Evidence map›Paper›PMID 29162319›Full record

ArticleVaccine2018

Impact of rotavirus vaccine on acute gastroenteritis in children under 5 years in Senegal: Experience of sentinel site of the Albert Royer Children's Hospital in Dakar.

Amadou Diop, Aliou Thiongane, Jason M Mwenda, Negar Aliabadi, Mouhamadou A Sonko, Aliou Diallo, Babacar Ndoye, Papa M Faye, Idrissa D Ba, Umesh D Parashar and 4 more

Abstract read
In one paragraph

Article in Vaccine, 2018. 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 35% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. 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

14 authors at 4 institutions in 3 countries.

Amadou DiopBacteriology and Virology Laboratory, Albert Royer Teaching Hospital, Dakar, Senegal. Electronic address: amadoudioplaba@yahoo.fr.
Aliou ThionganePaediatric Unit, Albert Royer Teaching Hospital, Dakar, Senegal.
Jason M MwendaWorld Health Organization, Regional Office for Africa, Brazzaville, People's Republic of Congo.
Negar AliabadiCenters for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA, USA.
Mouhamadou A SonkoBacteriology and Virology Laboratory, Albert Royer Teaching Hospital, Dakar, Senegal.
Aliou DialloExpanded Programme on Immunization Focal Point, World Health Organization Country Office, Dakar, Senegal.
Babacar NdoyeExpanded Programme on Immunization, Ministry of Health, Dakar, Senegal.
Papa M FayePaediatric Unit, Albert Royer Teaching Hospital, Dakar, Senegal.
Idrissa D BaPaediatric Unit, Albert Royer Teaching Hospital, Dakar, Senegal.
Umesh D ParasharCenters for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA, USA.
Jacqueline E TateCenters for Disease Control and Prevention, 1600 Clifton Rd NE, Atlanta, GA, USA.
Ousmane NdiayePaediatric Unit, Albert Royer Teaching Hospital, Dakar, Senegal.
Moussa F CisséBacteriology and Virology Laboratory, Albert Royer Teaching Hospital, Dakar, Senegal.
Mamadou BaPaediatric Unit, Albert Royer Teaching Hospital, Dakar, Senegal.
Hôpital Principal de Dakar · SNCenters for Disease Control and Prevention · USEnvironment and Development Action Third World · SNWorld Health Organization Regional Office for Africa · CG

Funding

Intramural CDC HHS CC999999World Health Organization 001
6 · The paper itself

Abstract

backgroundAcute gastroenteritis (AGE) is a leading cause of morbidity and mortality among children <5 years of age in developing countries, with rotavirus being the most common infectious etiology. In November 2014, monovalent rotavirus vaccine was introduced in Senegal. We determined the impact of rotavirus vaccine on hospitalizations for all-cause and rotavirus related AGE in children <60 months of age.

methodsWe examined two data sources from the national referral hospital. Using sentinel surveillance data from March 2011 to February 2017, we examined the proportion of AGE hospitalizations among children <60 months of age attributable to rotavirus, stratified by age groups (0-11, 12-23 and 24-59 months). Using pediatric logbook data from March 2010 to February 2017, we examined the proportion of all childhood hospitalizations attributable to AGE, among the same age groups.

resultsIn sentinel surveillance, 673 patients <60 months were hospitalized for AGE, with 30% (203/673) due to rotavirus. In pre-vaccine years, the median proportion of rotavirus-positive hospitalizations was 42%; this proportion declined by 76% to 10% rotavirus positive in 2015-2016 (p < .001) and by 59% to 17% in 2016-2017 (p < .001). From the logbook data, among all children <60 months, a median of 11% of all hospitalizations in the pre-vaccine period were due to AGE, with 2015-2016 seeing a 16% decline (p < .001), to 9% of all hospitalizations, and 2016-2017 seeing a 39% decline (p < .001), to 7% of all hospitalizations. Declines in both rotavirus-associated and all-cause AGE hospitalizations were most marked among infants, with a suggestion of herd effect among older children seen in the surveillance data.

conclusionRotavirus vaccine demonstrated a significant impact on rotavirus-associated hospitalizations and all-cause AGE hospitalizations in the first two seasons after vaccine introduction in Senegal. Our data support the continued use of this vaccine in national immunization program.

Indexed as

Immunization ProgramsAcute DiseaseChild, PreschoolDiarrheaGastroenteritisHospitalizationHospitals, PediatricHumansInfantInfant, NewbornMorbidityRotavirus InfectionsRotavirus VaccinesSeasonsSenegalSentinel SurveillanceRIX4414 vaccineRotavirus VaccinesVaccines, AttenuatedAcute gastroenteritisMonovalent rotavirus vaccineRotavirusSenegal

Identifiers

PMID29162319
PMCPMC5959761
OpenAlexW2769611212

What OpenQuestion holds

Textmetadata
LicenceTDM
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.