Evidence map›Paper›PMID 30020977›Full record

ArticlePloS one2018

PCV13 vaccination impact: A multicenter study of pneumonia in 10 pediatric hospitals in Argentina.

Angela Gentile, Julia Bakir, Verónica Firpo, Enrique V Casanueva, Gabriela Ensinck, Santiago Lopez Papucci, María F Lución, Hector Abate, Aldo Cancellara, Fabiana Molina and 5 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. 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

15 authors at 5 institutions in 1 country.

Angela GentileEpidemiology, Ricardo Gutiérrez Children's Hospital, Buenos Aires, Argentina.ORCID 0000-0002-1072-7700
Julia BakirEpidemiology, Ricardo Gutiérrez Children's Hospital, Buenos Aires, Argentina.
Verónica FirpoInfectology, Niño Jesus Children's Hospital, Tucumán, Argentina.
Enrique V CasanuevaInfectology, San Justo Children's Hospital, San Justo, Buenos Aires, Argentina.
Gabriela EnsinckInfectology, Victor Vilela Children's Hospital, Rosario, Santa Fe, Argentina.
Santiago Lopez PapucciInfectology, Victor Vilela Children's Hospital, Rosario, Santa Fe, Argentina.
María F LuciónEpidemiology, Ricardo Gutiérrez Children's Hospital, Buenos Aires, Argentina.
Hector AbateInfectology, Humberto Notti Pediatric Hospital, Mendoza, Argentina.
Aldo CancellaraInfectology, Pedro Elizalde Children's Hospital, Buenos Aires, Argentina.
Fabiana MolinaClinic, Orlando Alassia Children's Hospital, Santa Fe, Argentina.
Andrea Gajo GaneInfectology, Juan Paul II Pediatric Hospital, Corrientes, Argentina.
Alfredo M CarusoInfectology, Hector Quintana Children's Hospital, Jujuy, Argentina.
Alejandro Santillán IturresInfectology, Eva Peron Children's Hospital, Catamarca, Argentina.
Sofía FossatiINEI- ANLIS "Dr. Carlos G. Malbran ", Buenos Aires, Argentina.
Working Group
Hospital General de Niños Ricardo Gutierrez · ARHospital Provincial de Rosario · ARAdministración Nacional de Laboratorios e Institutos de Salud · ARHospital Pedro de Elizalde · ARNational University of Tucumán · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn 2012, PCV13 was introduced into the National Immunization Program in Argentina, 2+1 schedule for children <2 years. Coverage rates for 1st and 3rd doses were 69% and 41.0% in 2012, 98% and 86% in 2013; 99% and 89% in 2014, respectively. The aims of this study were to evaluate impact of PCV13 on Consolidated Pneumonia (CP) and Pneumococcal Pneumonia (PP) burden, and to describe epidemiological-clinical pattern of PP during the three-year period following vaccine introduction.

methodsHospital-based study at 10 pediatric surveillance units in Argentina. CP and PP discharge rates per 10,000 hospital discharges were compared between the pre-vaccination period 2007-2011 (preVp), the year of intervention (2012) and the post-vaccination period 2013-2014 (postVp).

resultsSignificant reduction in CP and PP discharge rates was observed in patients <5 years [% reduction (95%CI)]: 10.2% (6.3; 14.0) in 2012 and 24.8% (21.3; 28.2) in postVp for CP discharge rate; 59.5% (48.0; 68.5) in 2012 and 68.8% (58.3; 76.6) in postVp for PP discharge rate. Significant changes were also observed in children ≥5 years, mainly in PP discharge rate. A total of 297 PP cases were studied; 59.3% male; 31.3% <2 years; 42.9% had received PCV13 in 2012 and 84.5% in posVp. Case fatality rate was 3.4%. PCV13 serotypes decreased from 83.0% (39/47) in 2012 to 64.2% (52/81) in postVp, p = 0.039.

conclusionsAfter PCV13 introduction, significant reduction in CP and PP discharge rates was observed in hospitalized children <5 years. In patients ≥5 years, PP discharge rate also decreased significantly.

Indexed as

AdolescentArgentinaChildChild, PreschoolFemaleHospitals, PediatricHumansInfantInfant, NewbornMalePneumococcal VaccinesPneumonia, PneumococcalRetrospective StudiesSerogroupVaccines, ConjugatePneumococcal VaccinesVaccines, Conjugate

Identifiers

PMID30020977
PMCPMC6051625
OpenAlexW2884206011

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.