Evidence map›Paper›PMID 30602121›Full record

ArticleEmerging infectious diseases2019

Increased Risk for Invasive Group A Streptococcus Disease for Household Contacts of Scarlet Fever Cases, England, 2011-2016.

Vicky Watts, Sooria Balasegaram, Colin S Brown, Suzanna Mathew, Rachel Mearkle, Derren Ready, Vanessa Saliba, Theresa Lamagni

Abstract readHistorical Article
In one paragraph

Article in Emerging infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Time to negative throat culture following initiation of antibiotics for pharyngeal group AEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Pooled it
  3. Article
  4. Analysis ofmBio · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Increase in invasive group A streptococcal infection notifications, England, 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2023
    Article
  11. Article
  12. Article
  13. Article
  14. A Review ofPathogens (Basel, Switzerland) · 2021
    Review
  15. Out-of-season increase of puerperal fever with group AEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2020
    Article
  16. Analysis of Epidemiological Characteristics of Scarlet Fever in Zhejiang Province, China, 2004-2018.International journal of environmental research and public health · 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

8 authors.

Vicky Watts
Sooria Balasegaram
Colin S Brown
Suzanna Mathew
Rachel Mearkle
Derren Ready
Vanessa Saliba
Theresa Lamagni

Funding

Medical Research Council MR/P022669/1
6 · The paper itself

Abstract

The incidence of scarlet fever in England and Wales is at its highest in 50 years. We estimated secondary household risk for invasive group A Streptococcus (iGAS) disease within 60 days after onset of scarlet fever. Reports of scarlet fever in England during 2011-2016 were matched by residential address to persons with laboratory-confirmed iGAS infections. We identified 11 iGAS cases in ≈189,684 household contacts and a 60-day incidence rate of 35.3 cases/100,000 person-years, which was 12.2-fold higher than the background rate (2.89). Infants and contacts >75 years of age were at highest risk. Three cases were fatal; sepsis and cellulitis were the most common manifestations. Typing for 6 iGAS cases identified emm 1.0 (n = 4), emm 4.0 (n = 1), and emm 12.0 (n = 1). Although absolute risk in household contacts was low, clinicians assessing household contacts should be aware of the risk to expedite diagnosis and initiate life-saving treatment.

Indexed as

Streptococcus pyogenesChildChild, PreschoolEnglandFamily CharacteristicsFemaleHistory, 21st CenturyHumansIncidenceInfantMaleRetrospective StudiesRisk AssessmentRisk FactorsScarlet FeverStreptococcal InfectionsbacteriaEnglandhousehold contactsiGAS diseaseincidenceinvasive group A Streptococcus diseaserespiratory infectionsriskscarlet feverstreptococcal infectionsstreptococciStreptococcus pyogenes

Identifiers

PMID30602121
PMCPMC6390732

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.