Evidence map›Paper›PMID 20482466›Full record

ArticleJournal of perinatal medicine2010

Microbial invasion of the amniotic cavity in pregnancies with small-for-gestational-age fetuses.

Daniel B DiGiulio, Maria Teresa Gervasi, Roberto Romero, Edi Vaisbuch, Shali Mazaki-Tovi, Juan Pedro Kusanovic, Kimberley S Seok, Ricardo Gómez, Pooja Mittal, Francesca Gotsch and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of perinatal medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 89 citations in OpenAlex.

  1. Pooled it
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  11. Preterm labor is characterized by a high abundance of amniotic fluid prostaglandins in patients with intra-amniotic infection or sterile intra-amniotic inflammation.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2021
    Article
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  13. Critical reviews in microbiology · 2021
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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

14 authors at 7 institutions in 3 countries.

Daniel B DiGiulioDepartment of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
Maria Teresa Gervasi
Roberto Romero
Edi Vaisbuch
Shali Mazaki-Tovi
Juan Pedro Kusanovic
Kimberley S Seok
Ricardo Gómez
Pooja Mittal
Francesca Gotsch
Tinnakorn Chaiworapongsa
Enrique Oyarzún
Chong Jai Kim
David A Relman
Wayne State University · USVA Palo Alto Health Care System · USAzienda Ospedale - Università Padova · ITComplejo Asistencial Sótero del Río · CLDetroit Medical Center · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USStanford University · US

Funding

The Role Of Subclinical Infection And Cytokines In Preterm ParturitionZIAHD002400 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI ROMERO, ROBERTO · 2009 to 2025
$254.4M
NIH Director's Pioneer AwardDP1OD000964 · OD · STANFORD UNIVERSITY · PI RELMAN, DAVID A. · 2006 to 2010
$3.4M
Intramural NIH HHS ZIA HD002400NIH HHS DP1 OD000964NIH HHS DP1OD000964
6 · The paper itself

Abstract

objectiveMicrobial invasion of the amniotic cavity (MIAC) has been detected in women with preterm labor, preterm prelabor rupture of membranes (PROM), and in patients at term with PROM or in spontaneous labor. Intrauterine infection is recognized as a potential cause of fetal growth restriction; yet, the frequency of MIAC in pregnancies with small-for-gestational-age (SGA) fetuses is unknown. The aim of this study was to determine the frequency, diversity and relative abundance of microbes in amniotic fluid (AF) of women with an SGA neonate using a combination of culture and molecular methods.

methodAF from 52 subjects with an SGA neonate was analyzed with both cultivation and molecular methods in a retrospective cohort study. Broad-range and group-specific PCR assays targeted small subunit rDNA, or other gene sequences, from bacteria, fungi and archaea. Results of microbiologic studies were correlated with indices of the host inflammatory response.

results1) All AF samples (n=52) were negative for microorganisms based on cultivation techniques, whereas 6% (3/52) were positive based on PCR; and 2) intra-amniotic inflammation was detected in one of the three patients with a positive PCR result, as compared with three patients (6.1%) of the 49 with both a negative culture and a negative PCR (P=0.2).

conclusionMIAC is detected by PCR in some patients with an SGA fetus who were not in labor at the time of AF collection.

Indexed as

Infant, Small for Gestational AgeAdultAmnionAmniotic FluidBase SequenceChorioamnionitisCohort StudiesDNA, ArchaealDNA, BacterialDNA, FungalDNA PrimersFemaleHumansInfant, NewbornMicrobiological TechniquesPolymerase Chain ReactionDNA, ArchaealDNA, BacterialDNA, FungalDNA Primers

Identifiers

PMID20482466
PMCPMC2962935
OpenAlexW2051071968

What OpenQuestion holds

Textmetadata
LicenceTDM
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.