Evidence map›Paper›PMID 29310577›Full record

ArticleBMC infectious diseases2018

Epidemiology of invasive group B streptococcal disease in infants from urban area of South China, 2011-2014.

Xiaoshan Guan, Xiaoping Mu, Wenjing Ji, Chunlei Yuan, Ping He, Lian Zhang, Yanfen Huang, Juan Li, Jianfeng Chen, Huamin Zhong and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Clinical Risk Factors Associated With Late-Onset Invasive Group B Streptococcal Disease: Systematic Review and Meta-Analyses.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2022
    Pooled it
  3. Article
  4. Colonisation of Group BBMJ open · 2023
    Article
  5. The Clinical and Genetic Characteristics ofInternational journal of molecular sciences · 2023
    Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. ComplicatedMicroorganisms · 2021
    Article
  11. Diagnostic Performance of Various Methodologies for Group B SFrontiers in cellular and infection microbiology · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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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

17 authors at 5 institutions in 1 country.

Xiaoshan GuanClinical Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No.9 Jinsui Road, Guangzhou, Guangdong Province, 510623, People's Republic of China.
Xiaoping MuClinical Laboratory, Guangdong Women and Children's Hospital, Guangzhou, Guangdong, China.
Wenjing JiDepartment of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Chunlei YuanClinical Laboratory, Zhongshan Boai Hospital, No.6 Chenggui Road, Zhongshan, Guangdong Province, 528403, People's Republic of China. chunleiyuan1971@139.com.
Ping HeDepartment of Gynecology and Obstetrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
Lian ZhangDepartment of Neonatalogy, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
Yanfen HuangClinical Laboratory, Guangdong Women and Children's Hospital, Guangzhou, Guangdong, China.
Juan LiClinical Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No.9 Jinsui Road, Guangzhou, Guangdong Province, 510623, People's Republic of China.
Jianfeng ChenClinical Laboratory, Zhongshan Boai Hospital, No.6 Chenggui Road, Zhongshan, Guangdong Province, 528403, People's Republic of China.
Huamin ZhongClinical Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No.9 Jinsui Road, Guangzhou, Guangdong Province, 510623, People's Republic of China.
Shuyin PangClinical Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No.9 Jinsui Road, Guangzhou, Guangdong Province, 510623, People's Republic of China.
Nan TanClinical Laboratory, Zhongshan Boai Hospital, No.6 Chenggui Road, Zhongshan, Guangdong Province, 528403, People's Republic of China.
Qiulian DengClinical Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No.9 Jinsui Road, Guangzhou, Guangdong Province, 510623, People's Republic of China.
Kankan GaoClinical Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No.9 Jinsui Road, Guangzhou, Guangdong Province, 510623, People's Republic of China.
Yu-Ping HuangGuangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
Chien-Yi ChangGuangzhou Institute of Pediatrics, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, Guangdong, China.
Haiying LiuClinical Laboratory, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, No.9 Jinsui Road, Guangzhou, Guangdong Province, 510623, People's Republic of China. xiangliuhaiying@aliyun.com.ORCID 0000-0001-5680-3492
Guangzhou Medical University · CNBoai Hospital of Zhongshan · CNGuangdong Province Women and Children Hospital · CNGuangzhou Women and Children Medical Center · CNXi'an Jiaotong University · CN

Funding

Guangdong provincial science and technology planning projects 2014A020212246Health and Family Planning Commission of Guangzhou Municipality 20151A010034
6 · The paper itself

Abstract

backgroundGroup B Streptococcus (GBS) is a leading cause of morbidity and mortality in infants in both developed and developing countries. To our knowledge, only a few studies have been reported the clinical features, treatment and outcomes of the GBS disease in China. The severity of neonatal GBS disease in China remains unclear. Population-based surveillance in China is therefore required.

methodsWe retrospectively collected data of <3 months old infants with culture-positive GBS in sterile samples from three large urban tertiary hospitals in South China from Jan 2011 to Dec 2014. The GBS isolates and their antibiotic susceptibility were routinely identified in clinical laboratories in participating hospitals. Serotyping and multi-locus sequence typing (MLST) were also conducted for further analysis of the neonatal GBS disease.

resultsTotal 70 cases of culture-confirmed invasive GBS infection were identified from 127,206 live births born in studying hospitals, giving an overall incidence of 0.55 per 1000 live births (95% confidence interval [CI] 0.44-0.69). They consisted of 49 with early-onset disease (EOD, 0.39 per 1000 live births (95% CI 0.29-0.51)) and 21 with late-onset disease (LOD, 0.17 per 1000 live births (95% CI 0.11-0.25)). The incidence of EOD increased significantly over the studying period. Five infants (4 EOD and 1 LOD) died before discharge giving a mortality rate of 7.1% and five infants (7.1%, 2 EOD and 3 LOD) had neurological sequelae. Within 68 GBS isolates from GBS cases who born in the studying hospitals or elsewhere, serotype III accounted for 77.9%, followed by Ib (14.7%), V (4.4%), and Ia (2.9%). MLST analysis revealed the presence of 13 different sequence types among the 68 GBS isolates and ST-17 was the most frequent sequence type (63.2%). All isolates were susceptible to penicillin, ceftriaxone, vancomycin and linezolid, while 57.4% and 51.5% were resistant to erythromycin and clindamycin, respectively.

conclusionsThis study gains the insight into the spectrum of GBS infection in south China which will facilitate the development of the guidance for reasonable antibiotics usage and will provide evidence for the implementation of potential GBS vaccines in the future.

Indexed as

Anti-Bacterial AgentsChinaDrug Resistance, BacterialFemaleHumansIncidenceInfantInfant, NewbornInfant, Newborn, DiseasesMaleMultilocus Sequence TypingRetrospective StudiesSerogroupStreptococcal InfectionsStreptococcusAnti-Bacterial AgentsAntimicrobial resistanceGroup B StreptococcusInfantsMultilocus sequence type (MLST)Neonatal infectionsSerotype

Identifiers

PMID29310577
PMCPMC5759214
OpenAlexW2782760004

What OpenQuestion holds

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LicenceCC BY
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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.