Evidence map›Paper›PMID 30109241›Full record

ArticleOpen forum infectious diseases2018

Increasing Rates of Invasive Group A Streptococcal Disease in Alberta, Canada; 2003-2017.

Gregory J Tyrrell, Sumana Fathima, Jocelyne Kakulphimp, Christopher Bell

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 4% 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

28 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Risk and determinants of mortality associated with invasive group A streptococcus (iGAS) disease in Scotland: A national surveillance study.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2025
    Article
  4. Article
  5. Molecular and Clinical Characterization of InvasivePathogens (Basel, Switzerland) · 2025
    Article
  6. Review
  7. Article
  8. Invasive group A Streptococcus infection (Streptococcus pyogenes): Current situation in Spain.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2024
    Article
  9. Review
  10. Article
  11. Invasive group A streptococcal (iGAS) surveillance in Island Health, British Columbia, 2022.Canada communicable disease report = Releve des maladies transmissibles au Canada · 2023
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Invasive Group A Streptococcal Infections Among People Who Inject Drugs and People Experiencing Homelessness in the United States, 2010-2017.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  17. Article
  18. Article
  19. Diverse disease processes of group ABMJ case reports · 2021
    Article
  20. A Review ofPathogens (Basel, Switzerland) · 2021
    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

4 authors at 3 institutions in 1 country.

Gregory J TyrrellProvLAB, Alberta Health Services, Edmonton, Alberta, Canada.
Sumana FathimaAlberta Ministry of Health, Edmonton, Alberta, Canada.
Jocelyne KakulphimpProvLAB, Alberta Health Services, Edmonton, Alberta, Canada.
Christopher BellAlberta Ministry of Health, Edmonton, Alberta, Canada.
Ministry of Health · CAAlberta Health Services · CAUniversity of Alberta · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe present an analysis of increasing rates of invasive group A streptococci (iGAS) over a 15-year period in Alberta, Canada.

methodsFrom 2003 to 2017, the

resultsA total of 3551 cases of iGAS were identified in Alberta by isolation of a GAS isolate from a sterile site. The age-standardized incidence rates of iGAS increased from 4.24/100 000 in 2003 to 10.24 in 2017. Rates (SD) were highest in those age <1 (9.69) years and 60+ (11.15) years; 57.79% of the cases were male. Commonly identified risk factors included diabetes, hepatitis C, nonsurgical wounds, addiction, alcohol abuse, drug use, and homelessness. The overall age-standardized case fatality rate was 5.11%. The most common clinical presentation was septicemia/bacteremia (41.84%), followed by cellulitis (17.25%). The top 4

conclusionsThe incidence of iGAS disease in Alberta, Canada, has increased from 2003 to 2017. This increase has been driven not by a single

Indexed as

AlbertaCanadaemm typeGroup A streptococcihigh incidence

Identifiers

PMID30109241
PMCPMC6084600
OpenAlexW2884888675

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.