Evidence map›Paper›PMID 38709380›Full record

ReviewEuropean geriatric medicine2024

Invasive meningococcal disease in older adults: current perspectives and call for action.

Catherine Weil-Olivier, Muhamed-Kheir Taha, Sean Leng, Ener Cagri Dinleyici, Paolo Bonanni, Elena Moya, Andreas Leischker, Saber Yezli

Abstract readReview
In one paragraph

Review in European geriatric medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Ongoing Outbreak ofOpen forum infectious diseases · 2026
    Article
  5. Observational
  6. Review
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
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.

Catherine Weil-OlivierUniversité Paris Cité, Paris, France. cweilolivier@gmail.com.ORCID 0000-0001-5271-1945
Muhamed-Kheir TahaInstitut Pasteur, Invasive Bacterial Infections Unit, National Reference Centre for Meningococci and Haemophilus Influenza, Université Paris Cité, Paris, France.ORCID 0000-0002-0716-3174
Sean LengDivision of Geriatric Medicine and Gerontology, Department of Medicine, Johns Hopkins University School of Medicine, Johns Hopkins Center on Aging and Immune Remodeling, Baltimore, Maryland, USA.ORCID 0000-0002-2690-8055
Ener Cagri DinleyiciDepartment of Pediatrics, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir, Türkiye.ORCID 0000-0002-0339-0134
Paolo BonanniDepartment of Health Sciences, University of Florence, Florence, Italy.ORCID 0000-0003-2875-3744
Elena MoyaEurope Regional Coordinator, The Confederation of Meningitis Organizations (CoMO), Madrid, Spain.
Andreas LeischkerWorking Group "Vaccination", German Geriatric Society, and Department for Geriatrics, Asklepios Hospital Wandsbek, Hamburg, Germany.ORCID 0000-0001-6390-2640
Saber YezliBiostatistics, Epidemiology and Scientific Computing Department, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.ORCID 0000-0002-3380-7092

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInvasive meningococcal disease (IMD) is a devastating condition. While most attention is directed towards disease in children and adolescents, IMD poses an important cause of morbidity and mortality in adults ≥60 years. While immunization is a critical component of healthy ageing strategies, meningococcal immunization is not routinely offered to older adults. The aim of this review was to summarize clinical and epidemiological aspects of IMD and available immunization strategies, with a particular focus on disease in older individuals, to emphasize the importance of this rather neglected area.

methodsAn expert working group was established to evaluate clinical and epidemiological data to raise awareness of IMD in older individuals, and develop suggestions to improve the existing burden.

resultsRoutine child and adolescent meningococcal immunization has substantially reduced IMD in these targeted populations. Consequently, prevalence and proportion of IMD among those ≥60 years, mostly unvaccinated, is increasing in developed countries (accounting for up to 25% of cases). IMD-related mortality is highest in this age-group, with substantial sequelae in survivors. IMD due to serogroups W and Y is more prevalent among older adults, often with atypical clinical features (pneumonia, gastrointestinal presentations) which may delay timely treatment.

conclusionsIMD in older adults remains overlooked and greater awareness is required at clinical and societal levels. We encourage clinicians and immunization policy makers to reconsider IMD, with a call for action to remedy existing inequity in older adult access to protective meningococcal immunization.

Indexed as

Meningococcal InfectionsMeningococcal VaccinesAgedAged, 80 and overHumansMaleMiddle AgedNeisseria meningitidisPrevalenceVaccinationMeningococcal VaccinesImmunizationIncreased riskInvasive meningococcal diseaseOlder adultsVaccine equity

Identifiers

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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.