Evidence map›Paper›PMID 36013985›Full record

ReviewMicroorganisms2022

Breakthrough Infections: A Challenge towards Measles Elimination?

Clara Fappani, Maria Gori, Marta Canuti, Mara Terraneo, Daniela Colzani, Elisabetta Tanzi, Antonella Amendola, Silvia Bianchi

Open access · goldAbstract readReview
In one paragraph

Review in Microorganisms, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 3% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. The Effects of Vaccination Status and Age on Clinical Characteristics and Severity of Measles Cases in the United States in the Postelimination Era, 2001-2022.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  10. Article
  11. Article
  12. Severe measles with pneumonitis in an immunocompetent adult.Clinical medicine (London, England) · 2024
    Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. 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 1 institution in 1 country.

Clara FappaniDepartment of Health Sciences, Università degli Studi di Milano, 20146 Milan, Italy.ORCID 0000-0002-1573-5531
Maria GoriDepartment of Health Sciences, Università degli Studi di Milano, 20146 Milan, Italy.ORCID 0000-0001-6478-2791
Marta CanutiDepartment of Pathophysiology and Transplantation, Università degli Studi di Milano, 20122 Milan, Italy.ORCID 0000-0002-9959-128X
Mara TerraneoDepartment of Health Sciences, Università degli Studi di Milano, 20146 Milan, Italy.
Daniela ColzaniDepartment of Health Sciences, Università degli Studi di Milano, 20146 Milan, Italy.
Elisabetta TanziDepartment of Health Sciences, Università degli Studi di Milano, 20146 Milan, Italy.ORCID 0000-0002-4119-701X
Antonella AmendolaDepartment of Health Sciences, Università degli Studi di Milano, 20146 Milan, Italy.ORCID 0000-0002-0499-8977
Silvia BianchiDepartment of Health Sciences, Università degli Studi di Milano, 20146 Milan, Italy.ORCID 0000-0002-1365-9408
University of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measles is one of the most contagious diseases known to man. Despite the existence of a safe and effective live attenuated vaccine, measles can appear in vaccinated individuals. Paradoxically, breakthrough cases increase as vaccination coverage in the general population rises. In measles endemic areas, breakthrough cases represent less than 10% of total infections, while in areas with high vaccination coverage these are over 10% of the total. Two different vaccination failures have been described: primary vaccination failure, which consists in the complete absence of humoral response and occurs in around 5% of vaccinated individuals; and secondary vaccination failure is due to waning immunity or incomplete immunity and occurs in 2-10% of vaccinees. Vaccination failures are generally associated with lower viral loads and milder disease (modified measles) since vaccination limits the risk of complicated disease. Vaccination failure seems to occur between six and twenty-six years after the last vaccine dose administration. This review summarizes the literature about clinical, serological, epidemiological, and molecular characteristics of measles breakthrough cases and their contribution to virus transmission. In view of the measles elimination goal, the assessment of the potential decline in antibody protection and the targeted implementation of catch-up vaccination are essential.

Indexed as

breakthrough infectionmeaslesmeasles vaccinevaccination failures

Identifiers

PMID36013985
PMCPMC9413104
OpenAlexW4289941806

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.