meningitidis and Neisseria gonorrhoeae infections in the context of evolving antimicrobial resistance trends.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Review
  7. Antimicrobial Activity ofInternational journal of molecular sciences · 2024
    Article
  8. Vaccination to Reduce Antimicrobial Resistance Burden-Data Gaps and Future Research.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Article
  9. Review
  10. Review
  11. Review
  12. Review
  13. A Laboratory-Based Surveillance Study of InvasiveDiagnostics (Basel, Switzerland) · 2021
    Article
  14. Review
  15. Evolution of Penicillin Non-susceptibility AmongFrontiers in microbiology · 2019
    Article
  16. Impact of existing vaccines in reducing antibiotic resistance: Primary and secondary effects.Proceedings of the National Academy of Sciences of the United States of America · 2018
    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 2 institutions in 1 country.

R SihvonenDepartment of Bacteriology, University of Helsinki and Helsinki University Hospital, HUSLAB, Haartmaninkatu 3, 00290, Helsinki, Finland. reetta.sihvonen@hus.fi.ORCID http://orcid.org/0000-0003-3818-0492
L SiiraDepartment of Infectious Diseases, National Institute for Health and Welfare, Mannerheimintie 166, 00300, Helsinki, Finland.
M ToropainenDepartment of Infectious Diseases, National Institute for Health and Welfare, Mannerheimintie 166, 00300, Helsinki, Finland.
P KuuselaDepartment of Bacteriology, University of Helsinki and Helsinki University Hospital, HUSLAB, Haartmaninkatu 3, 00290, Helsinki, Finland.
A Pätäri-SampoDepartment of Bacteriology, University of Helsinki and Helsinki University Hospital, HUSLAB, Haartmaninkatu 3, 00290, Helsinki, Finland.
University of Helsinki · FIFinnish Institute for Health and Welfare · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since the introduction of 10-valent pneumococcal conjugate vaccine (PCV10) into the Finnish national vaccination program in September 2010, the incidence of invasive pneumococcal disease in children has decreased steeply in Finland. We studied the antimicrobial susceptibility of invasive and non-invasive Streptococcus pneumoniae (pneumococcus) isolated in the Helsinki Metropolitan Area during 2009-2014. We divided the data into two age groups: isolates from patients <5 years old and ≥5 years old. We also studied the serotype distribution of invasive isolates and of a subset of non-invasive multidrug-resistant isolates. The invasive isolate numbers recovered from patients aged <5 years old declined from 33/228 (15%) in 2009 to 8/208 (4%) in 2014 (p < 0.001) and non-invasive isolate numbers declined during the same time period from 221/595 (37%) to 119/432 (28%) (p < 0.001). At the same time, the proportion of penicillin non-susceptible non-invasive isolates in this age group decreased from 25% (56/220) to 13% (15/119) (p = 0.001) and multidrug-resistant isolates from 22% (49/220) to 6% (7/119) (p < 0.001), respectively. The number of PCV10 serotype isolates also decreased among the serotyped multidrug-resistant non-invasive isolates. Among patients aged ≥5 years old, the isolate numbers did not show a similar decreasing trend compared to the younger group and, further, the number of non-PCV10 serotype isolates increased in invasive cases. To conclude, the antimicrobial non-susceptibility of pneumococcus has decreased markedly, especially among young patients (<5 years old), following PCV10 implementation in Finland.

Indexed as

AdolescentAdultAgedAged, 80 and overAnti-Bacterial AgentsChildChild, PreschoolDrug Resistance, Multiple, BacterialFemaleFinlandHumansInfantMaleMass VaccinationMicrobial Sensitivity TestsMiddle Aged10-valent pneumococcal conjugate vaccineAnti-Bacterial AgentsPneumococcal Vaccines

Identifiers

PMID28612153
OpenAlexW2626544994

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.