Evidence map›Paper›PMID 21976764›Full record

ArticleJournal of clinical microbiology2011

Epidemiology of invasive Streptococcus pyogenes infections in France in 2007.

A Lepoutre, A Doloy, P Bidet, A Leblond, A Perrocheau, E Bingen, P Trieu-Cuot, A Bouvet, C Poyart, D Lévy-Bruhl and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical microbiology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
9.7field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Pooled it
  2. Interventions for necrotizing soft tissue infections in adults.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Pooled it
  4. Genomic analysis of Streptococcus pyogenes emm1-type isolates reveals M1European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  5. Article
  6. Article
  7. Frontiers in cellular and infection microbiology · 2025
    Article
  8. A fulminant case ofWorld journal of emergency medicine · 2025
    Article
  9. Review
  10. Review
  11. Toxic Shock Syndrome: A Literature Review.Antibiotics (Basel, Switzerland) · 2024
    Review
  12. Article
  13. Incidence and clinical and microbiological features of invasive and probable invasive streptococcal group A infections in children and adults in the Brussels-Capital Region, 2005-2020.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Invasive Streptococcus pyogenes disease in Spain: a microbiological and epidemiological study covering the period 2007-2019.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2021
    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

11 authors at 6 institutions in 1 country.

A LepoutreFrench Institute for Public Health Surveillance, Saint Maurice, France. a.lepoutre@invs.sante.fr
A Doloy
P Bidet
A Leblond
A Perrocheau
E Bingen
P Trieu-Cuot
A Bouvet
C Poyart
D Lévy-Bruhl
Microbiologists of the Epibac Network
Institut de Veille Sanitaire · FRUniversité Paris Cité · FRAssistance Publique – Hôpitaux de Paris · FRCentre National de la Recherche Scientifique · FRDélégation Paris 7 · FRHôpital Cochin · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive group A streptococcal (GAS) infections cause significant morbidity and mortality. A national survey was initiated to assess the burden of invasive GAS infections in France, describe their clinical characteristics, and assess the molecular characteristics of GAS strains responsible for these infections. The survey was conducted in 194 hospitals, accounting for 51% of acute care hospital admissions in France. Clinical data, predisposing factors, and demographic data were obtained, and all GAS isolates were emm sequence typed. We identified 664 cases of invasive GAS infections, with an annual incidence of 3.1 per 100,000 population. The case-fatality ratio was 14% and rose to 43% in the case of streptococcal toxic shock syndrome. Bacteremia without identified focus (22%) and skin/soft tissue infections (30%) were the most frequent clinical presentations. Necrotizing fasciitis was frequent in adults (18%) and uncommon in children (3%). The 3 predominant emm types were emm1, emm89, and emm28, accounting for 33%, 16%, and 10% of GAS isolates, respectively. The emm1 type was associated with fatal outcomes and was more frequent in children than in adults. Six clusters of cases were identified, with each cluster involving 2 invasive cases due to GAS strains which shared identical GAS emm sequence types. Four clusters of cases involved eight postpartum infections, one family cluster involved a mother and child, and one cluster involved two patients in a nursing home. Invasive GAS infection is one of the most severe bacterial diseases in France, particularly in persons aged ≥ 50 years or when associated with toxic shock syndrome.

Indexed as

AdolescentAdultAgedAged, 80 and overAntigens, BacterialBacteremiaBacterial Outer Membrane ProteinsCarrier ProteinsChildChild, PreschoolCluster AnalysisCross-Sectional StudiesFasciitis, NecrotizingFemaleFranceGenotypeAntigens, BacterialBacterial Outer Membrane ProteinsCarrier Proteinsstreptococcal M protein

Identifiers

PMID21976764
PMCPMC3232948
OpenAlexW2168802323

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.