Evidence map›Paper›PMID 29155998›Full record

ArticleThe Journal of infectious diseases2018

Limited Impact of Adolescent Meningococcal ACWY Vaccination on Neisseria meningitidis Serogroup W Carriage in University Students.

Neil J Oldfield, Luke R Green, Julian Parkhill, Christopher D Bayliss, David P J Turner

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 11% 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

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

  1. Meningococcal Vaccination: Recommendations of the Advisory Committee on Immunization Practices, United States, 2020.MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports · 2020
    Guideline
  2. Article
  3. Article
  4. Frontiers in cellular and infection microbiology · 2025
    Review
  5. Meningococcal carriage in children and young adults: a cross-sectional and longitudinal study, Iceland, 2019 to 2021.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  6. Real-world impact and effectiveness of MenACWY-TT.Human vaccines & immunotherapeutics · 2023
    Review
  7. Variable disruption of epithelial monolayers byMicrobiology (Reading, England) · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. 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 3 institutions in 1 country.

Neil J OldfieldSchool of Life Sciences, University of Nottingham, Nottingham.
Luke R GreenDepartment of Genetics and Genome Biology, University of Leicester, Leicester.
Julian ParkhillWellcome Trust Sanger Institute, Hinxton, United Kingdom.
Christopher D BaylissDepartment of Genetics and Genome Biology, University of Leicester, Leicester.
David P J TurnerSchool of Life Sciences, University of Nottingham, Nottingham.
University of Leicester · GBUniversity of Nottingham · GBWellcome Sanger Institute · GB

Funding

Medical Research Council MR/M020193/1Wellcome TrustWellcome Trust 098051
6 · The paper itself

Abstract

Background: In the United Kingdom, rising levels of disease due to Neisseria meningitidis serogroup W clonal complex (cc) sequence type (ST) 11 (MenW:cc11) strains led to introduction of meningococcal conjugate vaccine (MenACWY) for teenagers. We investigated the impact of immunization on carriage of meningococci targeted by the vaccine, using whole-genome sequencing of isolates recovered from a cohort of vaccinated university students. Methods: Strain designation data were extracted from whole-genome sequencing data. Genomes from carried and invasive MenW:cc11 strains were compared using a gene-by-gene approach. Serogrouping identified isolates expressing capsule antigens targeted by the vaccine. Results: Isolates with a W: P1.5,2: F1-1: ST-11 (cc11) designation and belonging to the emerging 2013-strain of the South American-United Kingdom MenW:cc11 sublineage were responsible for an increase in carried group W strains. A multifocal expansion was evident, with close transmission networks extending beyond individual dormitories. Carried group Y isolates were predominantly from cc23 but showed significant heterogeneity, and individual strain designations were only sporadically recovered. No shifts toward acapsulate phenotypes were detected in targeted meningococcal populations. Conclusions: In a setting with high levels of MenACWY use, expansion of capsule-expressing isolates from the 2013-strain of MenW:cc11 but not MenY:cc23 isolates is indicative of differential susceptibilities to vaccine-induced immunity.

Indexed as

SerogroupAdolescentAdultCarrier StateCross-Sectional StudiesDisease Transmission, InfectiousFemaleGenotypeHumansMaleMeningococcal InfectionsMeningococcal VaccinesNeisseria meningitidisStudentsTreatment OutcomeUnited KingdomMenACWYMeningococcal VaccinesVaccines, Conjugatecarriageepidemiologygenome sequencingmeningitidisNeisseriaserogroup Wserogroup Yvaccinewhole

Identifiers

PMID29155998
PMCPMC5853931
OpenAlexW2770647096

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.