Evidence map›Paper›PMID 41634479›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2026

Persistence of vaccine-induced serotype-related pathology in invasive pneumococcal disease in children. Community of Madrid, 2007-2024.

Jesús Íñigo-Martínez, Juan Carlos Sanz-Moreno, Fernando Martín-Martínez, Macarena Garrido-Estepa, Ana María Humanes-Navarro, Ana Garrido-Buenache, Esther Córdoba-Deorador, Susana Jiménez-Bueno, María Araceli Arce-Arnáez

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Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2026. 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. Increase in serotypes 4 and 14 in invasive pneumococcal disease in adults aged 18 to 59 years. A retrospective population-based descriptive study during the period 2007-2025 in the Community of Madrid, Spain.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
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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

9 authors.

Jesús Íñigo-MartínezPublic Health, Regional Ministry of Health, Madrid, Spain.ORCID http://orcid.org/0000-0001-5375-2474
Juan Carlos Sanz-MorenoPublic Health, Regional Ministry of Health, Madrid, Spain.ORCID http://orcid.org/0000-0002-1453-8536
Fernando Martín-MartínezPublic Health, Regional Ministry of Health, Madrid, Spain.ORCID http://orcid.org/0009-0000-4859-7190
Macarena Garrido-EstepaPublic Health, Regional Ministry of Health, Madrid, Spain. macarena.garrido@salud.madrid.org.ORCID http://orcid.org/0000-0002-4064-3823
Ana María Humanes-NavarroPublic Health, Regional Ministry of Health, Madrid, Spain.ORCID http://orcid.org/0000-0002-5750-1530
Ana Garrido-BuenachePublic Health, Regional Ministry of Health, Madrid, Spain.ORCID http://orcid.org/0009-0002-4172-3910
Esther Córdoba-DeoradorPublic Health, Regional Ministry of Health, Madrid, Spain.ORCID http://orcid.org/0000-0002-6069-0408
Susana Jiménez-BuenoPublic Health, Regional Ministry of Health, Madrid, Spain.ORCID http://orcid.org/0009-0006-7842-7313
María Araceli Arce-ArnáezPublic Health, Regional Ministry of Health, Madrid, Spain.ORCID http://orcid.org/0000-0002-4703-3024

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPneumococcal conjugate vaccines (PCVs) were implemented in the childhood vaccination program of the Community of Madrid (CM) in 2007, but despite very high vaccination coverage since then, increasing trends in invasive pneumococcal disease (IPD) have been observed in recent years.

methodsEpidemiological, clinical, and microbiological data from the Notifiable Disease Surveillance System on IPD cases in children aged 0-17 years in the CM during the period 2007-2024 were analysed. A descriptive analysis was conducted by sex, age-group, clinical presentation, laboratory results, prior vaccination, and antibiotic resistance. Incidence rates (IRs) and IR ratios (IRRs) were calculated overall and by serotypes (STs) covered by each vaccine and the most relevant STs using 2015-2019 as reference period.

resultsBetween 2007 and 2024, 1,856 cases of IPD were notified: 1,052 (56.7%) in boys and 804 (43.3%) in girls. By age-group, there were 431 cases (23.2%) in < 1 year, 994 (53.6%) in those aged 1-4 years, and 431 (23.2%) in those aged 5-17 years. PCV7, PCV13, PCV15, and PCV20 vaccine included STs IRs increased 7.0, 2.9, 2.3, and 1.5 times, respectively (all P < 0.05), in 2024. STs 24A, 14, 15A, 10A, and 3 IRs also increased (IRRs: 30.5, 17.8, 2.8, 2.7, and 2.6, respectively; all P < 0.05). No strains of the STs 1, 5, or 7F were detected in 2024, and STs 19A decreased to 2.2%.

conclusionsIRs for children and adolescents increased between 2022 and 2024 in the CM, associated to the rise of some PCVs STs, as ST14, while the still persistent ST3 started to decline after 2022.

Indexed as

Pneumococcal InfectionsPneumococcal VaccinesStreptococcus pneumoniaeAdolescentChildChild, PreschoolFemaleHumansIncidenceInfantInfant, NewbornMaleSerogroupSpainVaccinationVaccines, ConjugatePneumococcal VaccinesVaccines, ConjugateIncidenceInvasive pneumococcal diseaseNotifiable diseasesSerotypesSurveillanceTrends

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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.