Evidence map›Paper›PMID 29117324›Full record

SynthesisClinical infectious diseases : an official publication of the Infectious Diseases Society of America2017

Intrapartum Antibiotic Chemoprophylaxis Policies for the Prevention of Group B Streptococcal Disease Worldwide: Systematic Review.

Kirsty Le Doare, Megan O'Driscoll, Kim Turner, Farah Seedat, Neal J Russell, Anna C Seale, Paul T Heath, Joy E Lawn, Carol J Baker, Linda Bartlett and 11 more

Registry-linked trialOpen access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04059510 (opTImisation of Methods for a Human INfection Model for Group B Streptococcus), which is not on this map. Cited by 117 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
117citing papers in PubMed, 14 pooled it
17.1field-weighted citation impact, top 1% 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.

NCT04059510 unknown statusnot on this mapstarted 2019, after this paper: background citation

opTImisation of Methods for a Human INfection Model for Group B Streptococcus

TypeobservationalSponsorSt George's, University of LondonRan2019 to 2020Enrolled500ConditionsGroup B StreptococcusArmsrectovaginal swab, pregnancy test, Menstrual cup, Blood test, Focus group
3 · Its place in the literature

Who cites it

117 citing papers in PubMed, 14 syntheses or guidelines pooled it, 198 citations in OpenAlex.

  1. Pooled it
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  7. Risk of Early-Onset Neonatal Group B Streptococcal Disease With Maternal Colonization Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  8. Infant Group B Streptococcal Disease Incidence and Serotypes Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  9. Neonatal Encephalopathy With Group B Streptococcal Disease Worldwide: Systematic Review, Investigator Group Datasets, and Meta-analysis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  10. Stillbirth With Group B Streptococcus Disease Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  11. Neurodevelopmental Impairment in Children After Group B Streptococcal Disease Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  12. Preterm Birth Associated With Group B Streptococcus Maternal Colonization Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  13. Maternal Disease With Group B Streptococcus and Serotype Distribution Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  14. Maternal Colonization With Group B Streptococcus and Serotype Distribution Worldwide: Systematic Review and Meta-analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
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57 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

21 authors at 18 institutions in 8 countries.

Kirsty Le DoareCentre for International Child Health, Imperial College London, United Kingdom.
Megan O'DriscollCentre for International Child Health, Imperial College London, United Kingdom.
Kim TurnerGlobal Medicine, University of Southern California, Los Angeles.
Farah SeedatUniversity of Warwick Medical School, Gibbet Hill, Coventry.
Neal J RussellMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.
Anna C SealeMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.
Paul T HeathVaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.
Joy E LawnMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.
Carol J BakerDepartments of Pediatrics and Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas.
Linda BartlettDepartment of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Clare CutlandMedical Research Council: Respiratory and Meningeal Pathogens Research Unit, and Department of Science and Technology/National Research Foundation: Vaccine Preventable Diseases, University of the Witwatersrand, Faculty of Health Sciences, Johannesburg, South Africa.
Michael G GravettGlobal Alliance to Prevent Prematurity and Stillbirth, Seattle, Washington.
Margaret IpDepartment of Microbiology, Faculty of Medicine, Chinese University of Hong Kong.
Shabir A MadhiMedical Research Council: Respiratory and Meningeal Pathogens Research Unit, and Department of Science and Technology/National Research Foundation: Vaccine Preventable Diseases, University of the Witwatersrand, Faculty of Health Sciences, Johannesburg, South Africa.
Craig E RubensGlobal Alliance to Prevent Prematurity and Stillbirth, Seattle, Washington.
Samir K SahaBangladesh Institute of Child Health, Dhaka.
Stephanie SchragNational Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.
Ajoke Sobanjo-Ter MeulenBill & Melinda Gates Foundation, Seattle, Washington.
Johan VekemansWorld Health Organization, Geneva, Switzerland.
Beate KampmannCentre for International Child Health, Imperial College London, United Kingdom.
GBS Intrapartum Antibiotic Investigator Group
University of Washington · USUniversity of London · GBBaylor College of Medicine · USCenters for Disease Control and Prevention · USChild Health Research Foundation · BDChinese University of Hong Kong · HKGates Foundation · USHaramaya University · ETImperial College London · GBJohns Hopkins University · USKing's College London · GBLondon School of Hygiene & Tropical Medicine · GBMRC Unit the Gambia · GMNational Health Laboratory Service · ZAUniversity of Southern California · USUniversity of the Witwatersrand · ZAUniversity of Warwick · GBWorld Health Organization · CH

Funding

Medical Research Council MC_UP_A900_1122Medical Research Council MR/R005990/1Wellcome Trust 205184/Z/16/ZWorld Health Organization 001
6 · The paper itself

Abstract

backgroundIntrapartum antibiotic chemoprophylaxis (IAP) prevents most early-onset group B streptococcal (GBS) disease. However, there is no description of how IAP is used around the world. This article is the sixth in a series estimating the burden of GBS disease. Here we aimed to review GBS screening policies and IAP implementation worldwide.

methodsWe identified data through (1) systematic literature reviews (PubMed/Medline, Embase, Literature in the Health Sciences in Latin America and the Caribbean [LILACS], World Health Organization library database [WHOLIS], and Scopus) and unpublished data from professional societies and (2) an online survey and searches of policies from medical societies and professionals. We included data on whether an IAP policy was in use, and if so whether it was based on microbiological or clinical risk factors and how these were applied, as well as the estimated coverage (percentage of women receiving IAP where indicated).

resultsWe received policy information from 95 of 195 (49%) countries. Of these, 60 of 95 (63%) had an IAP policy; 35 of 60 (58%) used microbiological screening, 25 of 60 (42%) used clinical risk factors. Two of 15 (13%) low-income, 4 of 16 (25%) lower-middle-income, 14 of 20 (70%) upper-middle-income, and 40 of 44 (91%) high-income countries had any IAP policy. The remaining 35 of 95 (37%) had no national policy (25/33 from low-income and lower-middle-income countries). Coverage varied considerably; for microbiological screening, median coverage was 80% (range, 20%-95%); for clinical risk factor-based screening, coverage was 29% (range, 10%-50%). Although there were differences in the microbiological screening methods employed, the individual clinical risk factors used were similar.

conclusionsThere is considerable heterogeneity in IAP screening policies and coverage worldwide. Alternative global strategies, such as maternal vaccination, are needed to enhance the scope of global prevention of GBS disease.

Indexed as

Antibiotic ProphylaxisStreptococcus agalactiaeFemaleHealth PolicyHumansInfectious Disease Transmission, VerticalPregnancyPregnancy Complications, InfectiousStreptococcal Infectionsgroup B Streptococcusintrapartum antibiotic chemoprophylaxis

Identifiers

PMID29117324
PMCPMC5850619
OpenAlexW2782257589

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.