Evidence map›Paper›PMID 16549015›Full record

ArticleBMC infectious diseases2006

Frequency of antimicrobial resistance among invasive and colonizing Group B streptococcal isolates.

Stephanie M Borchardt, Joan H DeBusscher, Patricia A Tallman, Shannon D Manning, Carl F Marrs, Terrence A Kurzynski, Betsy Foxman

Abstract read
In one paragraph

Article in BMC infectious diseases, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Multilocus sequence types of invasive and colonizing neonatal group B streptococci in Poland.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2014
    Article
  16. Article
  17. Review
  18. Phenotypes, genotypes, serotypes and molecular epidemiology of erythromycin-resistant Streptococcus agalactiae in Italy.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2012
    Article
  19. Review
  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

7 authors.

Stephanie M BorchardtDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, Michigan, USA. sborchar@idph.state.il.us
Joan H DeBusscher
Patricia A Tallman
Shannon D Manning
Carl F Marrs
Terrence A Kurzynski
Betsy Foxman

Funding

Interdisciplinary Training Program in Infectious DiseasesT32AI049816 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FOXMAN, BETSY · 2002 to 2011
$1.5M
MOLECULAR EPIDEMIOLOGY OF GROUP B STREPTOCOCCUSR21AI044868 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FOXMAN, BETSY · 2000 to 2000
$675k
NIAID NIH HHS R21AI44868NIAID NIH HHS T32 AI049816NIAID NIH HHS T32AI49816
6 · The paper itself

Abstract

backgroundGroup B Streptococcus (GBS) remains susceptible to penicillin, however, resistance to second-line antimicrobials, clindamycin and erythromycin, has increased since 1996. We describe the age-specific antibiotic susceptibility profile and capsular type distribution among invasive and colonizing GBS strains.

methodsWe tested 486 invasive GBS isolates from individuals of all ages collected by a Wisconsin surveillance system between 1998 and 2002 and 167 colonizing strains collected from nonpregnant college students during 2001 in Michigan. Antimicrobial susceptibility testing was performed by disk diffusion or Etest and capsular typing was performed using DNA dot blot hybridization

results20.0% (97/486) of invasive and 40.7% (68/167) of colonizing isolates were resistant to clindamycin (P < .001) and 24.5% (119/486) of invasive and 41.9% (70/167) of colonizing isolates were resistant to erythromycin (P < .001). Similarly, 19.8% (96/486) of invasive and 38.3% (64/167) of colonizing isolates were resistant to both antimicrobial agents (P < .001). 29.4% (5/17) of invasive isolates from persons 18-29 years of age and 24.3% (17/70) of invasive isolates from persons 30-49 years of age were resistant to clindamycin. Similarly, 35.3% (6/17) of invasive isolates from persons 18-29 years of age and 31.4% (22/70) of invasive isolates from persons 30-49 years of age were resistant to erythromycin. 34.7% (26/75) of invasive isolates from persons < 1 year of age were capsular type Ia, whereas capsular type V predominated among isolates from adults.

conclusionClindamycin and erythromycin resistance rates were high among isolates colonizing nonpregnant college students and invasive GBS isolates, particularly among the colonizing isolates. Susceptibility profiles were similar by age although the proportion of clindamycin and erythromycin resistance among invasive isolates was highest among persons 18-49 years of age. Increasing antimicrobial resistance has implications for GBS disease treatment and intrapartum prophylaxis among penicillin intolerant patients.

Indexed as

Drug Resistance, BacterialAdolescentAdultAnti-Bacterial AgentsCarrier StateChildChild, PreschoolHumansInfantMicrobial Sensitivity TestsMiddle AgedStreptococcus agalactiaeTime FactorsAnti-Bacterial Agents

Identifiers

PMID16549015
PMCPMC1435911

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.