Evidence map›Paper›PMID 26289147›Full record

ArticleBMC research notes2015

Antibiotic resistance of Streptococcus agalactiae isolated from pregnant women in Garankuwa, South Africa.

John Y Bolukaoto, Charles M Monyama, Martina O Chukwu, Sebotse M Lekala, Maphoshane Nchabeleng, Motlatji R B Maloba, Rooyen T Mavenyengwa, Sogolo L Lebelo, Sam T Monokoane, Charles Tshepuwane and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC research notes, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 3 pooled it
6.9field-weighted citation impact, top 3% 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

49 citing papers in PubMed, 3 syntheses or guidelines pooled it, 111 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Vaginal Colonization byInfection and drug resistance · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Identification and antimicrobial susceptibility testing ofIranian journal of microbiology · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Prevalence and Antibiotic Resistance ofLife (Basel, Switzerland) · 2024
    Article
  16. Article
  17. Article
  18. Frontiers in microbiology · 2023
    Article
  19. Article
  20. 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

11 authors at 3 institutions in 3 countries.

John Y BolukaotoDepartment of Life and Consumer Sciences, College of Agriculture and Environmental Science, University of South Africa, Pretoria, South Africa. jbolukaoto@gmail.com.
Charles M MonyamaDepartment of Life and Consumer Sciences, College of Agriculture and Environmental Science, University of South Africa, Pretoria, South Africa. monyamc@unisa.co.za.
Martina O ChukwuDepartment of Life and Consumer Sciences, College of Agriculture and Environmental Science, University of South Africa, Pretoria, South Africa. timummy2002@yahoo.com.
Sebotse M LekalaDepartment of Obstetrics and Gynaecology, University of Limpopo, Medunsa Campus, Pretoria, South Africa. sebotselekala@yahoo.com.
Maphoshane NchabelengDepartment of Microbiological Pathology, University of Limpopo, Medunsa Campus, Pretoria, South Africa. Maphoshane.Nchabeleng@ul.ac.za.
Motlatji R B MalobaDepartment of Microbiological Pathology, University of Limpopo, Medunsa Campus, Pretoria, South Africa. motlatji.maloba@nhls.ac.za.
Rooyen T MavenyengwaDepartment of Health Sciences, School of Health and Applied Sciences, Polytechnic of Namibia, P. Bag 13388, Windhoek, Namibia. rmavenyengwa@yahoo.com.
Sogolo L LebeloDepartment of Life and Consumer Sciences, College of Agriculture and Environmental Science, University of South Africa, Pretoria, South Africa. lebelol@unisa.ac.za.
Sam T MonokoaneDepartment of Obstetrics and Gynaecology, University of Limpopo, Medunsa Campus, Pretoria, South Africa. Sam.Monokoane@ul.ac.za.
Charles TshepuwaneDepartment of Obstetrics and Gynaecology, University of Limpopo, Medunsa Campus, Pretoria, South Africa. charles4@yebo.co.za.
Sylvester R MoyoDepartment of Health Sciences, School of Health and Applied Sciences, Polytechnic of Namibia, P. Bag 13388, Windhoek, Namibia. srmoyo@polytechnic.edu.na.
University of Limpopo · ZAUniversity of South Africa · ZANamibia University of Science and Technology · NA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study was undertaken to determine the susceptibility profile and the mechanism of antibiotic resistance in Group B streptococcus (GBS) isolates detected in vaginal and rectal swabs from pregnant women attending Dr George Mukhari Academic Hospital, a University Teaching Hospital in Pretoria, South Africa.

methodsThe samples were collected over an 11-month period, cultured on selective media (colistin and nalidixic acid agar and Todd-Hewitt broth), and GBS positively identified by using different morphological and biochemical tests. The susceptibility testing was done using the Kirby-Bauer and E test methods according to CLSI guidelines 2012. The D test method was used for the detection of inducible clindamycin resistance. Multiplex PCR with specific primers was used to detect different genes coding for resistance.

resultsOut of 413 samples collected, 128 (30.9%) were positive with GBS. The susceptibility testing revealed that 100% of isolates were sensitive to penicillin, ampicillin, vancomycin and high level gentamicin. Erythromycin and clindamycin resistance was 21.1 and 17.2%, respectively, in which 69% had harboured constitutive macrolide, lincosamide and streptogramin B (MLS(B)), 17.4% had inducible MLS(B). The M and L phenotypes were present in 6.8% each. The methylation of target encoded by ermB genes was the commonest mechanism of resistance observed in 55% of isolates, 38% of isolates had both ermB and linB genes and efflux pump mediated by mefA genes was also distributed among the isolates.

conclusionsThe study reaffirmed the appropriateness of penicillin as the antibiotic of choice for treating GBS infection. However it identified the challenges of resistance to macrolides and lincosamides used as alternative drugs for individuals allergic to penicillin. More GBS treatment options for penicillin allergic patients need to be researched on.

Indexed as

AdolescentAdultAnti-Bacterial AgentsClindamycinDNA, BacterialDNA MethylationDrug Resistance, BacterialErythromycinFemaleGentamicinsHumansMacrolidesMicrobial Sensitivity TestsMiddle AgedPenicillinsPregnancyAnti-Bacterial AgentsClindamycinDNA, BacterialErythromycinGentamicinsMacrolidesPenicillinsVancomycin

Identifiers

PMID26289147
PMCPMC4544793
OpenAlexW1915341021

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.