Evidence map›Paper›PMID 41929667›Full record

ArticleOpen forum infectious diseases2026

Impact of Pneumococcal Conjugate Vaccine Immunization on Nasopharyngeal Carriage of

Miriam de Lourdes Dueñas, Ronald A Pérez, Rafael O Santamaría, Patricia E Henríquez, Elizabeth Montano, Moreno José, Elmer W Mendoza, Ángel E Alvarado, Erick R Salguero, Guillermo E Barahona and 1 more

Abstract read
In one paragraph

Article in Open forum infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Miriam de Lourdes DueñasDepartment of Infectious Diseases, Hospital Nacional de Niños "Benjamín Bloom" (HNNBB), San Salvador, El Salvador.ORCID https://orcid.org/0009-0007-1177-078X
Ronald A PérezAsociación de Pediatría de El Salvador, San Salvador, El Salvador.
Rafael O SantamaríaDepartment of Infectious Diseases, Hospital Nacional de Niños "Benjamín Bloom" (HNNBB), San Salvador, El Salvador.
Patricia E HenríquezMicrobiology Laboratory, HNNBB, San Salvador, El Salvador.
Elizabeth MontanoMicrobiology Laboratory, HNNBB, San Salvador, El Salvador.
Moreno JoséInstituto Conmemorativo Gorgas de Estudios de la Salud (ICGES) and Clinical Microbiology Section, Laboratorio Central De Referencia en Salud Pública (LCRSP), Calidonia, Panamá City, Panamá.ORCID https://orcid.org/0000-0002-2296-0286
Elmer W MendozaInstituto Nacional de Salud, San Salvador, San Salvador, El Salvador.
Ángel E AlvaradoDirector's Office, Hospital Nacional de Niños "Benjamín Bloom" (HNNBB), San Salvador, El Salvador.
Erick R SalgueroChancellery, Universidad Nueva San Salvador, San Salvador, El Salvador.
Guillermo E BarahonaDepartment of Infectious Diseases, Hospital Nacional de Niños "Benjamín Bloom" (HNNBB), San Salvador, El Salvador.ORCID https://orcid.org/0000-0002-4372-3335
Jaime R TorresTropical Medicine Institute, Universidad Cenntral de Venezuela, Infectious Diseases Section, Caracas, Venezuela.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Following pneumococcal conjugate vaccine (PCV) introduction in El Salvador, data on pneumococcal nasopharyngeal (NP) carriage in children are limited. This study assessed NP carriage of Methods: In this analytical cross-sectional study, 380 fully vaccinated children attending well-child visits were enrolled over 1 year. Nasopharyngeal swabs were collected to determine Results: Overall carriage prevalence was 14.2%. Carriage was 3 times higher in children receiving PCV10 alone compared to PCV13 alone (adjusted odds ratio [aOR] 3.0, 95% CI 1.5-6.1). No carriers were identified in the PCV10 + PCV13 group. The most frequent serotype was 22F (non-vaccine type), followed by 23B, 19F, and 19Fv. Only 22% of isolated serotypes were covered by available PCVs. Significant risk factors for carriage included younger age (1 year; aOR 2.8, 95% CI 1.4-5.6) and maternal education below high school level (aOR 2.2, 95% CI 1.1-4.3). Carriage decreased significantly with increasing age. Isolates showed high sensitivity to penicillin and other common antibiotics. Conclusions: Vaccine type significantly influences NP carriage. The predominance of non-vaccine serotypes and lower carriage with PCV13 and mixed schedules highlights the need for ongoing serotype surveillance to update national immunization strategies and optimize protection against pneumococcal disease.

Indexed as

childrenEl Salvadorimpactnasopharyngeal carriagepneumococcal conjugate vaccines

Identifiers

PMID41929667
PMCPMC13043075

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.