Evidence map›Paper›PMID 30968827›Full record

Observational studyEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin2019

Increase of invasive meningococcal serogroup W disease in Europe, 2013 to 2017.

Manuel Krone, Steve Gray, Raquel Abad, Anna Skoczyńska, Paola Stefanelli, Arie van der Ende, Georgina Tzanakaki, Paula Mölling, Maria João Simões, Pavla Křížová and 12 more

Abstract readObservational Study
In one paragraph

Observational study in Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers.

0numbers the graph read from it
0cells of the map it votes in
42citing 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

42 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Genomic characterization of invasiveEmerging microbes & infections · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Review
  16. Real-world impact and effectiveness of MenACWY-TT.Human vaccines & immunotherapeutics · 2023
    Review
  17. Article
  18. Vaccine Impact and Effectiveness of Meningococcal Serogroup ACWY Conjugate Vaccine Implementation in the Netherlands: A Nationwide Surveillance Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Article
  19. Review
  20. Genomic surveillance of Neisseria meningitidis serogroup W in Portugal from 2003 to 2019.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2022
    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

22 authors.

Manuel KroneInstitute for Hygiene and Microbiology, University of Würzburg, Würzburg, Germany.
Steve GrayMeningococcal Reference Unit, Public Health England, Manchester, United Kingdom.
Raquel AbadSpanish Reference Laboratory for Meningococci, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Anna SkoczyńskaNational Reference Centre for Bacterial Meningitis, National Medicines Institute, Warsaw, Poland.
Paola StefanelliDept. of Infectious Diseases, Istituto Superiore di Sanità, Rome, Italy.
Arie van der EndeThe Netherlands Reference Laboratory for Bacterial Meningitis, Department of Medical Microbiology, Academic Medical Center, Amsterdam, Netherlands.
Georgina TzanakakiNational Meningitis Reference Laboratory, National School of Public Health, Athens, Greece.
Paula MöllingNational Reference Laboratory for Neisseria meningitidis, Department of Laboratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Maria João SimõesDepartment of Infectious Diseases, National Institute of Health Dr. Ricardo Jorge, Lisboa, Portugal.
Pavla KřížováNational Reference Laboratory for Meningococcal Infections, National Institute of Public Health, Prague, Czech Republic.
Stéphane EmonetDivision of Infectious Diseases, Geneva University Hospitals, Geneva, Switzerland.
Dominique A CaugantDivision for Infection Control and Environmental Health, Norwegian Institute of Public Health, Oslo, Norway.
Maija ToropainenDepartment of Health Security, National Institute for Health and Welfare (THL), Helsinki, Finland.
Julio VazquezSpanish Reference Laboratory for Meningococci, National Centre for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.
Izabela WaśkoNational Reference Centre for Bacterial Meningitis, National Medicines Institute, Warsaw, Poland.
Mirjam J KnolDepartment of Epidemiology and Surveillance, National Institute for Public Health and the Environment, Bilthoven, the Netherlands.
Susanne JacobssonNational Reference Laboratory for Neisseria meningitidis, Department of Laboratory Medicine, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Célia Rodrigues BettencourtDepartment of Infectious Diseases, National Institute of Health Dr. Ricardo Jorge, Lisboa, Portugal.
Martin MusilekNational Reference Laboratory for Meningococcal Infections, National Institute of Public Health, Prague, Czech Republic.
Rita BornDivision of Communicable Diseases, Federal Office of Public Health (FOPH), Bern, Switzerland.
Ulrich VogelInstitute for Hygiene and Microbiology, University of Würzburg, Würzburg, Germany.
Ray BorrowMeningococcal Reference Unit, Public Health England, Manchester, United Kingdom.

Funding

Wellcome Trust
6 · The paper itself

Abstract

BackgroundThe total incidence of invasive meningococcal disease (IMD) in Europe has been declining in recent years; however, a rising incidence due to serogroup W (MenW), predominantly sequence type 11 (ST-11), clonal complex 11 (cc11), was reported in some European countries.AimThe aim of this study was to compile the most recent laboratory surveillance data on MenW IMD from several European countries to assess recent trends in Europe.MethodsIn this observational, retrospective study, IMD surveillance data collected from 2013-17 by national reference laboratories and surveillance units from 13 European countries were analysed using descriptive statistics.ResultsThe overall incidence of IMD has been stable during the study period. Incidence of MenW IMD per 100,000 population (2013: 0.03; 2014: 0.05; 2015: 0.08; 2016: 0.11; 2017: 0.11) and the proportion of this serogroup among all invasive cases (2013: 5% (116/2,216); 2014: 9% (161/1,761); 2015: 13% (271/2,074); 2016: 17% (388/2,222); 2017: 19% (393/2,112)) continuously increased. The most affected countries were England, the Netherlands, Switzerland and Sweden. MenW was more frequent in older age groups (≥ 45 years), while the proportion in children (< 15 years) was lower than in other age groups. Of the culture-confirmed MenW IMD cases, 80% (615/767) were caused by hypervirulent cc11.ConclusionDuring the years 2013-17, an increase in MenW IMD, mainly caused by MenW cc11, was observed in the majority of European countries. Given the unpredictable nature of meningococcal spread and the epidemiological potential of cc11, European countries may consider preventive strategies adapted to their contexts.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionChildEuropeFemaleHumansIncidenceMaleMeningococcal InfectionsMiddle AgedMultilocus Sequence TypingNeisseria meningitidisPolymerase Chain Reactionairborne infectionsbacterial infectionsepidemiologyEuropemeningococcal diseaseNeisseria menigitidisserogroup Wsurveillance

Identifiers

PMID30968827
PMCPMC6462787

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.