Evidence map›Paper›PMID 28847317›Full record

ArticleEpidemiology and infection2017

Identifying transmission routes of Streptococcus pneumoniae and sources of acquisitions in high transmission communities.

B M Althouse, L L Hammitt, L Grant, B G Wagner, R Reid, F Larzelere-Hinton, R Weatherholtz, K P Klugman, G L Rodgers, K L O'Brien and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Epidemiology and infection, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05017519 (Epidemiology and Transmission of Streptococcus Pneumoniae and Respiratory Syncytial Virus in Children and Elderly), which is not on this map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–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.

NCT05017519 unknown statusnot on this mapstarted 2021, after this paper: background citation

Epidemiology and Transmission of Streptococcus Pneumoniae and Respiratory Syncytial Virus in Children and Elderly: a Household-based Prospective Cohort Study

Typeobservational_patient_registrySponsorMackay Memorial HospitalRan2021 to 2026Enrolled240ConditionsStreptococcus Pneumoniae Infection, Respiratory Syncytial Virus Infections
3 · Its place in the literature

Who cites it

46 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Prevalence of nasopharyngealThe Lancet. Microbe · 2022
    Trial
  4. Trial
  5. Trial
  6. The Lancet regional health. Western Pacific · 2026
    Article
  7. Article
  8. Review
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
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  19. Article
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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

11 authors.

B M AlthouseInstitute for Disease Modeling,Bellevue,WA,USA.
L L HammittCenter for American Indian Health and International Vaccine Access Center,Johns Hopkins Bloomberg School of Public Health,Baltimore,MD,USA.
L GrantCenter for American Indian Health and International Vaccine Access Center,Johns Hopkins Bloomberg School of Public Health,Baltimore,MD,USA.
B G WagnerInstitute for Disease Modeling,Bellevue,WA,USA.
R ReidCenter for American Indian Health and International Vaccine Access Center,Johns Hopkins Bloomberg School of Public Health,Baltimore,MD,USA.
F Larzelere-HintonCenter for American Indian Health and International Vaccine Access Center,Johns Hopkins Bloomberg School of Public Health,Baltimore,MD,USA.
R WeatherholtzCenter for American Indian Health and International Vaccine Access Center,Johns Hopkins Bloomberg School of Public Health,Baltimore,MD,USA.
K P KlugmanBill and Melinda Gates Foundation,Seattle,WA,USA.
G L RodgersBill and Melinda Gates Foundation,Seattle,WA,USA.
K L O'BrienCenter for American Indian Health and International Vaccine Access Center,Johns Hopkins Bloomberg School of Public Health,Baltimore,MD,USA.
H HuInstitute for Disease Modeling,Bellevue,WA,USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Identifying the transmission sources and reservoirs of Streptococcus pneumoniae (SP) is a long-standing question for pneumococcal epidemiology, transmission dynamics, and vaccine policy. Here we use serotype to identify SP transmission and examine acquisitions (in the same household, local community, and county, or of unidentified origin) in a longitudinal cohort of children and adults from the Navajo Nation and the White Mountain Apache American Indian Tribes. We found that adults acquire SP relatively more in the household than other age groups, and children 2-8 years old typically acquire in their own or surrounding communities. Age-specific transmission probability matrices show that transmissions within household were mostly seen from older to younger siblings. Outside the household, children most often transmit to other children in the same age group, showing age-assortative mixing behavior. We find toddlers and older children to be most involved in SP transmission and acquisition, indicating their role as key drivers of SP epidemiology. Although infants have high carriage prevalence, they do not play a central role in transmission of SP compared with toddlers and older children. Our results are relevant to inform alternative pneumococcal conjugate vaccine dosing strategies and analytic efforts to inform optimization of vaccine programs, as well as assessing the transmission dynamics of pathogens transmitted by close contact in general.

Indexed as

AdolescentAdultArizonaCarrier StateChildChild, PreschoolCohort StudiesFamily CharacteristicsFemaleHumansIndians, North AmericanInfantInfant, NewbornLongitudinal StudiesMaleMiddle AgedInfectious disease epidemiologymodellingspread of diseaseStreptococcus pneumoniae (pneumococcus)vaccine policy development

Identifiers

PMID28847317
PMCPMC5647670

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Registered trials

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.