Evidence map›Paper›PMID 39499493›Full record

ArticleInfection2025

Clinical features and immune memory of breakthrough infection in children after age-appropriate 13-valent pneumococcal conjugate vaccination in Taiwan.

Chih-Ho Chen, Mei-Hua Hsu, Mei-Chen Ou-Yang, Chen-Ting Yin, Hsin-Chieh Li, Lin-Hui Su, Shu-Shen Cheng, Cheng-Hsun Chiu

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Article in Infection, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The microbiological characteristics and diagnosis ofHuman vaccines & immunotherapeutics · 2025
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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.

Chih-Ho ChenDepartment of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Mei-Hua HsuMolecular Infectious Disease Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Mei-Chen Ou-YangDepartment of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Chen-Ting YinDepartment of Pediatrics, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Hsin-Chieh LiMolecular Infectious Disease Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Lin-Hui SuMolecular Infectious Disease Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Shu-Shen ChengDepartment of Laboratory Medicine, Chang Gung Memorial Hospital, Kaohsiung, Taiwan.
Cheng-Hsun ChiuMolecular Infectious Disease Research Center, Chang Gung Memorial Hospital, Taoyuan, Taiwan. chchiu@adm.cgmh.org.tw.

Funding

Chang Gung Memorial Hospital CMRPG8J0301, CMRPG8K1171, CMRPG8N0811, CMRPG3L0551‒3National Science and Technology Council MOST 109-2314-B-182A-131-MY2, NSTC 112-2314-B-182A-070-MY3
6 · The paper itself

Abstract

purposeAs certain vaccine serotypes are still circulating within the community during the PCV13 era, we aimed to delineate the clinical features and assess the immunity following breakthrough infections in children.

methods101 PCVs-vaccinated children < 18 years with culture confirmed PCV13 serotype breakthrough infection (25/101, invasive pneumococcal disease [IPD]) was identified in Taiwan in 2015-2019. Immunoglobulin G (IgG) antibody levels, IgM

resultsThe majority (88%) of the breakthrough infection occurred in children under 7 years old. Infection by serotypes 3 and 19 A increased in children aged 5-17 years in 2018-2019. The pre-booster serotype 3- and 19 A-specific IgG in both children with breakthrough infection and controls were lower than the IPD protective thresholds (2.83 µg/mL for 3; 1.00 µg/mL for 19 A). Breakthrough infected children showed higher geometric mean ratio in serotype-specific IgG, IgM

conclusionsMost breakthrough infections occurred in previously healthy preschool-aged children, but such infections may still occur in school-aged children due to waning immunity. Breakthrough infections may also enhance the anamnestic response elicited by PCV13.

Indexed as

Immunologic MemoryPneumococcal InfectionsPneumococcal VaccinesStreptococcus pneumoniaeAdolescentAntibodies, BacterialBreakthrough InfectionsChildChild, PreschoolFemaleHumansImmunization, SecondaryImmunoglobulin GImmunoglobulin MInfantMale13-valent pneumococcal vaccineAntibodies, BacterialImmunoglobulin GImmunoglobulin MPneumococcal VaccinesBreakthrough infectionImmunogenicityMemory B cellsPCV13

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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.