Evidence map›Paper›PMID 29082442›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2018

Intrapartum group B Streptococcus screening in the labor ward by Xpert® GBS real-time PCR.

C Plainvert, F El Alaoui, A Tazi, C Joubrel, O Anselem, M Ballon, A Frigo, C Branger, L Mandelbrot, F Goffinet and 1 more

2 registry-linked trialsAbstract read
PubMed Publisher
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT01719510 nacompletednot on this map

Study of the Digestive Colonization of the Newborn Children by the Streptococcus of the Group B

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2012 to 2015Enrolled949ConditionsNeonatal Infections Colonize With Group B StreptococciArmsSamples
NCT03371056 nacompletednot on this map

Innovative Strategies for Perinatal Infectious Risk Reduction

TypeinterventionalSponsorAssistance Publique - Hôpitaux de ParisRan2018 to 2023Enrolled2,569ConditionsNeonatal InfectionArmsBacteriological analyses on clinical samples performed with swabs
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

  1. Rapid tests for detecting group B streptococcus colonization in pregnant women: A systematic review and meta-analysis of diagnostic accuracy.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2026
    Pooled it
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  8. Multicenter Performance Evaluation of the RevogeneMolecular diagnosis & therapy · 2023
    Article
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  13. Group B Streptococcal Neonatal Meningitis.Clinical microbiology reviews · 2022
    Review
  14. Article
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  16. Review
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  20. Intrapartum PCR-assay for detection of Group B Streptococci (GBS).European journal of obstetrics & gynecology and reproductive biology: X · 2019
    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 5 institutions in 1 country.

C PlainvertAP-HP, Service de Bactériologie et Centre National de Référence des Streptocoques, Hôpitaux Universitaires Paris Centre site Cochin, Paris, France. celine.plainvert@aphp.fr.
F El AlaouiAP-HP, Service de Microbiologie, Hôpitaux Universitaires Paris Nord Val de Seine, Colombes, France.
A TaziAP-HP, Service de Bactériologie et Centre National de Référence des Streptocoques, Hôpitaux Universitaires Paris Centre site Cochin, Paris, France.
C JoubrelAP-HP, Service de Bactériologie et Centre National de Référence des Streptocoques, Hôpitaux Universitaires Paris Centre site Cochin, Paris, France.
O AnselemAP-HP, DHU Risques et Grossesse, Paris, France.
M BallonAP-HP, DHU Risques et Grossesse, Paris, France.
A FrigoAP-HP, Service de Bactériologie et Centre National de Référence des Streptocoques, Hôpitaux Universitaires Paris Centre site Cochin, Paris, France.
C BrangerAP-HP, Service de Microbiologie, Hôpitaux Universitaires Paris Nord Val de Seine, Colombes, France.
L MandelbrotAP-HP, DHU Risques et Grossesse, Paris, France.
F GoffinetAP-HP, DHU Risques et Grossesse, Paris, France.
C PoyartAP-HP, Service de Bactériologie et Centre National de Référence des Streptocoques, Hôpitaux Universitaires Paris Centre site Cochin, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRInserm · FRCentre National de la Recherche Scientifique · FRInstitut Cochin · FRUniversité Paris Cité · FR

Funding

Assistance Publique-Hôpitaux de Paris P111008
6 · The paper itself

Abstract

Group B Streptococcus (GBS) is the leading cause of neonatal infections in industrialized countries. Intrapartum antibiotic prophylaxis (IAP) given to colonized parturients is a key step for the prevention of neonatal early-onset infection. We compared the performances of Xpert® GBS polymerase chain reaction (PCR) (Cepheid, Sunnyvale, CA, USA) as a point-of-care system in labor wards to standard culture for intrapartum GBS detection. Pregnant women with a GBS-positive antenatal screening were prospectively included. A vaginal double swab was collected at the time of delivery for point-of-care Xpert® GBS PCR and GBS culture. A total of 565 pregnant women were included. Valid Xpert® GBS results were obtained for 488 (86.4%) women on the first attempt. Repeat testing improved the PCR success to 516 (91.3%) women. Among the 305 women positive for GBS by culture at delivery, only 238 (78.0%) were positive by Xpert® GBS PCR, cycle thresholds being correlated to culture quantification. Among 260 women negative for GBS culture, 56 (21.5%) were positive by Xpert® GBS PCR, including 50 where IAP was initiated before vaginal sampling. Overall, among the 565 women with GBS antenatal positive culture, only 335 (59.3%) were still positive at delivery whatever the technique used, resulting in unnecessary IAP for 40% of them. This large cohort study comparing intrapartum to antepartum GBS detection provides evidence that (i) Xpert® GBS PCR might be a valuable solution for intrapartum GBS detection compared to culture-based strategies and (ii) laboratory training of non-specialized staff is mandatory to reach the performances required for point-of-care tests.

Indexed as

Point-of-Care TestingAdultAnti-Bacterial AgentsAntibiotic ProphylaxisFemaleHumansInfant, NewbornInfant, Newborn, DiseasesMass ScreeningObstetrics and Gynecology Department, HospitalPregnancyPregnancy Complications, InfectiousReal-Time Polymerase Chain ReactionStreptococcal InfectionsStreptococcus agalactiaeVaginaAnti-Bacterial Agents

Identifiers

PMID29082442
OpenAlexW2766178102

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.