Evidence map›Paper›PMID 20592137›Full record

ArticleJournal of clinical microbiology2010

Real-time PCR assay provides reliable assessment of intrapartum carriage of group B Streptococcus.

Michelle J Alfa, Shadi Sepehri, Pat De Gagne, Michael Helawa, Gunwat Sandhu, Godfrey K M Harding

Open access · greenAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Journal of clinical microbiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Rapid tests for detecting group B streptococcus colonization in pregnant women: A systematic review and meta-analysis of diagnostic accuracy.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Group B Streptococcal Neonatal Meningitis.Clinical microbiology reviews · 2022
    Review
  6. Article
  7. Article
  8. Article
  9. Journal of clinical microbiology · 2019
    Article
  10. Racial disparities in intrapartum group B Streptococcus colonization: a higher incidence of conversion in African American women.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. How can the microbiologist help in diagnosing neonatal sepsis?International journal of pediatrics · 2012
    Article
  18. Review
  19. To screen or not to screen women for Group B Streptococcus (Therapeutic advances in infectious disease
    Review
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 2 institutions in 1 country.

Michelle J AlfaDepartment of Medical Microbiology, University of Manitoba, Winnipeg, Manitoba, Canada. malfa@sbgh.mb.ca
Shadi Sepehri
Pat De Gagne
Michael Helawa
Gunwat Sandhu
Godfrey K M Harding
University of Manitoba · CADiagnostic Services Manitoba · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The objective of this study was to determine the reliability of the real-time PCR assay for determining the group B Streptococcus (GBS) status of women in labor. In this prospective study we compared the results of culture and PCR testing of vaginal and rectal samples collected by nursing staff when women were in labor. Patients' charts were also reviewed to obtain relevant information about pregnancy risk factors. Our results demonstrated a sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 90.5%, 96.1%, 86.4%, and 97.4%, respectively, for rapid PCR. Of the 196 women evaluated, 29 (14.8%) presented with unknown GBS status, 11 (37.9%) of whom received unnecessary intrapartum antibiotics. The rapid real-time PCR test was robust and was able to reliably detect the presence of GBS in women in labor within 1 h of specimen submission to the laboratory. We recommend that the rapid PCR test be targeted to women who present in labor with unknown GBS status. In cases where the laboratory does not offer 24-h availability of testing, sample collection followed by PCR testing the next morning is still valuable and provides reliable results 24 to 48 h faster than culture and will aid appropriate decision-making regarding continuing or stopping antibiotics for neonates of women with unknown GBS status.

Indexed as

Bacteriological TechniquesCarrier StateFemaleHumansInfant, NewbornPolymerase Chain ReactionPredictive Value of TestsPregnancyPregnancy Complications, InfectiousProspective StudiesSensitivity and SpecificityStreptococcal InfectionsStreptococcus agalactiae

Identifiers

PMID20592137
PMCPMC2937730
OpenAlexW2018379564

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.