Evidence map›Paper›PMID 40284542›Full record

ArticleMicroorganisms2025

Invasive Meningococcal Disease in Children: Outcomes and Risk Factors for Sequelae and Fatal Cases in Greece.

Panagiotis Poulikakos, Dimitrios Kapnisis, Athanasia Xirogianni, Irini Liakou, Maria Tsolia, Athanasios Michos, Elpis Mantadakis, Vassiliki Papaevangelou, Andreas Iliadis, Despoina Gkentzi and 6 more

Abstract read
In one paragraph

Article in Microorganisms, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Frontiers in cellular and infection microbiology · 2025
    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

16 authors.

Panagiotis PoulikakosNational Meningitis Reference Laboratory, Surveillance Laboratory of Infectious Diseases, Department Public Health Policy, School of Public Health, University of West Attica, 115 21 Athens, Greece.
Dimitrios KapnisisDepartment of Pediatrics, Patras Medical School, University General Hospital of Patras, 265 04 Rio, Greece.ORCID 0000-0002-0878-7317
Athanasia XirogianniNational Meningitis Reference Laboratory, Surveillance Laboratory of Infectious Diseases, Department Public Health Policy, School of Public Health, University of West Attica, 115 21 Athens, Greece.ORCID 0000-0002-2959-8216
Irini LiakouNational Meningitis Reference Laboratory, Surveillance Laboratory of Infectious Diseases, Department Public Health Policy, School of Public Health, University of West Attica, 115 21 Athens, Greece.
Maria TsoliaSecond Department of Paediatrics, National and Kapodistrian University of Athens, P & A Kyriakou Children's Hospital, 115 27 Athens, Greece.ORCID 0000-0003-2485-4409
Athanasios MichosFirst Department of Pediatrics, Infectious Diseases and Chemotherapy Research Laboratory, National and Kapodistrian University of Athens, 'Aghia Sophia' Children's Hospital, 115 27 Athens, Greece.ORCID 0000-0003-1745-1118
Elpis MantadakisUniversity General Hospital of Alexandroupolis, Democritus University, Alexandroupolis, 691 00 Thrace, Greece.ORCID 0000-0001-7837-9733
Vassiliki PapaevangelouThird Department of Pediatrics, National and Kapodistrian University of Athens, University General Hospital "ATTIKON", 124 62 Athens, Greece.
Andreas IliadisPediatric Intensive Care Unit, University General Hospital of Patras, 265 04 Rio, Greece.
Despoina GkentziDepartment of Pediatrics, Patras Medical School, University General Hospital of Patras, 265 04 Rio, Greece.ORCID 0000-0002-1421-0813
Stavroula Kostaridou NikolopoulouDepartment of Pediatrics, "Pentelis" Children's Hospital, 152 36 Athens, Greece.
Maria SdougkaPediatric Intensive Care Unit, Hippokration General Hospital, 546 42 Thessaloniki, Greece.
Konstantina CharisiThird Department of Pediatrics, Aristotle University of Thessaloniki, Hippokration General Hospital, 546 42 Thessaloniki, Greece.ORCID 0000-0002-2528-6426
Athanasios BangeasFirst Department of Pediatrics, Aristotle University of Thessaloniki, Hippokration General Hospital, 546 42 Thessaloniki, Greece.
Evangelia FarmakiFirst Department of Pediatrics, Aristotle University of Thessaloniki, Hippokration General Hospital, 546 42 Thessaloniki, Greece.ORCID 0000-0002-5132-8255
Georgina TzanakakiNational Meningitis Reference Laboratory, Surveillance Laboratory of Infectious Diseases, Department Public Health Policy, School of Public Health, University of West Attica, 115 21 Athens, Greece.ORCID 0000-0003-1773-2833

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive meningococcal disease (IMD) remains a major public health challenge due to its rapid progression, which may lead to severe sequelae or death in children and adolescents. Published data on IMD sequelae are limited in Greece and many EU countries. In the present study, patients under 16 years of age with IMD were retrospectively identified from the files of the Hellenic National Meningitis Reference Laboratory (HNML) from 2010-2020, and their medical records were tracked from the corresponding hospitals. Demographic, clinical, and microbiological data were recorded for each case. A total of 161 patients younger than 16 years of age admitted to nine hospitals across the country were identified. Of those, 91 (56.5%) records were found. The patients' median age was 36 months (range 22 days to 16 years old); 37.4% presented with meningitis, 36.2% with both septicemia and meningitis, and 26.4% only with septicemia. The mortality rate was 5.5% and was significantly associated with septicemia, abnormal platelet count at presentation, ICU admission, and coagulation disorders, while sequelae were detected in 16.9% of patients upon discharge.

Indexed as

invasive meningococcal diseaseNeisseria meningitidisoutcomessequelae

Identifiers

PMID40284542
PMCPMC12029756

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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.