Evidence map›Paper›PMID 28478240›Full record

ArticleClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases2017

Maternal colonization with Staphylococcus aureus and Group B streptococcus is associated with colonization in newborns.

A Roca, A Bojang, B Camara, C Oluwalana, K Lette, P West, U D'Alessandro, C Bottomley

Open access · hybridAbstract read
In one paragraph

Article in Clinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 12% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Review
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  6. Article
  7. Atopic Dermatitis: Fertility, Pregnancy, and Treatment Perspectives.American journal of clinical dermatology · 2024
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  14. A prospective cohort study ofInfection and drug resistance · 2018
    Article
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  16. Review
  17. Article
  18. Distribution of group B streptococci serotypes on women nasopharynx.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    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

8 authors at 2 institutions in 3 countries.

A RocaMedical Research Council Unit The Gambia, Banjul, Gambia; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK. Electronic address: aroca@mrc.gm.
A BojangMedical Research Council Unit The Gambia, Banjul, Gambia.
B CamaraMedical Research Council Unit The Gambia, Banjul, Gambia.
C OluwalanaMedical Research Council Unit The Gambia, Banjul, Gambia.
K LetteMedical Research Council Unit The Gambia, Banjul, Gambia.
P WestFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
U D'AlessandroMedical Research Council Unit The Gambia, Banjul, Gambia; Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK; Institute of Tropical Medicine, Antwerp, Belgium.
C BottomleyFaculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, UK.
MRC Unit the Gambia · GMLondon School of Hygiene & Tropical Medicine · GB

Funding

Medical Research Council MC_EX_MR/J010391/1Medical Research Council MR/K012126/1
6 · The paper itself

Abstract

objectivesAlthough Staphylococcus aureus and Group B streptococcus (GBS) are major causes of neonatal sepsis in sub-Saharan Africa, it is unclear how these bacteria are transmitted to the neonate.

methodsIn a cohort of 377 Gambian women and their newborns, nasopharyngeal swabs were collected at delivery (day 0), and 3, 6, 14 and 28 days later. Breast milk samples and vaginal swabs were collected from the mother. Staphylococcus aureus and GBS were isolated using conventional microbiological methods.

resultsMost women were carriers of S. aureus (264 out of 361 with all samples collected, 73.1%) at some point during follow up and many were carriers of GBS (114 out of 361, 31.6%). Carriage of S. aureus was common in all three maternal sites and GBS was common in the vaginal tract and breast milk. Among newborns, carriage of S. aureus peaked at day 6 (238 out of 377, 63.1%) and GBS at day 3 (39 out of 377, 10.3%). Neonatal carriage of S. aureus at day 6 was associated with maternal carriage in the breast milk adjusted OR 2.54; 95% CI 1.45-4.45, vaginal tract (aOR 2.55; 95% CI 1.32-4.92) and nasopharynx (aOR 2.49; 95% CI 1.56-3.97). Neonatal carriage of GBS at day 6 was associated with maternal carriage in the breast milk (aOR 3.75; 95% CI 1.32-10.65) and vaginal tract (aOR 3.42; 95% CI 1.27-9.22).

conclusionsMaternal colonization with S. aureus or GBS is a risk factor for bacterial colonization in newborns.

Indexed as

Staphylococcus aureusStreptococcus agalactiaeAdultCarrier StateFemaleHumansInfant, NewbornInfectious Disease Transmission, VerticalMalePregnancyPregnancy Complications, InfectiousStaphylococcal InfectionsStreptococcal InfectionsYoung AdultAfricaColonizationGroup B streptococcusMother–childRisk factorsStaphylococcus aureusVertical transmission

Identifiers

PMID28478240
PMCPMC5714057
OpenAlexW2610399042

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.