Evidence map›Paper›PMID 29964139›Full record

ArticleThe Journal of infection2018

Population structure of invasive Neisseria meningitidis in the United States, 2011-15.

Caelin C Potts, Sandeep J Joseph, How-Yi Chang, Alexander Chen, Jeni Vuong, Fang Hu, Laurel T Jenkins, Susanna Schmink, Amy Blain, Jessica R MacNeil and 2 more

Abstract read
In one paragraph

Article in The Journal of infection, 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
–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

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

  1. Pooled it
  2. Genomic surveillance of invasive Neisseria meningitidis isolates circulating in Paraguay, 2009-2021.International microbiology : the official journal of the Spanish Society for Microbiology · 2025
    Observational
  3. Investigation of invasiveFrontiers in public health · 2025
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  8. Acquisition of Ciprofloxacin Resistance Among an Expanding Clade of β-Lactamase-Positive, Serogroup Y Neisseria meningitidis in the United States.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
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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

12 authors.

Caelin C PottsNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Sandeep J JosephNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
How-Yi ChangNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Alexander ChenNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Jeni VuongNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Fang HuNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Laurel T JenkinsNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Susanna SchminkNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Amy BlainNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Jessica R MacNeilNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA.
Lee H HarrisonJohns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Xin WangNational Center for Immunization and Respiratory Disease, CDC, Atlanta, GA, USA. Electronic address: gqe8@cdc.gov.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

objectivesMeningococcal conjugate vaccines (MenACWY) were licensed in the United States in 2005. We assessed the population structure of invasive Neisseria meningitidis (Nm) ten years after recommended use of MenACWY among adolescents.

methodsMeningococcal isolates obtained through Active Bacterial Core surveillance (ABCs) from 2000-05, 2006-10, and 2011-15 underwent whole genome or Sanger sequencing. Genome phylogenies were completed using maximum likelihood methods; and distribution of multilocus sequence typing (MLST) sequence type (ST) and clonal complex (CC), and PorA and FetA types were assessed.

resultsPrevalent serogroups (B, C, Y and W), CCs, and PorA and FetA types were detected in all three time periods, but dynamic changes were observed. The proportion of serogroup W CC11 isolates increased in 2011-15 and were most related to South American strains. Changes in CC distribution were also observed in serogroup C and serogroup Y. Phylogenetic analysis showed that U.S. serogroup W CC11s are closely related to a subset of U.S. serogroup C isolates; combined global analysis demonstrated that some CCs, including CC11, exhibit regional clustering.

conclusionsOverall, the Nm population structure has remained stable after MenACWY introduction. Dynamic changes in genotypes, unlikely related to vaccination, also occurred, highlighting the need for continued whole genome-based surveillance.

Indexed as

Genome, BacterialAntigens, BacterialBacterial Typing TechniquesDNA, BacterialGenetic VariationGenotypeHumansMeningococcal InfectionsMeningococcal VaccinesMultilocus Sequence TypingNeisseria meningitidisPhylogenySerogroupUnited StatesAntigens, BacterialDNA, BacterialMeningococcal VaccinesMLSTMolecular epidemiologyMolecular typingNeisseria meningitidis

Identifiers

PMID29964139
PMCPMC6485409

What OpenQuestion holds

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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.