Evidence map›Paper›PMID 30513251›Full record

ArticleHuman vaccines & immunotherapeutics2019

B Part of It study: a longitudinal study to assess carriage of Neisseria meningitidis in first year university students in South Australia.

Mark McMillan, Luke Walters, Turra Mark, Andrew Lawrence, Lex E X Leong, Thomas Sullivan, Geraint B Rogers, Ross M Andrews, Helen S Marshall

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 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Meningococcal carriage in children and young adults: a cross-sectional and longitudinal study, Iceland, 2019 to 2021.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  7. Article
  8. Prevalence and persistence ofEpidemiology and infection · 2023
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Human Immunodeficiency Virus Infection Is Associated With Increased Meningococcal Carriage Acquisition Among First-year Students in 2 South African Universities.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  16. Review
  17. Pharyngeal carriage rates of Neisseria meningitidis in health care professionals at a tertiary university pediatric hospital.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  18. CommensalPathogens (Basel, Switzerland) · 2020
    Article
  19. 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.

Mark McMillana Vaccinology and Immunology Research Trials Unit , Women's and Children's Health Network , Adelaide , SA , Australia.ORCID 0000-0002-6490-7707
Luke Waltersc Microbiology and Infectious Diseases Directorate , SA Pathology , Adelaide , SA , Australia.
Turra Markc Microbiology and Infectious Diseases Directorate , SA Pathology , Adelaide , SA , Australia.
Andrew Lawrencec Microbiology and Infectious Diseases Directorate , SA Pathology , Adelaide , SA , Australia.
Lex E X Leongd South Australian Health & Medical Research Institute (SAHMRI) , Adelaide , SA , Australia.ORCID 0000-0002-5073-2272
Thomas Sullivane School of Public Health , The University of Adelaide , Adelaide , SA , Australia.
Geraint B Rogersd South Australian Health & Medical Research Institute (SAHMRI) , Adelaide , SA , Australia.ORCID 0000-0003-4054-1947
Ross M Andrewsf Menzies School of Health Research , Charles Darwin University , Darwin , Northern Territory , Australia.
Helen S Marshalla Vaccinology and Immunology Research Trials Unit , Women's and Children's Health Network , Adelaide , SA , Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesN. meningitidis carriage in Australia is poorly understood. This study aimed to estimate prevalence and risk factors for carriage of N. meningitidis in South Australian university students. We also sought to identify whether delayed freezing of oropharyngeal samples altered PCR positivity, cycle threshold, or culture positivity.

methodsOropharyngeal swabs were taken from first year university students and repeated after 3 months, with risk factor questionnaires completed at both visits. Specimens were subjected to real-time PCR screening for the presence of specific meningococcal DNA.

resultsThe study enrolled 421 individuals, 259 returned at 3 months. At baseline, 56% of participants were female and 1.9% smokers. Carriage of N. meningitidis at baseline was 6.2% (95% CI, [4.2%, 8.9%]). Visiting a bar more than once a week (OR 9.07; [2.44, 33.72]) and intimate kissing (OR 4.37; [1.45, 13.14]) were associated with increased carriage. After imputing missing data, the point estimate for carriage at 3 months was 8.6% compared to 6.2% at baseline (OR 1.42; 0.91 to 2.20). Recovery of N. meningitidis on selective agar was significantly reduced in cryovials frozen at 48 hours compared to 6 hours (24/26, 92.3% vs. 14/26, 53.9%, p = 0.002).

conclusionAttending bars and engaging in intimate kissing is associated with oropharyngeal carriage in South Australian university students. Adolescent meningococcal vaccine programs should be implemented at school, prior to increased attendance at bars, intimate contact, and carriage acquisition. Delaying freezing of oropharyngeal specimens longer than 16 hours reduces yield of N. meningitidis by culture but not PCR detection.

Indexed as

Neisseria meningitidisStudentsUniversitiesAdolescentCarrier StateCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleMeningococcal InfectionsOropharynxPrevalenceRisk FactorsSalivaSouth Australiaadolescentscarriagerisk factorssaliva

Identifiers

PMID30513251
PMCPMC6605849

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.