Evidence map›Paper›PMID 29752020›Full record

ArticleVaccine2018

Sustained impact of rotavirus vaccine introduction on rotavirus gastroenteritis hospitalizations in children <5 years of age, Ghana, 2009-2016.

Christabel C Enweronu-Laryea, George Armah, Kwamena W Sagoe, Daniel Ansong, Emmanuel Addo-Yobo, Stanley K Diamenu, Jason M Mwenda, Umesh D Parashar, Jacqueline E Tate

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Impact of Rotavirus Vaccine Introduction in Children Less Than 2 Years of Age Presenting for Medical Care With Diarrhea in Rural Matlab, Bangladesh.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2019
    Article
  10. 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

9 authors.

Christabel C Enweronu-LaryeaUniversity of Ghana School of Medicine and Dentistry, Accra, Ghana. Electronic address: ccelaryea@ug.edu.gh.
George ArmahNoguchi Memorial Institute for Medical Research, University of Ghana, Accra, Ghana.
Kwamena W SagoeSchool of Basic and Allied Health Sciences, University of Ghana, Ghana.
Daniel AnsongSchool of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Emmanuel Addo-YoboSchool of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Stanley K DiamenuWorld Health Organization Country Office, Accra, Ghana.
Jason M MwendaWorld Health Organization Regional Office for Africa, Brazzaville, Congo.
Umesh D ParasharCenters for Disease Control and Prevention, Atlanta, GA, USA.
Jacqueline E TateCenters for Disease Control and Prevention, Atlanta, GA, USA.

Funding

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

Abstract

introductionGhana introduced monovalent rotavirus vaccine in April 2012. We sought to determine the long-term impact of routine rotavirus vaccination on rotavirus gastroenteritis hospitalizations in Ghana during the first 4 years following rotavirus vaccine introduction.

methodsActive sentinel surveillance for acute gastroenteritis hospitalizations among children <5 years of age was conducted at two sites from July 2009 through June 2016. Stool specimens were collected from enrolled children and tested by enzyme immunoassay. Changes in the proportion of all-cause gastroenteritis hospitalizations due to rotavirus pre- (July 2009-June 2012) and post-vaccine introduction (July 2012-June 2016) were compared using chi-square test.

resultsThe proportion of acute gastroenteritis hospitalizations due to rotavirus among children <5 years of age significantly declined by 42% from a pre-vaccine median of 50% (343/684) to a post-vaccine median of 29% (118/396) (p < 0.001). The age distribution of rotavirus hospitalizations shifted toward older ages with 64% (759/1197) of rotavirus hospitalizations occurring in children <12 months of age pre-vaccine introduction to 47% (212/453) occurring in children <12 months of age post-vaccine introduction (p < 0.001). DISCUSSION: The decline in rotavirus hospitalizations following rotavirus vaccine introduction have been sustained over the first 4 years of the vaccination program in Ghana. Continued vaccination against rotavirus will ensure that this burden remains low.

Indexed as

Immunization ProgramsAcute DiseaseAge DistributionChild, PreschoolFecesGastroenteritisGhanaHospitalizationHumansImmunoenzyme TechniquesInfantRotavirusRotavirus InfectionsRotavirus VaccinesSentinel SurveillanceRotavirus VaccinesGhanaRotavirusRotavirus vaccine

Identifiers

PMID29752020
PMCPMC8848125

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Registered trials

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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.