Evidence map›Paper›PMID 30735539›Full record

ArticlePloS one2019

Asymptomatic carriage of Neisseria meningitidis, Haemophilus influenzae, Streptococcus pneumoniae, Group A Streptococcus and Staphylococcus aureus among adults aged 65 years and older.

Maria Drayß, Heike Claus, Kerstin Hubert, Katrin Thiel, Anja Berger, Andreas Sing, Mark van der Linden, Ulrich Vogel, Thiên-Trí Lâm

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 33 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Characterisation of nasopharyngeal colonisation byBMJ open respiratory research · 2025
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  6. Article
  7. Article
  8. Article
  9. Frontiers in microbiomes · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Nasopharyngeal Carriage and Serotype Distribution ofInfectious diseases & clinical microbiology · 2022
    Article
  14. Evaluation of pharyngeal carriage ofNew microbes and new infections · 2022
    Article
  15. Article
  16. Review
  17. Genital Tract GAS Infection ISIDOG Guidelines.Journal of clinical medicine · 2021
    Review
  18. Oropharyngeal Carriage ofPathogens (Basel, Switzerland) · 2021
    Article
  19. Observational
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Maria DrayßInstitute for Hygiene and Microbiology, National Reference Centre for Meningococci and Haemophilus influenzae, University of Wuerzburg, Wuerzburg, Germany.
Heike ClausInstitute for Hygiene and Microbiology, National Reference Centre for Meningococci and Haemophilus influenzae, University of Wuerzburg, Wuerzburg, Germany.
Kerstin HubertInstitute for Hygiene and Microbiology, National Reference Centre for Meningococci and Haemophilus influenzae, University of Wuerzburg, Wuerzburg, Germany.
Katrin ThielInstitute for Hygiene and Microbiology, National Reference Centre for Meningococci and Haemophilus influenzae, University of Wuerzburg, Wuerzburg, Germany.
Anja BergerBavarian Health and Food Safety Authority, National Consulting Laboratory for Diphtheria, Oberschleißheim, Germany.
Andreas SingBavarian Health and Food Safety Authority, National Consulting Laboratory for Diphtheria, Oberschleißheim, Germany.
Mark van der LindenInstitute of Medical Microbiology, National Reference Centre for Streptococci, University Hospital (RWTH), Aachen, Germany.
Ulrich VogelInstitute for Hygiene and Microbiology, National Reference Centre for Meningococci and Haemophilus influenzae, University of Wuerzburg, Wuerzburg, Germany.
Thiên-Trí LâmInstitute for Hygiene and Microbiology, National Reference Centre for Meningococci and Haemophilus influenzae, University of Wuerzburg, Wuerzburg, Germany.ORCID 0000-0003-3001-0149
Institute of Medical Microbiology and Hygiene · DERWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to determine the prevalence of Neisseria meningitidis, Haemophilus influenzae, Streptococcus pneumoniae, group A Streptococcus (GAS), and Staphylococcus aureus in asymptomatic elderly people and to unravel risk factors leading to colonization.

methodsA multi-centre cross-sectional study was conducted including 677 asymptomatic adults aged 65 years or more, living at home or in nursing homes. Study areas were Greater Aachen (North-Rhine-Westphalia) and Wuerzburg (Bavaria), both regions with medium to high population density. Nasal and oropharyngeal swabs as well as questionnaires were collected from October 2012 to May 2013. Statistical analysis included multiple logistic regression models.

resultsThe carriage rate was 1.9% ([95%CI: 1.0-3.3%]; 13/677) for H. influenzae, 0.3% ([95%CI: 0-1.1%]; 2/677) for N. meningitidis and 0% ([95% CI: 0-0.5%]; 0/677) for S. pneumoniae and GAS. Staphylococcus aureus was harboured by 28.5% of the individuals ([95% CI: 25.1-32.1%]; 193/677) and 0.7% ([95% CI: 0.2-1.7%]; 5/677) were positive for methicillin-resistant S. aureus. Among elderly community-dwellers colonization with S. aureus was significantly associated with higher educational level (adjusted OR: 1.905 [95% CI: 1.248-2.908]; p = 0.003). Among nursing home residents colonization was associated with being married (adjusted OR: 3.367 [1.502-7.546]; p = 0.003).

conclusionThe prevalence of N. meningitidis, H. influenzae, S. pneumoniae and GAS was low among older people in Germany. The S. aureus rate was expectedly high, while MRSA was found in less than 1% of the individuals.

Indexed as

AgedAged, 80 and overCarrier StateCross-Sectional StudiesFemaleHaemophilus InfectionsHumansLogistic ModelsMaleMeningitis, MeningococcalNasopharynxNursing HomesPneumococcal InfectionsStaphylococcal InfectionsStreptococcal Infections

Identifiers

PMID30735539
PMCPMC6368330
OpenAlexW2914938653

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.