Evidence map›Paper›PMID 29062060›Full record

SynthesisScientific reports2017

Role of HIV exposure and infection in relation to neonatal GBS disease and rectovaginal GBS carriage: a systematic review and meta-analysis.

Piet Cools, Janneke H H M van de Wijgert, Vicky Jespers, Tania Crucitti, Eduard J Sanders, Hans Verstraelen, Mario Vaneechoutte

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Sexually transmitted infections · 2019
    Pooled it
  2. Article
  3. Article
  4. Neonatal Group B Streptococcus Disease.Pediatrics in review · 2024
    Review
  5. Stillbirths and Neonatal Deaths Caused by Group BOpen forum infectious diseases · 2023
    Article
  6. Strategies to Prevent Early and Late-Onset Group BPathogens (Basel, Switzerland) · 2023
    Review
  7. Article
  8. Article
  9. Group B Streptococcal Neonatal Meningitis.Clinical microbiology reviews · 2022
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Group BMicrobiology spectrum · 2019
    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

7 authors at 5 institutions in 3 countries.

Piet CoolsLaboratory Bacteriology Research, Department of Microbiology, Immunology and Clinical Chemistry, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Ghent, Belgium. Piet.Cools@Ugent.be.
Janneke H H M van de WijgertDepartment of Clinical Infection, Microbiology and Immunology, Institute of Infection and Global Health, University of Liverpool, Brownlow Hill, Liverpool, UK.ORCID 0000-0003-2728-4560
Vicky JespersHIV and Sexual Health Group, Department of Public Health, Institute of Tropical Medicine, Nationalestraat 155, Antwerp, Belgium.
Tania CrucittiHIV/STI Reference Laboratory, Department of Clinical Sciences, Institute of Tropical Medicine, Nationalestraat 155, Antwerp, Belgium.
Eduard J SandersCentre for Geographic Medicine Research - Coast, Kenya Medical Research Institute (KEMRI), PO Box 230-80108, Kilifi, Kenya.
Hans VerstraelenDepartment of Obstetrics and Gynaecology, Vulvovaginal Disease Clinic, Ghent University Hospital, De Pintelaan 185, Ghent, Belgium.ORCID 0000-0002-4070-1587
Mario VaneechoutteLaboratory Bacteriology Research, Department of Microbiology, Immunology and Clinical Chemistry, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, Ghent, Belgium.
Ghent University Hospital · BEInstituut voor Tropische Geneeskunde · BEGhent University · BEKenya Medical Research Institute · KEUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Streptococcus agalactiae (GBS) is the leading cause worldwide of neonatal sepsis. We sought to assess to which extent HIV exposure of neonates is associated with GBS neonatal disease. Furthermore, we assessed to which extent HIV infection in women is associated with maternal rectovaginal GBS carriage, the single most important risk factor for GBS neonatal disease. We searched Pubmed, Embase, and Web of Science for studies assessing the association between neonatal GBS disease and HIV-status of the mother and studies that assessed the association between rectovaginal GBS colonization and HIV status in women. HIV-exposed uninfected neonates were more than twice as likely to have neonatal GBS disease compared to unexposed neonates. HIV-exposed neonates were not at increased risk for early-onset neonatal disease, but were 4.43 times more likely to have late-onset neonatal GBS disease. There was no significant association between HIV infection status and rectovaginal GBS carriage. Public health interventions preventing neonatal GBS disease are urgently needed for the increasing group of HIV-exposed neonates. A framework integrating and explaining our findings highlights opportunities for the clinical practice and global health policy to prevent disease. Well-designed studies should clarify the relation between HIV-status and GBS carriage.

Indexed as

FemaleGlobal HealthHIVHIV InfectionsHumansInfant, NewbornInfant, Newborn, DiseasesInfectious Disease Transmission, VerticalPregnancyPregnancy Complications, InfectiousRisk FactorsStreptococcal InfectionsStreptococcus agalactiaeVagina

Identifiers

PMID29062060
PMCPMC5653843
OpenAlexW2767141818

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.