Evidence map›Paper›PMID 29472635›Full record

ArticleScientific reports2018

Nasopharyngeal Pneumococcal Carriage in Nigeria: a two-site, population-based survey.

Ifedayo M O Adetifa, Aishatu L Adamu, Angela Karani, Michael Waithaka, Kofo A Odeyemi, Christy A N Okoromah, Mohammed M Bello, Isa S Abubakar, Victor Inem, J Anthony G Scott

Registry-linked trialAbstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04923035 (Evaluating the Burden of Paediatric Pneumococcal Pneumonia in Malaysia Prior to and During Pneumococcal Conjugate Vaccine), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
–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.

NCT04923035 unknown statusnot on this mapstarted 2021, after this paper: background citation

Evaluating the Burden of Paediatric Pneumococcal Pneumonia in Malaysia Prior to and During Pneumococcal Conjugate Vaccine (PCV) Implementation

TypeobservationalSponsorIMU University, MalaysiaRan2021 to 2024Enrolled1,010ConditionsPneumonia, Pneumococcal, Pneumonia Childhood
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Article
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  7. mSphere · 2025
    Observational
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  14. Observational
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  17. Observational
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  19. Microbial genomics · 2021
    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

10 authors.

Ifedayo M O AdetifaDepartment of Infectious Diseases Epidemiology, London School of Hygiene and Tropical Medicine, WC1E 7HT, London, UK. IAdetifa@kemri-wellcome.org.ORCID 0000-0003-2556-9407
Aishatu L AdamuDepartment of Community Medicine, Bayero University/Aminu Kano Teaching Hospital, PMB 3452, Kano, Nigeria.ORCID 0000-0002-6330-1033
Angela KaraniDepartment of Epidemiology and Demography, KEMRI-Wellcome Trust Research Programme, Po Box 230-80108, Kilifi, Kenya.
Michael WaithakaDepartment of Epidemiology and Demography, KEMRI-Wellcome Trust Research Programme, Po Box 230-80108, Kilifi, Kenya.
Kofo A OdeyemiDepartment of Community Medicine and Primary Care, College of Medicine University of Lagos/Lagos University Teaching Hospital, Idi-Araba, PMB 12003, Lagos, Nigeria.
Christy A N OkoromahDepartment of Paediatrics and Child Health, College of Medicine University of Lagos/Lagos University Teaching Hospital, Idi-Araba, PMB 12003, Lagos, Nigeria.
Mohammed M BelloDepartment of Community Medicine, Bayero University/Aminu Kano Teaching Hospital, PMB 3452, Kano, Nigeria.
Isa S AbubakarDepartment of Community Medicine, Bayero University/Aminu Kano Teaching Hospital, PMB 3452, Kano, Nigeria.
Victor InemDepartment of Community Medicine and Primary Care, College of Medicine University of Lagos/Lagos University Teaching Hospital, Idi-Araba, PMB 12003, Lagos, Nigeria.
J Anthony G ScottDepartment of Infectious Diseases Epidemiology, London School of Hygiene and Tropical Medicine, WC1E 7HT, London, UK.ORCID 0000-0001-7533-5006

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Changes in nasopharyngeal (NP) carriage of vaccine-type (VT) Streptococcus pneumoniae can be used to assess the effectiveness of a pneumococcal conjugate vaccine (PCV10). We conducted a baseline carriage survey in rural (Kumbotso, Kano) and urban (Pakoto, Ogun) Nigeria. In this cross-sectional study, we obtained data on demography, clinical history, risk factors, and took NP swabs for pneumococcal culture. We calculated crude and age-standardised carriage prevalence and used log-binomial regression to assess risk factors for carriage. Among children aged <5 years, 92% (95% CI: 88-95%) and 78% (73-82%), respectively, carried any pneumococcus and 48% and 50%, respectively, carried PCV10 serotypes. In Kumbotso, carriage prevalence was >40% across all ages. The age-standardized prevalence of pneumococcal carriage was 66% in Kumbotso and 40% in Pakoto. The most commonly identified serotypes were 19 F, 6 A and 23 F. Risk factors for carriage were young age, recent rhinorrhoea, cohabitation with ≥2 children aged <5 years, and sharing a bed with ≥2 persons. Pneumococcal carriage prevalence is high in this Nigerian population. Persisting prevalence of VT-carriage in older children and adults suggests that PCV10 introduction in children will not eliminate transmission of vaccine serotypes rapidly. High vaccine coverage will therefore be required to ensure full protection of children.

Indexed as

Child, PreschoolFemaleHumansInfantMaleNasopharyngeal DiseasesNigeriaPneumococcal InfectionsPneumococcal VaccinesRural PopulationStreptococcus pneumoniaeUrban PopulationVaccines, Conjugate10-valent pneumococcal conjugate vaccinePneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID29472635
PMCPMC5823928

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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.