Evidence map›Paper›PMID 12734229›Full record

ArticleJournal of clinical microbiology2003

Escherichia coli strains from pregnant women and neonates: intraspecies genetic distribution and prevalence of virulence factors.

Stéphane Watt, Philippe Lanotte, Laurent Mereghetti, Maryvonne Moulin-Schouleur, Bertrand Picard, Roland Quentin

Open access · greenAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 22% of its field
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

56 citing papers in PubMed, 1 synthesis or guideline pooled it, 122 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Severe Sepsis After Vaginal Delivery: A Case Report.Case reports in obstetrics and gynecology · 2026
    Article
  7. Research Progress on perinatalFrontiers in microbiology · 2026
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Molecular epidemiology of blaAnnals of clinical microbiology and antimicrobials · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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

6 authors at 3 institutions in 1 country.

Stéphane WattDépartement de Microbiologie Médicale et Moléculaire, EA 3250, CHU Bretonneau, 37044 Tours Cedex, France. watt@med.univ-tours.fr
Philippe Lanotte
Laurent Mereghetti
Maryvonne Moulin-Schouleur
Bertrand Picard
Roland Quentin
Centre Hospitalier Universitaire de Tours · FRCentre Hospitalier Régional Universitaire de Brest · FRCentre Val de Loire · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To determine the extent to which the vagina, endocervix, and amniotic fluid screen the Escherichia coli strains responsible for neonatal infections, we studied the genetic relationships among 105 E. coli strains isolated from all of the ecosystems involved in this infectious process. Twenty-four strains were isolated from the intestinal flora, and 25 strains were isolated from the vaginas of pregnant women. Twenty-seven strains were isolated from the amniotic fluid, blood, and cerebrospinal fluid (CSF) of infected neonates. The intraspecies genetic characteristics of all of the isolates were determined by random amplified polymorphic DNA (RAPD) analysis, PCR ECOR (E. coli reference) grouping, and PCR virulence genotyping. A correlation was found between the intraspecies distributions of the strains in the A, B1, B2, and D ECOR groups and in the two major RAPD groups (I and II). Nevertheless, the distribution of the E. coli strains in the RAPD groups according to their anatomical origins was more significant than their distribution in the ECOR groups. This may be explained by the existence of an E. coli subpopulation, defined by the RAPD I group, within the ECOR B2 group. This RAPD I group presents a major risk for neonates: 75% of the strains isolated from patients with meningitis and 100% of the strains isolated from patients with bacteremia were in this group. The vagina and the amniotic fluid are two barriers that favor colonization by highly infectious strains. Indeed, only 17% of fecal strains belonged to the RAPD I group, whereas 52% of vaginal strains and 67% of amniotic fluid strains belonged to this subpopulation. The ibeA and iucC genes were significantly associated with CSF strains, whereas the hly and sfa/foc genes were more frequent in blood strains. These findings could serve as a basis for developing tools to recognize vaginal strains, which present a high risk for neonates, for use in prophylaxis programs.

Indexed as

Amniotic FluidBacterial Typing TechniquesBase SequenceCervix UteriDNA, BacterialEscherichia coliEscherichia coli InfectionsFemaleGenes, BacterialGenotypeHumansInfant, NewbornMeningitis, Escherichia coliOrgan SpecificityPregnancyRandom Amplified Polymorphic DNA TechniqueDNA, Bacterial

Identifiers

PMID12734229
PMCPMC154741
OpenAlexW1983317774

What OpenQuestion holds

Textmetadata
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.