Evidence map›Paper›PMID 31625844›Full record

ArticleEmerging infectious diseases2019

Nasopharyngeal Pneumococcal Density during Asymptomatic Respiratory Virus Infection and Risk for Subsequent Acute Respiratory Illness.

Leigh M Howard, Yuwei Zhu, Marie R Griffin, Kathryn M Edwards, John V Williams, Ana I Gil, Jorge E Vidal, Keith P Klugman, Claudio F Lanata, Carlos G Grijalva

Open access · diamondAbstract read
In one paragraph

Article in Emerging infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 6% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Prevention of antimicrobial prescribing among infants following maternal vaccination against respiratory syncytial virus.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Trial
  3. SARS-CoV-2-International journal of microbiology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Association between nasopharyngeal colonization with multiple pneumococcal serotypes and total pneumococcal colonization density in young Peruvian children.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2023
    Article
  12. Review
  13. Review
  14. Article
  15. Frontiers in pediatrics · 2023
    Article
  16. Article
  17. Serotype distribution and antimicrobial resistance ofIranian journal of microbiology · 2022
    Article
  18. Article
  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

10 authors at 4 institutions in 2 countries.

Leigh M Howard
Yuwei Zhu
Marie R Griffin
Kathryn M Edwards
John V Williams
Ana I Gil
Jorge E Vidal
Keith P Klugman
Claudio F Lanata
Carlos G Grijalva
Vanderbilt University Medical Center · USInstituto de Investigación Nutricional · PEEmory University · USUniversity of Pittsburgh · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Pneumococcal dynamics in the conjugate vaccine era: Addressing unanswered questionsK23AI141621 · NIAID · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HOWARD, LEIGH MEREDITH · 2019 to 2022
$736k
Population Dynamics of S. pneumoniae vaccine serotypes on human pharyngeal cellsR21AI112768 · NIAID · EMORY UNIVERSITY · PI VIDAL, JORGE EUGENIO · 2015 to 2016
$429k
NCRR NIH HHS UL1 RR024975NIAID NIH HHS K23 AI141621NIAID NIH HHS R21 AI112768
6 · The paper itself

Abstract

Increased nasopharyngeal pneumococcal (Streptococcus pneumoniae) colonization density has been associated with invasive pneumococcal disease, but factors that increase pneumococcal density are poorly understood. We evaluated pneumococcal densities in nasopharyngeal samples from asymptomatic young children from Peru and their association with subsequent acute respiratory illness (ARI). Total pneumococcal densities (encompassing all present serotypes) during asymptomatic periods were significantly higher when a respiratory virus was detected versus when no virus was detected (p<0.001). In adjusted analyses, increased pneumococcal density was significantly associated with the risk for a subsequent ARI (p<0.001), whereas asymptomatic viral detection alone was associated with lower risk for subsequent ARI. These findings suggest that interactions between viruses and pneumococci in the nasopharynx during asymptomatic periods might have a role in onset of subsequent ARI. The mechanisms for these interactions, along with other potentially associated host and environmental factors, and their role in ARI pathogenesis and pneumococcal transmission require further elucidation.

Indexed as

Asymptomatic DiseasesCoinfectionStreptococcus pneumoniaeChildChild, PreschoolFemaleHumansMaleNasopharynxPneumococcal InfectionsPublic Health SurveillanceRespiratory Tract InfectionsRisk AssessmentRisk Factorsacute respiratory illnesschildrenPerupneumococcal colonization densitypneumococcusrespiratory infectionsStreptococcus pneumoniaeUnited Statesvaccine-preventable diseasesviral infectionviruses

Identifiers

PMID31625844
PMCPMC6810199
OpenAlexW2978661748

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.