Evidence map›Paper›PMID 38935748›Full record

SynthesisPloS one2024

Invasive pneumococcal disease in Latin America and the Caribbean: Serotype distribution, disease burden, and impact of vaccination. A systematic review and meta-analysis.

Ariel Bardach, Silvina Ruvinsky, M Carolina Palermo, Tomás Alconada, M Macarena Sandoval, Martín E Brizuela, Eugenia Ramirez Wierzbicki, Joaquín Cantos, Paula Gagetti, Agustín Ciapponi

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Observational
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Observational
  10. Fourier transform infrared spectroscopy forFrontiers in microbiology · 2024
    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.

Ariel BardachInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Buenos Aires, Argentina.ORCID 0000-0003-4437-0073
Silvina RuvinskyDepartamento de Investigación, Hospital Garrahan, Buenos Aires, Argentina.
M Carolina PalermoInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Buenos Aires, Argentina.
Tomás AlconadaInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Buenos Aires, Argentina.
M Macarena SandovalInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Buenos Aires, Argentina.
Martín E BrizuelaUnidad de Pediatría, Hospital General de Agudos Vélez Sarsfield, Buenos Aires, Argentina.
Eugenia Ramirez WierzbickiInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Buenos Aires, Argentina.
Joaquín CantosInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Buenos Aires, Argentina.
Paula GagettiServicio Antimicrobianos, Instituto Nacional de Enfermedades Infecciosas (INEI)-ANLIS ''Dr. Carlos G. Malbrán", Buenos Aires, Argentina.
Agustín CiapponiInstituto de Efectividad Clínica y Sanitaria (IECS-CONICET), Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive pneumococcal diseases (IPD) are associated with high morbidity, mortality, and health costs worldwide, particularly in Latin America and the Caribbean (LAC). Surveillance about the distribution of serotypes causing IPD and the impact of pneumococcal vaccination is an important epidemiological tool to monitor disease activity trends, inform public health decision-making, and implement relevant prevention and control measures.

objectivesTo estimate the serotype distribution for IPD and the related disease burden in LAC before, during, and after implementing the pneumococcal vaccine immunization program in LAC.

methodsSystematic literature review following Cochrane methods of studies from LAC. We evaluated the impact of the pneumococcal vaccine on hospitalization and death during or after hospitalizations due to pneumococcal disease and serotype-specific disease over time. We also analyzed the incidence of serotyped IPD in pneumococcal conjugate vaccine PCV10 and PCV13. The protocol was registered in PROSPERO (ID: CRD42023392097).

results155 epidemiological studies were screened and provided epidemiological data on IPD. Meta-analysis of invasive diseases in children <5 years old found that 57%-65% of causative serotypes were included in PCV10 and 66%-84% in PCV13. After PCV introduction, vaccine serotypes declined in IPD, and the emergence of non-vaccine serotypes varied by country.

conclusionsPneumococcal conjugate vaccines significantly reduced IPD and shifted serotype distribution in Latin America and the Caribbean. PCV10/PCV13 covered 57-84% of serotypes in children under 5, with marked decline in PCV serotypes post-vaccination. Continuous surveillance remains crucial for monitoring evolving serotypes and informing public health action.

Indexed as

Pneumococcal InfectionsPneumococcal VaccinesSerogroupStreptococcus pneumoniaeCaribbean RegionCost of IllnessHumansIncidenceLatin AmericaVaccination13-valent pneumococcal vaccinePneumococcal Vaccines

Identifiers

PMID38935748
PMCPMC11210815

What OpenQuestion holds

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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.