Evidence map›Paper›PMID 17710240›Full record

ArticleInfectious diseases in obstetrics and gynecology2007

Rapid determination of macrolide and lincosamide resistance in group B streptococcus isolated from vaginal-rectal swabs.

Wilfred P Dela Cruz, Joann Y Richardson, Judith M Broestler, Jennifer A Thornton, Patrick J Danaher

Open access · hybridAbstract read
In one paragraph

Article in Infectious diseases in obstetrics and gynecology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 16 citations in OpenAlex.

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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 3 institutions in 1 country.

Wilfred P Dela CruzClinical Investigation Facility, David Grant USAF Medical Center, Travis Air Force Base, CA 94535, USA.
Joann Y Richardson
Judith M Broestler
Jennifer A Thornton
Patrick J Danaher
David Grant USAF Medical Center · USEglin Air Force Base · USUniformed Services University of the Health Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveOur objective was to assess the ability of real-time PCR to predict in vitro resistance in isolates of group B streptococcus (GBS).

methodsThe first real-time PCR assays for the genes known to confer resistance to erythromycin and clindamycin in GBS were developed. Three hundred and forty clinical GBS isolates were assessed with these assays and compared with conventional disk diffusion.

resultsThe presence of an erythromycin ribosome methylation gene (ermB or ermTR variant A) predicted in vitro constitutive or inducible resistance to clindamycin with a sensitivity of 93% (95% CI 86%-97%), specificity of 90% (95% CI 85%-93%), positive predictive value of 76% (95% CI 67%-84%), and negative predictive value of 97% (95% CI 94%-99%).

conclusionThis rapid and simple assay can predict in vitro susceptibility to clindamycin within two hours of isolation as opposed to 18-24 hours via disk diffusion. The assay might also be used to screen large numbers of batched isolates to establish the prevalence of resistance in a given area.

Indexed as

Drug Resistance, BacterialAnti-Bacterial AgentsClindamycinColony Count, MicrobialDNA, BacterialErythromycinFemaleHumansLincosamidesMacrolidesMicrobial Sensitivity TestsPolymerase Chain ReactionPredictive Value of TestsRectumStreptococcal InfectionsStreptococcus agalactiaeAnti-Bacterial AgentsClindamycinDNA, BacterialErythromycinLincosamidesMacrolides

Identifiers

PMID17710240
PMCPMC1939917
OpenAlexW2060336670

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Registered trials

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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.