Evidence map›Paper›PMID 27852675›Full record

ArticleJournal of clinical microbiology2017

Serotype Distribution, Population Structure, and Antimicrobial Resistance of Group B Streptococcus Strains Recovered from Colonized Pregnant Women.

Sarah Teatero, Patricia Ferrieri, Irene Martin, Walter Demczuk, Allison McGeer, Nahuel Fittipaldi

Abstract read
In one paragraph

Article in Journal of clinical microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

68 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Prevalence of Group BMedical sciences (Basel, Switzerland) · 2026
    Pooled it
  2. Pooled it
  3. Serotype Prevalence of Group BInternational journal of fertility & sterility · 2026
    Article
  4. Article
  5. Towards a holistic epidemiology ofFrontiers in bioinformatics · 2026
    Article
  6. Review
  7. Review
  8. Screening of Group BOpen medicine (Warsaw, Poland) · 2025
    Review
  9. Molecular epidemiology and antibiotic resistance of group BFrontiers in cellular and infection microbiology · 2025
    Article
  10. Article
  11. Neonatal Group B Streptococcus Disease.Pediatrics in review · 2024
    Review
  12. Vertical Transmission of Group BInternational journal of microbiology · 2024
    Article
  13. Article
  14. Automated classification of group BFrontiers in molecular biosciences · 2024
    Article
  15. Review
  16. Article
  17. Distribution and Prevalence of Serotypes of Group BMaternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023
    Article
  18. Article
  19. Article
  20. Population genetics of group BFrontiers in microbiology · 2023
    Article

8 more citing papers are in PubMed but not listed here.

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.

Sarah TeateroPublic Health Ontario Laboratory, Toronto, Ontario, Canada.
Patricia FerrieriDepartments of Laboratory Medicine and Pathology and Pediatrics, University of Minnesota Medical School, Minneapolis, Minnesota, USA.
Irene MartinNational Microbiology Laboratory, Winnipeg, Manitoba, Canada.
Walter DemczukNational Microbiology Laboratory, Winnipeg, Manitoba, Canada.
Allison McGeerMount Sinai Hospital, Toronto, Ontario, Canada.
Nahuel FittipaldiPublic Health Ontario Laboratory, Toronto, Ontario, Canada nahuel.fittipaldi@oahpp.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Using serotyping, multilocus sequence typing, and whole-genome sequencing (WGS) of selected strains, we studied the population structure of 102 group B Streptococcus (GBS) isolates prospectively sampled in 2014 from vaginal/rectal swabs of healthy pregnant women in metropolitan Toronto, Canada. We also determined the susceptibilities of each of the colonizing isolates to penicillin, erythromycin, clindamycin, tetracycline, and other antimicrobial agents. Overall, we observed a high rate of tetracycline resistance (89%) among colonizing GBS isolates. We found resistance to erythromycin in 36% of the strains, and 33% were constitutively or inducibly resistant to clindamycin. The most frequently identified serotypes were III (25%), Ia (23%), and V (19%). Serotype IV accounted for 6% of the colonizing isolates, a rate consistent with that observed among patients with invasive GBS infections in metropolitan Toronto. The majority of serotype IV isolates belonged to sequence type (ST)459, a tetracycline-, erythromycin-, and clindamycin-resistant ST first identified in Minnesota, which is considered to be the main driver of serotype IV GBS expansion in North America. WGS revealed that ST459 isolates from Canada are clonally related to colonizing and invasive ST459 organisms circulating in regions of the United States. We also used WGS to study recombination in selected colonizing strains from metropolitan Toronto, which revealed multiple episodes of capsular switching. Present and future circulating GBS organisms and their genetic diversity may influence GBS vaccine development.

Indexed as

GenotypeSerogroupAnti-Bacterial AgentsCanadaDrug Resistance, BacterialFemaleHumansMicrobial Sensitivity TestsMultilocus Sequence TypingPregnancyPregnancy Complications, InfectiousProspective StudiesRectumSequence Analysis, DNASerotypingStreptococcal InfectionsAnti-Bacterial Agentsantibiotic resistancecolonizing GBSGBS vaccinegroup B Streptococcusserotype IVserotype switchingStreptococcus agalactiae

Identifiers

PMID27852675
PMCPMC5277510

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.