Evidence map›Paper›PMID 39755706›Full record

Observational studyNPJ primary care respiratory medicine2025

Description and characterization of pneumococcal community acquired pneumonia (CAP) among radiologically confirmed CAP in outpatients.

Josselin Le Bel, Juliette Pinot, Toni Alfaiate, Marie Ecollan, Fanny Cussac, Raphaël Pecqueur, Marie-Pierre Revel, Cyrille Vartanian, Emmanuelle Varon, Christian Theilacker and 4 more

Abstract readObservational Study
In one paragraph

Observational study in NPJ primary care respiratory medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Josselin Le BelUniversité Paris Cité, Department of general practice, Paris, France, Paris, France. josselin.lebel@u-paris.fr.ORCID 0000-0003-4794-209X
Juliette PinotUniversité Paris Cité, Department of general practice, Paris, France, Paris, France.
Toni AlfaiateDepartment of Epidemiology Biostatistics and Clinical Research, AP-HP, Hôpital Bichat, Paris, France, Paris, France.
Marie EcollanUniversité Paris Cité, Department of general practice, Paris, France, Paris, France.
Fanny CussacUniversité Paris Cité, Department of general practice, Paris, France, Paris, France.
Raphaël PecqueurUniversité Paris Cité, Department of general practice, Paris, France, Paris, France.
Marie-Pierre RevelDepartment of Radiology, Hôpital Cochin, AP-HP Centre, Paris, France, Paris, France.
Cyrille VartanianDepartment of general practice, Faculty of Medicine, University of Nantes, France - Nantes, Nantes, France.
Emmanuelle VaronCentre National de Référence des Pneumocoques, Centre Hospitalier Intercommunal de Créteil, Créteil, France, Créteil, 94000, France.ORCID 0000-0002-3043-2838
Christian TheilackerPfizer Vaccines, Collegeville, PA, USA.
Xavier DuvalUniversité Paris Cité, IAME, INSERM, Paris, France.
Henri PartoucheUniversité Paris Cité, Department of general practice, Paris, France, Paris, France.
Cédric LaouénanUniversité Paris Cité, IAME, INSERM, Paris, France.
Serge GilbergUniversité Paris Cité, Department of general practice, Paris, France, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Streptococcus pneumoniae (SP) remains an important cause of community acquired pneumonia (CAP). We aimed to describe the prevalence and characteristics of outpatients with radiologically confirmed pneumococcal CAP. Between November 2017 and December 2019, a French network of general practitioners enrolled CAP-suspected adults, with ≥1 clinical signs of infection and ≥1 signs of pulmonary localization in an observational study. Pneumococcal CAP was defined by the combination of a chest X-ray (CXR) compatible with CAP and SP detection by any of four microbiological tests (blood culture, sputum culture, pneumococcal urinary antigen test [BinaxNow®] and serotype-specific multiplex urinary antigen detection test [Pfizer Inc®]. To identify other pathogens, next to cultures, nasopharyngeal multiplex PCR was performed. Three hundred and forty-eight patients were included, of whom 144 had a positive CXR, 135/144 (93.8%) had not received antibiotics prior to inclusion, 21/144 (14.6%) had ≥1 positive microbiological test for SP, and 66/144 (45.8%) were negative for all four microbiological tests and were considered as non-pneumococcal CAP. Pneumococcal serotypes were identified for 12 patients. This study assessing the prevalence of SP among CAP outpatients using comprehensive microbiologic testing shows that SP is still the most frequently identified microorganism.

Indexed as

Community-Acquired InfectionsOutpatientsPneumonia, PneumococcalStreptococcus pneumoniaeAdultAgedAged, 80 and overFemaleFranceHumansMaleMiddle AgedPrevalenceRadiography, Thoracic

Identifiers

PMID39755706
PMCPMC11700105

What OpenQuestion holds

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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.