{"id":"https://openalex.org/W2012580447","doi":"https://doi.org/10.1097/01.inf.0000136868.91756.80","title":"Community-Wide Vaccination with the Heptavalent Pneumococcal Conjugate Significantly Alters the Microbiology of Acute Otitis Media","display_name":"Community-Wide Vaccination with the Heptavalent Pneumococcal Conjugate Significantly Alters the Microbiology of Acute Otitis Media","publication_year":2004,"publication_date":"2004-09-01","ids":{"openalex":"https://openalex.org/W2012580447","doi":"https://doi.org/10.1097/01.inf.0000136868.91756.80","mag":"2012580447","pmid":"https://pubmed.ncbi.nlm.nih.gov/15361721"},"language":"en","primary_location":{"id":"doi:10.1097/01.inf.0000136868.91756.80","doi":"https://doi.org/10.1097/01.inf.0000136868.91756.80","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.inf.0000136868.91756.80","pdf_url":null,"source":{"id":"https://openalex.org/S109369870","display_name":"The Pediatric Infectious Disease Journal","issn_l":"0891-3668","issn":["0891-3668","1532-0987"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Infectious Disease Journal","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111843066","display_name":"Stan L. Block","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Stan L. Block","raw_affiliation_strings":["Kentucky Pediatric Research, Inc., Bardstown, KY, USA","Kentucky Pediatric Research, Inc., Bardstown, KY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kentucky Pediatric Research, Inc., Bardstown, KY, USA","institution_ids":[]},{"raw_affiliation_string":"Kentucky Pediatric Research, Inc., Bardstown, KY","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5082104931","display_name":"JAMES A. HEDRICK","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"James Hedrick","raw_affiliation_strings":["Kentucky Pediatric Research, Inc., Bardstown, KY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kentucky Pediatric Research, Inc., Bardstown, KY","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5032841230","display_name":"Christopher J. Harrison","orcid":"https://orcid.org/0000-0003-4281-1824","observed_orcids":["https://orcid.org/0000-0003-4281-1824"]},"institutions":[{"id":"https://openalex.org/I142740786","display_name":"University of Louisville","ror":"https://ror.org/01ckdn478","country_code":"US","type":"education","lineage":["https://openalex.org/I142740786"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christopher J. Harrison","raw_affiliation_strings":["Department of Pediatric Infectious Disease, University of Louisville, Louisville, KY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pediatric Infectious Disease, University of Louisville, Louisville, KY","institution_ids":["https://openalex.org/I142740786"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5019403279","display_name":"Ron Tyler","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Ron Tyler","raw_affiliation_strings":["Kentucky Pediatric Research, Inc., Bardstown, KY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kentucky Pediatric Research, Inc., Bardstown, KY","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5102969005","display_name":"Alan M. Smith","orcid":"https://orcid.org/0000-0002-5244-8849","observed_orcids":["https://orcid.org/0000-0002-5244-8849"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Alan Smith","raw_affiliation_strings":["Kentucky Pediatric Research, Inc., Bardstown, KY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kentucky Pediatric Research, Inc., Bardstown, KY","institution_ids":[]}]},{"author_position":"middle","author":{"id":null,"display_name":"Rebecca Findlay","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Rebecca Findlay","raw_affiliation_strings":["Kentucky Pediatric Research, Inc., Bardstown, KY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kentucky Pediatric Research, Inc., Bardstown, KY","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5071737531","display_name":"Eileen Keegan","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Eileen Keegan","raw_affiliation_strings":["Kentucky Pediatric Research, Inc., Bardstown, KY"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Kentucky Pediatric