Evidence map›Paper›PMID 29117331›Full record

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

Neurodevelopmental Impairment in Children After Group B Streptococcal Disease Worldwide: Systematic Review and Meta-analyses.

Maya Kohli-Lynch, Neal J Russell, Anna C Seale, Ziyaad Dangor, Cally J Tann, Carol J Baker, Linda Bartlett, Clare Cutland, Michael G Gravett, Paul T Heath and 18 more

Open access · hybridAbstract readMeta-AnalysisSystematic 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. Cited by 121 papers, 13 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
121citing papers in PubMed, 13 pooled it
16.1field-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.

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

121 citing papers in PubMed, 13 syntheses or guidelines pooled it, 204 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Pooled it
  6. 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
  7. 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
  8. 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
  9. Intrapartum Antibiotic Chemoprophylaxis Policies for the Prevention of Group B Streptococcal Disease Worldwide: Systematic Review.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Pooled it
  10. 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
  11. 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
  12. 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
  13. 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
  14. Trial
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  16. Review
  17. Article
  18. Interactions betweenInfection and immunity · 2026
    Article
  19. Article
  20. Article

61 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

28 authors at 19 institutions in 7 countries.

Maya Kohli-LynchMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.
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.
Ziyaad DangorMedical Research Council, Respiratory and Meningeal Pathogens Research Unit.
Cally J TannMaternal, 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.
Michael G GravettGlobal Alliance to Prevent Prematurity and Stillbirth, Seattle, Washington.
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.
Margaret IpDepartment of Microbiology, Faculty of Medicine, Chinese University of Hong Kong.
Kirsty Le DoareVaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.
Shabir A MadhiMedical Research Council, Respiratory and Meningeal Pathogens Research Unit.
Craig E RubensMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.
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.
Catherine O'SullivanVaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.
Firdose NakwaDepartment of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Hechmi Ben HamoudaDepartment of Neonatology, University Hospital Tahar Sfar, Mahdia, Tunisia.
Habib SouaDepartment of Neonatology, University Hospital Tahar Sfar, Mahdia, Tunisia.
Kyriaki GiorgakoudiCity University, United Kingdom.
Shamez LadhaniPublic Health England, London, United Kingdom.
Theresa LamagniPublic Health England, London, United Kingdom.
Hilary RattueVaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.
Caroline TrotterUniversity of Cambridge, United Kingdom.
Joy E LawnMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.
London School of Hygiene & Tropical Medicine · GBUniversity of London · GBNational Research Foundation · ZAPublic Health England · GBBaylor College of Medicine · USBill & Melinda Gates Foundation · USChild Health Research Foundation · BDChinese University of Hong Kong · CNCity, University of London · GBJohns Hopkins University · USNational Center for Immunization and Respiratory Diseases · USRespiratory and Meningeal Pathogens Research Unit · ZASt George’s University Hospitals NHS Foundation Trust · GBUniversity College London Hospitals NHS Foundation Trust · GBUniversity of Bristol · GBUniversity of Cambridge · GBUniversity of the Witwatersrand · ZAUniversity of Washington · USWorld Health Organization · CH

Funding

Medical Research Council MC_UP_1204/9Wellcome Trust 205184/Z/16/ZWorld Health Organization 001
6 · The paper itself

Abstract

backgroundSurvivors of infant group B streptococcal (GBS) disease are at risk of neurodevelopmental impairment (NDI), a burden not previously systematically quantified. This is the 10th of 11 articles estimating the burden of GBS disease. Here we aimed to estimate NDI in survivors of infant GBS disease.

methodsWe conducted systematic literature reviews (PubMed/Medline, Embase, Latin American and Caribbean Health Sciences Literature [LILACS], World Health Organization Library Information System [WHOLIS], and Scopus) and sought unpublished data on the risk of NDI after invasive GBS disease in infants <90 days of age. We did meta-analyses to derive pooled estimates of the percentage of infants with NDI following GBS meningitis.

resultsWe identified 6127 studies, of which 18 met eligibility criteria, all from middle- or high-income contexts. All 18 studies followed up survivors of GBS meningitis; only 5 of these studies also followed up survivors of GBS sepsis and were too few to pool in a meta-analysis. Of meningitis survivors, 32% (95% CI, 25%-38%) had NDI at 18 months of follow-up, including 18% (95% CI, 13%-22%) with moderate to severe NDI.

conclusionsGBS meningitis is an important risk factor for moderate to severe NDI, affecting around 1 in 5 survivors. However, data are limited, and we were unable to estimate NDI after GBS sepsis. Comparability of studies is difficult due to methodological differences including variability in timing of clinical reviews and assessment tools. Follow-up of clinical cases and standardization of methods are essential to fully quantify the total burden of NDI associated with GBS disease, and inform program priorities.

Indexed as

Streptococcus agalactiaeDevelopmental DisabilitiesGlobal HealthHumansInfantMeningitis, BacterialRisk FactorsStreptococcal InfectionsdisabilityestimateGroup B Streptococcusimpairmentinfants

Identifiers

PMID29117331
PMCPMC5848372
OpenAlexW2767306302

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.