Evidence map›Paper›PMID 30261157›Full record

ArticleHuman vaccines & immunotherapeutics2019

Increase in incidence of invasive pneumococcal disease caused by serotype 3 in children eight years after the introduction of the pneumococcal conjugate vaccine in Hong Kong.

Pak-Leung Ho, Pierra Ying-Tung Law, Susan S Chiu

Abstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The microbiological characteristics and diagnosis ofHuman vaccines & immunotherapeutics · 2025
    Review
  6. Optimizing Neutrophil Recruitment to Tackle Bacterial Infections.American journal of respiratory cell and molecular biology · 2025
    Article
  7. Article
  8. Microbial genomics · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Vaccine: X · 2022
    Article
  13. Substantial Decline in Invasive Pneumococcal Disease During Coronavirus Disease 2019 Pandemic in Hong Kong.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  14. Epidemiology of non-vaccine serotypes ofHuman vaccines & immunotherapeutics · 2021
    Review
  15. Observational
  16. Article
  17. Review
  18. Observational
  19. Article
  20. 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

3 authors.

Pak-Leung Hoa Department of Microbiology , University of Hong Kong , Hong Kong SAR , China.ORCID 0000-0002-8811-1308
Pierra Ying-Tung Lawa Department of Microbiology , University of Hong Kong , Hong Kong SAR , China.
Susan S Chiub Department of Paediatrics and Adolescent Medicine , University of Hong Kong , Hong Kong SAR , China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study used several datasets of reported and serotyped invasive pneumococcal disease (IPD) cases to estimate vaccine and non-vaccine type incidence in Hong Kong children. Incidence was analyzed by four time periods to indicate pre-PCV (period 1, 1995-2004), private market only (period 2, 2006-2009), and following early (period 3, 2010-2014, mixed use of 7-, 10- and 13-valent vaccines) and more than five years (period 4, 2015-2017, 13-valent vaccine only) of routine implementation (since September 2009). IPD incidence decreased by 85% and 35% in aged < 2 years and aged 2 to < 5 years, respectively, from period 1 to period 4. This was due to a 97% reduction in the serotypes covered by 7-valent vaccine. In period 4, 59% of the disease was caused by serotype 3 and was largely attributed to an ermB positive, novel ST6011 clone. The finding corroborates an increasing body of evidence that the efficacy of the 13-valent vaccine against infection by this serotype is low.

Indexed as

Anti-Bacterial AgentsBacterial ProteinsChild, PreschoolDrug Resistance, BacterialFemaleHong KongHumansIncidenceInfantMalePneumococcal InfectionsPneumococcal VaccinesSerogroupStreptococcus pneumoniaeAnti-Bacterial AgentsBacterial ProteinsPneumococcal Vaccinesepidemiologyincidenceinvasive pneumococcal diseasemacrolide resistancepneumococcal conjugate vaccine

Identifiers

PMID30261157
PMCPMC6422485

What OpenQuestion holds

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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.