Research, Inc., Bardstown, KY","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5019403279","https://openalex.org/A5071737531","https://openalex.org/A5082104931","https://openalex.org/A5102969005","https://openalex.org/A5111843066"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":13.9918,"has_fulltext":false,"cited_by_count":324,"citation_normalized_percentile":{"value":0.99367347,"is_in_top_1_percent":true,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":87,"max":100},"biblio":{"volume":"23","issue":"9","first_page":"829","last_page":"833"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.573199987411499,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10654","display_name":"Pneumonia and Respiratory Infections","score":0.573199987411499,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10861","display_name":"Ear Surgery and Otitis Media","score":0.4124000072479248,"subfield":{"id":"https://openalex.org/subfields/2733","display_name":"Otorhinolaryngology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10873","display_name":"Bacterial Infections and Vaccines","score":0.005200000014156103,"subfield":{"id":"https://openalex.org/subfields/2404","display_name":"Microbiology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/heptavalent-pneumococcal-conjugate-vaccine","display_name":"heptavalent pneumococcal conjugate vaccine","score":0.9539999961853027},{"id":"https://openalex.org/keywords/pcv7","display_name":"PCV7","score":0.8700000047683716},{"id":"https://openalex.org/keywords/acute-otitis-media","display_name":"acute otitis media","score":0.968999981880188},{"id":"https://openalex.org/keywords/streptococcus-pneumoniae","display_name":"Streptococcus pneumoniae","score":0.9890000224113464},{"id":"https://openalex.org/keywords/nontypeable-haemophilus-influenzae","display_name":"nontypeable Haemophilus influenzae","score":0.9290000200271606},{"id":"https://openalex.org/keywords/beta-lactamase","display_name":"beta-lactamase","score":0.7540000081062317},{"id":"https://openalex.org/keywords/vaccine-serotypes","display_name":"vaccine serotypes","score":0.4830000102519989},{"id":"https://openalex.org/keywords/pediatric-otitis","display_name":"pediatric otitis","score":0.41999998688697815},{"id":"https://openalex.org/keywords/antimicrobial-resistance","display_name":"antimicrobial resistance","score":0.6299999952316284}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9039580821990967},{"id":"https://openalex.org/C2781253189","wikidata":"https://www.wikidata.org/wiki/Q221179","display_name":"Streptococcus pneumoniae","level":3,"score":0.831969141960144},{"id":"https://openalex.org/C2778866548","wikidata":"https://www.wikidata.org/wiki/Q7205991","display_name":"Pneumococcal conjugate vaccine","level":4,"score":0.6928327679634094},{"id":"https://openalex.org/C2776925733","wikidata":"https://www.wikidata.org/wiki/Q1141979","display_name":"Haemophilus influenzae","level":3,"score":0.5703920722007751},{"id":"https://openalex.org/C174802600","wikidata":"https://www.wikidata.org/wiki/Q12190","display_name":"Penicillin","level":3,"score":0.5559327602386475},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5425264835357666},{"id":"https://openalex.org/C2779301066","wikidata":"https://www.wikidata.org/wiki/Q14538008","display_name":"Pneumococcal vaccine","level":4,"score":0.5187245011329651},{"id":"https://openalex.org/C2776551000","wikidata":"https://www.wikidata.org/wiki/Q2046669","display_name":"Moraxella catarrhalis","level":4,"score":0.5100298523902893},{"id":"https://openalex.org/C22070199","wikidata":"https://www.wikidata.org/wiki/Q192995","display_name":"Vaccination","level":2,"score":0.49299880862236023},{"id":"https://openalex.org/C2779583294","wikidata":"https://www.wikidata.org/wiki/Q5161160","display_name":"Conjugate vaccine","level":4,"score":0.4748689830303192},{"id":"https://openalex.org/C2776152631","wikidata":"https://www.wikidata.org/wiki/Q4366062","display_name":"Pneumococcal