Evidence map›Paper›PMID 30462264›Full record

ArticleJournal of the Pediatric Infectious Diseases Society2020

Characteristics of Intracranial Group A Streptococcal Infections in US Children, 1997-2014.

Ruth Link-Gelles, Karrie-Ann Toews, William Schaffner, Kathryn M Edwards, Carolyn Wright, Bernard Beall, Brenda Barnes, Brenda Jewell, Lee H Harrison, Pam D Kirley and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the Pediatric Infectious Diseases Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 19% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Group A Streptococcal meningitis in children: a short case series and systematic review.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Frontiers in cellular and infection microbiology · 2025
    Article
  6. Article
  7. Article
  8. Panel 7 - Pathogenesis of otitis media - a review of the literature between 2015 and 2019.International journal of pediatric otorhinolaryngology · 2020
    Review
  9. Acute Mastoiditis Associated withPathogens (Basel, Switzerland) · 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

17 authors at 11 institutions in 1 country.

Ruth Link-GellesRespiratory Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
Karrie-Ann ToewsRespiratory Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
William SchaffnerDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee.
Kathryn M EdwardsDivision of Pediatric Infectious Diseases, Vanderbilt University Medical Center, Nashville, Tennessee.
Carolyn WrightRespiratory Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
Bernard BeallRespiratory Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
Brenda BarnesDepartment of Health Policy, Vanderbilt University Medical Center, Nashville, Tennessee.
Brenda JewellMinnesota Department of Health, St. Paul.
Lee H HarrisonJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Pam D KirleyCalifornia Emerging Infections Program, Oakland.
Lauren LorentzsonGeorgia Department of Public Health, Atlanta.
Deborah AragonColorado Department of Public Health and Environment, Denver.
Susan PetitConnecticut Department of Public Health, Hartford.
Joseph BaretaNew Mexico Department of Health, Santa Fe.
Nancy L SpinaNew York State Department of Health, Albany.
Paul R CieslakOregon Health Authority Public Health Division, Portland.
Chris Van BenedenRespiratory Diseases Branch, Centers for Disease Control and Prevention, Atlanta, Georgia.
Centers for Disease Control and Prevention · USVanderbilt University Medical Center · USColorado Department of Public Health and Environment · USConnecticut Department of Public Health · USGeorgia Department of Public Health · USIbis Reproductive Health · USJohns Hopkins University · USMinnesota Department of Health · USNew Mexico Department of Health · USNew York State Department of Health · USOregon Health Authority · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundFew data on intracranial group A Streptococcus (GAS) infection in children are available. Here, we describe the demographic, clinical, and diagnostic characteristics of 91 children with intracranial GAS infection.

methodsCases of intracranial GAS infection in persons ≤18 years of age reported between 1997 and 2014 were identified by the Centers for Disease Control and Prevention's population- and laboratory-based Active Bacterial Core surveillance (ABCs) system. Medical charts were abstracted using a active, standardized case report form. All available isolates were emm typed. US census data were used to calculate rates.

resultsABCs identified 2596 children with invasive GAS infection over an 18-year period; 91 (3.5%) had an intracranial infection. Intracranial infections were most frequent during the winter months and among children aged <1 year. The average annual incidence was 0.07 cases per 100000 children. For 83 patients for whom information for further classification was available, the principal clinical presentations included meningitis (35 [42%]), intracranial infection after otitis media, mastoiditis, or sinusitis (34 [41%]), and ventriculoperitoneal shunt infection (14 [17%]). Seven (8%) of these infections progressed to streptococcal toxic shock syndrome. The overall case fatality rate was 15%. GAS emm types 1 (31% of available isolates) and 12 (13% of available isolates) were most common.

conclusionsPediatric intracranial (GAS) infections are uncommon but often severe. Risk factors for intracranial GAS infection include the presence of a ventriculoperitoneal shunt and contiguous infections in the middle ear or sinuses.

Indexed as

Streptococcus pyogenesAdolescentAge DistributionBrain DiseasesCentral Nervous System Bacterial InfectionsChildChild, PreschoolFemaleHumansIncidenceInfantMaleMastoiditisMeningitis, BacterialOtitis MediaRisk Factorsgroup A Streptococcusmastoiditismeningitissinusitisventriculoperitoneal shunt

Identifiers

PMID30462264
PMCPMC8931553
OpenAlexW2904574536

What OpenQuestion holds

Textmetadata
LicenceTDM
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.