Evidence map›Paper›PMID 30866792›Full record

Observational studyEmerging microbes & infections2019

Isolation of group B Streptococcus with reduced β-lactam susceptibility from pregnant women.

Hiroaki Moroi, Kouji Kimura, Tomomi Kotani, Hiroyuki Tsuda, Hirotsugu Banno, Wanchun Jin, Jun-Ichi Wachino, Keiko Yamada, Takashi Mitsui, Mamoru Yamashita and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Emerging microbes & infections, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 7% 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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Dairy FarmPathogens (Basel, Switzerland) · 2026
    Article
  6. Article
  7. Genomic Diversity, Virulome, and Resistome ofPathogens (Basel, Switzerland) · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Characteristics ofIranian journal of basic medical sciences · 2023
    Article
  12. Article
  13. Article
  14. Article
  15. Efficient Inhibition ofFrontiers in chemistry · 2021
    Article
  16. Streptococcus agalactiae in pregnant women: serotype and antimicrobial susceptibility patterns over five years in Eastern Sicily (Italy).European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2020
    Article
  17. Group B streptococcal disease in the mother and newborn-A review.European journal of obstetrics, gynecology, and reproductive biology · 2020
    Article
  18. Multidrug-ResistantMicroorganisms · 2020
    Article
  19. Article
  20. 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

12 authors at 2 institutions in 1 country.

Hiroaki Moroia Department of Bacteriology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Kouji Kimuraa Department of Bacteriology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Tomomi Kotanib Department of Obstetrics and Gynecology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Hiroyuki Tsudab Department of Obstetrics and Gynecology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Hirotsugu Bannoa Department of Bacteriology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Wanchun Jina Department of Bacteriology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Jun-Ichi Wachinoa Department of Bacteriology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Keiko Yamadaa Department of Bacteriology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Takashi Mitsuic Kishokai Medical Corporation , Inazawa , Japan.
Mamoru Yamashitac Kishokai Medical Corporation , Inazawa , Japan.
Fumitaka Kikkawab Department of Obstetrics and Gynecology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Yoshichika Arakawaa Department of Bacteriology , Nagoya University Graduate School of Medicine , Nagoya , Japan.
Nagoya University · JPKishokai Medical Corporation · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

β-Lactam antibiotics are first-line agents for the treatment and prevention of group B Streptococcus (GBS) infections. We previously reported clinical GBS isolates with reduced β-lactam susceptibility (GBS-RBS) and characterized them as harbouring amino acid substitutions in penicillin-binding proteins (PBPs). However, to our knowledge, GBS-RBS clinical isolates have never previously been isolated from pregnant women worldwide. We obtained 477 clinical GBS isolates from vaginal/rectal swabs of 4530 pregnant women in Japan. We determined the MICs of seven β-lactams for all 477 clinical isolates. Five clinical isolates showed reduced ceftibuten susceptibility. For these isolates, we performed sequencing analysis of pbp genes. None of the 477 isolates were non-susceptible to penicillin G, ampicillin, and meropenem. For five isolates, the MICs of ceftibuten were relatively high (64-128 μg/ml). Each of these isolates possessed a single amino acid substitution in PBP2X, and some of the substitutions had been previously found in GBS with reduced penicillin susceptibility. This is the first report of the isolation of clinical GBS-RBS isolates harbouring amino acid substitutions in PBP2X that confer reduced ceftibuten susceptibility from pregnant women.

Indexed as

Amino Acid Substitutionbeta-Lactam ResistanceBacterial ProteinsCeftibutenFemaleHumansJapanMicrobial Sensitivity TestsPenicillin-Binding ProteinsPregnancyRectumSequence Analysis, DNAStreptococcus agalactiaeVaginaBacterial ProteinsCeftibutenPenicillin-Binding ProteinsGBSGroup Bpregnant womenreduced -lactam susceptibility

Identifiers

PMID30866792
PMCPMC6455180
OpenAlexW2909853524

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.