infections","level":4,"score":0.47098562121391296},{"id":"https://openalex.org/C72563966","wikidata":"https://www.wikidata.org/wiki/Q1303415","display_name":"Cohort","level":2,"score":0.41435492038726807},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4086897075176239},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.36962592601776123},{"id":"https://openalex.org/C89423630","wikidata":"https://www.wikidata.org/wiki/Q7193","display_name":"Microbiology","level":1,"score":0.3695518970489502},{"id":"https://openalex.org/C501593827","wikidata":"https://www.wikidata.org/wiki/Q12187","display_name":"Antibiotics","level":2,"score":0.3391927182674408},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.3368849754333496},{"id":"https://openalex.org/C2780801004","wikidata":"https://www.wikidata.org/wiki/Q1415366","display_name":"Immunization","level":3,"score":0.25035178661346436},{"id":"https://openalex.org/C159654299","wikidata":"https://www.wikidata.org/wiki/Q79460","display_name":"Antibody","level":2,"score":0.12456667423248291},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.06310823559761047}],"mesh":[{"descriptor_ui":"D000069443","descriptor_name":"Heptavalent Pneumococcal Conjugate Vaccine","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000208","descriptor_name":"Acute Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000704","descriptor_name":"Analysis of Variance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002675","descriptor_name":"Child, Preschool","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006090","descriptor_name":"Gram-Negative Bacteria","qualifier_ui":"Q000302","qualifier_name":"isolation & purification","is_major_topic":false},{"descriptor_ui":"D006094","descriptor_name":"Gram-Positive Bacteria","qualifier_ui":"Q000302","qualifier_name":"isolation & purification","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007115","descriptor_name":"Immunization Schedule","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010033","descriptor_name":"Otitis Media","qualifier_ui":"Q000382","qualifier_name":"microbiology","is_major_topic":true},{"descriptor_ui":"D010033","descriptor_name":"Otitis Media","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D010033","descriptor_name":"Otitis Media","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":false},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D011008","descriptor_name":"Pneumococcal Infections","qualifier_ui":"Q000517","qualifier_name":"prevention & control","is_major_topic":true},{"descriptor_ui":"D011336","descriptor_name":"Probability","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011379","descriptor_name":"Prognosis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011446","descriptor_name":"Prospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013296","descriptor_name":"Streptococcus pneumoniae","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":false},{"descriptor_ui":"D014611","descriptor_name":"Vaccination","qualifier_ui":"Q000592","qualifier_name":"standards","is_major_topic":true},{"descriptor_ui":"D014611","descriptor_name":"Vaccination","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015994","descriptor_name":"Incidence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018074","descriptor_name":"Vaccines, Conjugate","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":false},{"descriptor_ui":"D018570","descriptor_name":"Risk Assessment","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D022242","descriptor_name":"Pneumococcal Vaccines","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true},{"descriptor_ui":"D022401","descriptor_name":"Meningococcal Vaccines","qualifier_ui":"Q000008","qualifier_name":"administration & dosage","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1097/01.inf.0000136868.91756.80","doi":"https://doi.org/10.1097/01.inf.0000136868.91756.80","is_oa":false,"landing_page_url":"https://doi.org/10.1097/01.inf.0000136868.91756.80","pdf_url":null,"source":{"id":"https://openalex.org/S109369870","display_name":"The Pediatric Infectious Disease Journal","issn_l":"0891-3668","issn":["0891-3668","1532-0987"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatric Infectious Disease Journal","raw_type":"journal-article"},{"id":"pmid:15361721","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/15361721","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Pediatric infectious disease journal","raw_type":"Comparative