Evidence map›Paper›PMID 33407509›Full record

ArticleAnnals of clinical microbiology and antimicrobials2021

Molecular epidemiology of Streptococcus pneumoniae isolated from pediatric community-acquired pneumonia in pre-conjugate vaccine era in Western China.

Zhuoxin Liang, Jinjian Fu, Ling Li, Rongsong Yi, Shaolin Xu, Jichang Chen, Xiaohua Ye, Eric McGrath

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 14% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Prevalence ofHuman vaccines & immunotherapeutics · 2024
    Pooled it
  3. Article
  4. Article
  5. Molecular Epidemiology ofPathogens (Basel, Switzerland) · 2023
    Article
  6. Severe problem of macrolides resistance to common pathogens in China.Frontiers in cellular and infection microbiology · 2023
    Review
  7. Antibiotic resistance ofFrontiers in public health · 2023
    Article
  8. Molecular epidemiology ofEpidemiology and infection · 2022
    Article
  9. Non-capsular based immunization approaches to preventFrontiers in cellular and infection microbiology · 2022
    Review
  10. Article
  11. 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

8 authors at 4 institutions in 2 countries.

Zhuoxin LiangDepartment of Pediatric Intensive Care Unit, Department of Prevention and Health Care, Department of Pediatric, Department of Laboratory, Department of Neonatology, Liuzhou Maternity and Child Health Care Hospital, Liuzhou, China.
Jinjian FuDepartment of Pediatric Intensive Care Unit, Department of Prevention and Health Care, Department of Pediatric, Department of Laboratory, Department of Neonatology, Liuzhou Maternity and Child Health Care Hospital, Liuzhou, China.
Ling LiDepartment of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, Changsha, China.
Rongsong YiDepartment of Pediatric Intensive Care Unit, Department of Prevention and Health Care, Department of Pediatric, Department of Laboratory, Department of Neonatology, Liuzhou Maternity and Child Health Care Hospital, Liuzhou, China.
Shaolin XuDepartment of Pediatric Intensive Care Unit, Department of Prevention and Health Care, Department of Pediatric, Department of Laboratory, Department of Neonatology, Liuzhou Maternity and Child Health Care Hospital, Liuzhou, China.
Jichang ChenDepartment of Pediatric Intensive Care Unit, Department of Prevention and Health Care, Department of Pediatric, Department of Laboratory, Department of Neonatology, Liuzhou Maternity and Child Health Care Hospital, Liuzhou, China.
Xiaohua YeLaboratory of Molecular Epidemiology, School of Public Health, Guangdong Pharmaceutical University, 283# Jianghai Dadao, Haizhu District, 510310, Guangzhou, China. smalltomato@163.com.
Eric McGrathChildren's Hospital of Michigan, Detroit, MI, USA.
Liuzhou Maternal and Child Health Hospital · CNCentral South University · CNGuangdong Pharmaceutical University · CNWayne State University · US

Funding

Guangxi Medical and Health Project Z20180022Liuzhou Science and Technology Bureau Project 2018BJ10502Liuzhou Science and Technology Bureau Project 2018BJ10504National Natural Science Foundation of China No. 81973069
6 · The paper itself

Abstract

backgroundStreptococcus pneumoniae (S. pneumoniae) is one of the most common pathogens which can cause morbidity and mortality in pediatric infections worldwide. This study aimed to describe the phenotypic and molecular characteristics of community-acquired pneumonia (CAP)-causing S. pneumoniae recovered from children in Western China.

methodsWe retrospectively enrolled pediatric patients younger than 5 years diagnosed with CAP. All 419 S. pneumoniae isolates were tested for antibiotic susceptibility, serotypes, virulence genes, resistance genes, and sequence types. The potential relationships between molecular characteristics were tested by correspondence analysis.

resultsMost of S. pneumoniae isolates were resistant to erythromycin, tetracycline, clindamycin and trimethoprim-sulfamethoxazole, with 93.8% isolates classified as multidrug resistant. The dominant STs were ST271 (30.8%) and ST320 (12.2%), while the prevailing serotypes were 19F (46.8%), 6B (11.5%), 23F (9.5%) and 19A (9.3%). The coverage rates of PCV-7 and PCV-13 were 73.03% and 86.16%, while the coverage rates of PCV13 among children aged < 1 year and 1-2 years were high in 93.18% and 93.62%. We also observed that CC271 expressed more of mef (A/E), lytA, rlrA and sipA than non-CC271 isolates. Moreover, there were strong corresponding relationships between molecular characteristics.

conclusionsThe high coverage rate of PCV13 suggests the necessity of introducing the PCV13 vaccine in Western China. Our findings underscore the value of monitoring multiple molecular characteristics to provide new guidance for developing future pneumococcal vaccines.

Indexed as

Child, PreschoolCommunity-Acquired InfectionsDrug Resistance, Multiple, BacterialFemaleHumansInfantInfant, NewbornMaleMolecular EpidemiologyPneumococcal VaccinesPneumonia, PneumococcalRetrospective StudiesStreptococcus pneumoniaePneumococcal VaccinesChildrenCommunity-acquired pneumoniaMolecular characteristicsStreptococcus pneumoniaeVaccine

Identifiers

PMID33407509
PMCPMC7788854
OpenAlexW3119347235

What OpenQuestion holds

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LicenceCC BY
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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.