Evidence map›Paper›PMID 16517846›Full record

ArticleJournal of clinical microbiology2006

Sensitivities of antigen detection and PCR assays greatly increased compared to that of the standard culture method for screening for group B streptococcus carriage in pregnant women.

Fabien Rallu, Peter Barriga, Carole Scrivo, Valérie Martel-Laferrière, Céline Laferrière

Registry-linked trialOpen access · greenAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02511444 (Intrapartum Rapid GBS Testing in Patients Presenting With Threatened Preterm Labor), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
6.8field-weighted citation impact, top 3% 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.

NCT02511444 nacompletednot on this mapstarted 2015, after this paper: background citation

Intrapartum Rapid GBS Testing in Patients Presenting With Threatened Preterm Labor

TypeinterventionalSponsorMemorialCare Health SystemRan2015 to 2019Enrolled342ConditionsGroup B StreptococcusArmsGBS culture and real time PCR
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 105 citations in OpenAlex.

  1. Trial
  2. Article
  3. Analysis of serotype distribution and characteristics of nonhemolytic and nonpigmented strains among group B Streptococcus isolates in a southern Taiwan local hospital.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  4. Screening of Group BOpen medicine (Warsaw, Poland) · 2025
    Review
  5. Article
  6. Article
  7. Stillbirths and Neonatal Deaths Caused by Group BOpen forum infectious diseases · 2023
    Article
  8. Article
  9. Article
  10. Review
  11. The Accuracy of Group BetaAJP reports · 2019
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Observational
  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

5 authors at 1 institution in 1 country.

Fabien RalluDépartement de Microbiologie, CHU Sainte-Justine, 3175 Côte Sainte Catherine, Montréal, Québec H3T 1C5, Canada. fabien.rallu.hsj@ssss.gouv.qc.ca
Peter Barriga
Carole Scrivo
Valérie Martel-Laferrière
Céline Laferrière
Centre Hospitalier Universitaire Sainte-Justine · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Group B streptococcus (GBS) is a major cause of serious infections in neonates. The 2002 revised guidelines of the Centers for Disease Control and Prevention (CDC) for the prevention of perinatal GBS disease recommend that all pregnant women be screened for GBS carriage at between 35 and 37 weeks of gestation and that intrapartum antibiotic prophylaxis be given to carriers. We studied the performances of four different GBS detection assays in the context of antenatal screening. Between May and August 2004, the 605 vaginorectal swab specimens received at our bacteriology laboratory for GBS antenatal detection were tested by the four assays. The standard culture method was done according to the CDC recommendations. The three experimental assays performed with the growth from the selective enrichment (LIM) broth (Todd-Hewitt broth with 15 mug/ml nalidixic acid and 10 mug/ml colistin) after overnight incubation were a GBS antigen detection assay (PathoDx) and two PCR assays (for cfb and scpB). The most accurate assay was the scpB PCR (sensitivity, 99.6%; specificity, 100%), followed by the cfb PCR (sensitivity, 75.3%; specificity, 100%), GBS antigen detection (sensitivity, 57.3%; specificity, 99.5%), and standard culture (sensitivity, 42.3%; specificity, 100%). The GBS antigen detection assay was found to be more sensitive than the standard culture method, and moreover, the assay has a low cost and is easy to perform in all obstetrical centers which have access to the most basic of diagnostic microbiology services. We believe that antigen detection on incubated LIM broth should replace the standard culture method for screening for GBS carriage at 35 to 37 weeks of gestation. The impact of the greater sensitivities of PCR assays on the diminution of neonatal GBS infections remains to be demonstrated.

Indexed as

Anti-Bacterial AgentsAntigens, BacterialBacteriological TechniquesCarrier StateDNA, BacterialFemaleHumansInfant, NewbornMass ScreeningPolymerase Chain ReactionPredictive Value of TestsPregnancyPregnancy Complications, InfectiousRectumSensitivity and SpecificityStreptococcal InfectionsAnti-Bacterial AgentsAntigens, BacterialDNA, Bacterial

Identifiers

PMID16517846
PMCPMC1393163
OpenAlexW2077435164

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.