Study"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W1616547678","https://openalex.org/W1971003586","https://openalex.org/W1985831163","https://openalex.org/W1988177877","https://openalex.org/W2001805273","https://openalex.org/W2008694066","https://openalex.org/W2023690749","https://openalex.org/W2056599215","https://openalex.org/W2059608310","https://openalex.org/W2072240942","https://openalex.org/W2142965789","https://openalex.org/W2159101163","https://openalex.org/W2330937129","https://openalex.org/W2334009089","https://openalex.org/W3008814658","https://openalex.org/W4212974097"],"related_works":["https://openalex.org/W2138643337","https://openalex.org/W2043869216","https://openalex.org/W2070409252","https://openalex.org/W2115200058","https://openalex.org/W2317475805","https://openalex.org/W1992809446","https://openalex.org/W1999343936","https://openalex.org/W2114718827","https://openalex.org/W2134943351","https://openalex.org/W2041156726"],"abstract_inverted_index":{"BACKGROUND:":[0],"Community-wide":[1],"use":[2,243],"of":[3,13,19,37,56,63,71,79,114,125,170,202,220,229,244,252],"conjugated":[4],"heptavalent":[5],"pneumococcal":[6],"vaccine":[7,234,246],"(PCV7)":[8],"in":[9,24,47,58,69,105,236,247,262,264],"children":[10,39,83,106,267],"<2":[11],"years":[12],"age":[14],"could":[15],"affect":[16],"the":[17,59,123],"microbiology":[18,70],"acute":[20],"otitis":[21],"media":[22],"(AOM)":[23],"vaccinees,":[25],"particularly":[26],"for":[27,41,216],"penicillin-nonsusceptible":[28],"Streptococcus":[29],"pneumoniae":[30,127,204,231,261],"(PNSP).":[31],"SETTING:":[32],"Since":[33],"Summer":[34],"2000,":[35],"94%":[36],"young":[38,266],"cared":[40],"by":[42,241],"this":[43],"7-clinician,":[44],"pediatric":[45],"practice":[46],"rural":[48],"central":[49],"Kentucky":[50],"received":[51,109],"3":[52,110],"or":[53,89,111],"4":[54,112],"doses":[55,113],"PCV7":[57,245,269],"first":[60],"18":[61],"months":[62,85],"life.":[64],"OBJECTIVE:":[65],"To":[66],"determine":[67],"changes":[68],"AOM":[72,95,101,222,237,263],"before":[73],"and":[74,143,173,179,183,186,190,196,200,212,218,233,273],"after":[75],"community-wide":[76,242,272],"routine":[77],"implementation":[78],"PCV7.":[80,115],"METHODS:":[81],"Among":[82],"7-24":[84],"old":[86],"with":[87,99],"severe":[88],"refractory":[90],"AOM,":[91],"we":[92],"compared":[93],"336":[94],"isolates":[96,102,232],"from":[97,103,129,148],"1992-1998":[98],"83":[100],"2000-2003":[104],"who":[107],"had":[108],"RESULTS:":[116],"Comparing":[117],"each":[118],"cohort":[119],"(1992-1998":[120],"versus":[121,164,181,198],"2000-2003),":[122],"proportion":[124,228,251],"S.":[126,203,230,260],"decreased":[128],"48%":[130],"to":[131,150],"31%":[132],"(P":[133,152,206],"=":[134,153,207],"0.009;":[135],"relative":[136,155],"risk,":[137,156],"0.754;":[138],"95%":[139,158],"confidence":[140,159],"interval,":[141,160],"0.628-0.906),":[142],"nontypable":[144],"Haemophilus":[145],"influenzae":[146],"increased":[147],"41%":[149],"56%":[151,163],"0.01;":[154],"1.87;":[157],"1.15-3.04;":[161],"beta-lactamase-positive,":[162],"64%,":[165],"not":[166],"significant).":[167],"The":[168,226,250],"proportions":[169],"intermediate":[171],"PNSP":[172],"resistant":[174],"PNSP,":[175],"respectively,":[176,193],"were":[177,238],"16%":[178],"9%":[180],"13%":[182],"6%":[184],"pre-":[185],"post-PCV7,":[187],"respectively.":[188,224],"Vaccine":[189],"vaccine-related":[191],"serotypes,":[192],"comprised":[194],"70%":[195],"8%":[197],"36%":[199],"32%":[201],"strains":[205],"0.003).":[208],"Post-PCV7,":[209],"Gram-negative":[210,253],"bacteria":[211,254],"beta-lactamase-producing":[213],"organisms":[214],"accounted":[215],"two-thirds":[217],"one-half":[219],"all":[221],"isolates,":[223],"DISCUSSION:":[225],"overall":[227],"serotypes":[235],"significantly":[239],"reduced":[240],"our":[248],"practice.":[249],"became":[255],"2-fold":[256],"more":[257],"frequent":[258],"than":[259],"PCV7-vaccinated":[265],"where":[268],"uptake":[270],"was":[271,275],"supply":[274],"adequate.":[276]},"counts_by_year":[{"year":2026,"cited_by_count":3},{"year":2025,"cited_by_count":5},{"year":2024,"cited_by_count":2},{"year":2023,"cited_by_count":5},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":1},{"year":2020,"cited_by_count":4},{"year":2019,"cited_by_count":9},{"year":2018,"cited_by_count":5},{"year":2017,"cited_by_count":17},{"year":2016,"cited_by_count":6},{"year":2015,"cited_by_count":19},{"year":2014,"cited_by_count":25},{"year":2013,"cited_by_count":21},{"year":2012,"cited_by_count":30}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
