Evidence map›Paper›PMID 28702294›Full record

ArticlePneumonia (Nathan Qld.)2016

Aboriginal and non-Aboriginal children in Western Australia carry different serotypes of pneumococci with different antimicrobial susceptibility profiles.

Eileen M Dunne, Kylie Carville, Thomas V Riley, Jacinta Bowman, Amanda J Leach, Allan W Cripps, Denise Murphy, Peter Jacoby, Deborah Lehmann, Kalgoorlie Otitis Media Research Project Team

Open access · goldAbstract read
In one paragraph

Article in Pneumonia (Nathan Qld.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
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  4. Panel 7 - Pathogenesis of otitis media - a review of the literature between 2015 and 2019.International journal of pediatric otorhinolaryngology · 2020
    Review
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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

10 authors at 6 institutions in 1 country.

Eileen M DunnePneumococcal Research, Murdoch Childrens Research Institute, Parkville, VIC Australia.
Kylie CarvilleVictorian Infectious Disease Reference Laboratory at the Peter Doherty Institute for Infection and Immunity, Melbourne, VIC Australia.
Thomas V RileyMicrobiology & Immunology, School of Pathology & Laboratory Medicine, The University of Western Australia, Crawley, WA Australia.
Jacinta BowmanDepartment of Microbiology, PathWest Laboratory Medicine, Queen Elizabeth II Medical Centre, Nedlands, WA Australia.
Amanda J LeachChild Health Division, Menzies School of Health Research, Darwin, NT Australia.
Allan W CrippsSchool of Medicine and Menzies Health Institute Queensland, Griffith University, Southport, QLD Australia.
Denise MurphyPublic Health Bacteriology Laboratory, Centre for Public Health Sciences, Coopers Plains, QLD Australia.
Peter JacobyTelethon Kids Institute, The University of Western Australia, Subiaco, WA Australia.
Deborah LehmannTelethon Kids Institute, The University of Western Australia, Subiaco, WA Australia.
Kalgoorlie Otitis Media Research Project Team
University of Western Australia · AUGriffith University · AUMenzies School of Health Research · AUMurdoch Children's Research Institute · AUPeter Doherty Institute · AUQueen Elizabeth II Medical Centre · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarriage of

methodsBetween 1999 and 2005, 100 Aboriginal and 180 non-Aboriginal children were followed from birth to two years, with nasopharyngeal aspirates collected at ages 1-3 and 6-8 weeks, then at 4, 6, 12, 18 and 24 months. Introduction of 7-valent pneumococcal conjugate vaccine (7vPCV) in 2001 enabled evaluation of its impact on carriage in study participants according to vaccines doses received. Pneumococcal serotyping was performed by Quellung and antimicrobial susceptibility by disk diffusion and Etest®. Molecular epidemiology of pneumococcal isolates was investigated by pulse-field gel electrophoresis and multilocus sequence typing.

resultsOverall, the prevalence of 7vPCV serotypes was similar for Aboriginal and non-Aboriginal children (19 % vs. 16 %), but the prevalence of non-vaccine serotypes was higher in Aboriginal children (22 % vs. 7 %). A multi-resistant 6B clone (ST90) was found only in non-Aboriginal children. Aboriginal children who received three doses of 7vPCV had lower odds of carrying 7vPCV serotypes (odds ratio [OR] 0.19, 95 % CI 0.08-0.44) and higher odds of carrying non-vaccine serotypes (OR 2.37, 95 % CI 1.13-4.99) than unvaccinated Aboriginal children; this finding was not observed in non-Aboriginal children.

conclusionsThis unique study shows important differences in pneumococcal serotypes, genotypes, and antimicrobial susceptibility between Aboriginal and non-Aboriginal children living in the same geographic area before widespread 7vPCV use, and highlights the need for ongoing post-vaccination surveillance in outback Australia.

Indexed as

AboriginalCarriagePneumococcal conjugate vaccineSerotypesStreptococcus pneumoniae

Identifiers

PMID28702294
PMCPMC5471808
OpenAlexW2510565718

What OpenQuestion holds

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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.