Evidence map›Paper›PMID 29020218›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Pan-serotype Reduction in Progression of Streptococcus pneumoniae to Otitis Media After Rollout of Pneumococcal Conjugate Vaccines.

Joseph A Lewnard, Noga Givon-Lavi, Daniel M Weinberger, Marc Lipsitch, Ron Dagan

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Dose-specific Effectiveness of 7- and 13-Valent Pneumococcal Conjugate Vaccines Against Vaccine-serotype Streptococcus pneumoniae Colonization in Children.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2020
    Article
  5. Article
  6. Article
  7. Panel 8: Vaccines and immunology.International journal of pediatric otorhinolaryngology · 2020
    Review
  8. Article
  9. Article
  10. Article
  11. Microbiome as a tool and a target in the effort to address antimicrobial resistance.Proceedings of the National Academy of Sciences of the United States of America · 2018
    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

5 authors at 4 institutions in 2 countries.

Joseph A LewnardCenter for Communicable Disease Dynamics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Noga Givon-LaviPediatric Infectious Diseases Unit, Soroka University Medical Center.
Daniel M WeinbergerDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut.
Marc LipsitchCenter for Communicable Disease Dynamics, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.
Ron DaganFaculty of Health Sciences, Ben-Gurion University of the Negev, Be'er Sheva, Israel.
Center for Disease Dynamics, Economics & Policy · USBen-Gurion University of the Negev · ILUniversity Medical Center · USYale University · US

Funding

Forecasting pneumococcal serotype frequencies to develop adult-specific vaccinesR01AI123208 · NIAID · YALE UNIVERSITY · PI WEINBERGER, DANIEL MARTIN · 2016 to 2019
$2.5M
NIAID NIH HHS R01 AI123208
6 · The paper itself

Abstract

backgroundReductions in otitis media (OM) burden following rollout of pneumococcal conjugate vaccines (PCVs) have exceeded predictions of vaccine impact. In settings with active surveillance, reductions in OM caused by vaccine-targeted pneumococcal serotypes have co-occurred with reductions in OM caused by other pathogens carried in the upper-respiratory tract of children. To understand these changes, we investigated the progression of vaccine-targeted and non-vaccine pneumococcal serotypes from carriage to OM before and after vaccine rollout.

methodsNasopharyngeal carriage prevalence of pneumococcus was monitored in prospective studies of Bedouin and Jewish children <3 years old in southern Israel between 2004 and 2016. Incidence of OM necessitating middle-ear fluid culture (predominantly complex OM including recurrent, spontaneously-draining, non-responsive, and chronic cases) was monitored via prospective, population-based active surveillance. We estimated rates of pneumococcal serotype-specific progression from carriage to disease before and after rollout of PCV7/13, measured as OM incidence per carrier. We pooled serotype-specific estimates using Bayesian random-effects models.

resultsOn average, rates of progression declined 92% (95% credible interval: 79-97%) and 80% (46-93%) for PCV7/13 serotypes among Bedouin and Jewish children <12 months old, respectively, and 32% (-58-71%) and 61% (-5-86%) among children aged 12-35m. For non-vaccine serotypes, rates of progression among Bedouin and Jewish children aged <12m declined 74% (55-85%) and 43% (4-68%), respectively.

conclusionsVaccine-targeted and non-vaccine pneumococcal serotypes showed lower rates of progression to complex OM after rollout of PCV7/13. Early-life OM episodes historically associated with vaccine-serotype pneumococci may impact the susceptibility of children to OM progression.

Indexed as

ArabsBayes TheoremCarrier StateChild, PreschoolDisease ProgressionFemaleHeptavalent Pneumococcal Conjugate VaccineHumansIncidenceInfantIsraelMaleNasopharynxOtitis MediaPneumococcal InfectionsPneumococcal Vaccines13-valent pneumococcal vaccineHeptavalent Pneumococcal Conjugate VaccinePneumococcal VaccinesVaccines, Conjugatecomplex otitis mediaotitis mediapneumococcal conjugate vaccinesurveillance

Identifiers

PMID29020218
PMCPMC6248775
OpenAlexW2740693121

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.