Evidence map›Paper›PMID 31851721›Full record

ArticlePloS one2019

Determinants of Group B streptococcal virulence potential amongst vaginal clinical isolates from pregnant women.

Lindsey R Burcham, Brady L Spencer, Lauryn R Keeler, Donna L Runft, Kathryn A Patras, Melody N Neely, Kelly S Doran

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Penicillin-Binding Proteins inAntibiotics (Basel, Switzerland) · 2026
    Review
  5. Review
  6. Evidence of a novel sublineage ofMicrobial genomics · 2025
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  7. First Report ofMicroorganisms · 2025
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  8. Multidrug resistance in group BJournal of medical microbiology · 2025
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  9. Analysis of serotype distribution and characteristics of nonhemolytic and nonpigmented strains among group B Streptococcus isolates in a southern Taiwan local hospital.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Article
  10. Article
  11. Re-framing the importance of Group BInfection and immunity · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Distribution and Prevalence of Serotypes of Group BMaternal-fetal medicine (Wolters Kluwer Health, Inc.) · 2023
    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

7 authors at 3 institutions in 1 country.

Lindsey R BurchamDepartment of Immunology and Microbiology, University of Colorado, Aurora, CO, United States of America.
Brady L SpencerDepartment of Immunology and Microbiology, University of Colorado, Aurora, CO, United States of America.
Lauryn R KeelerDepartment of Biology, San Diego State University, San Diego, CA, United States of America.
Donna L RunftDepartment of Molecular & Biomedical Sciences, University of Maine, Orono, ME, United States of America.
Kathryn A PatrasDepartment of Biology, San Diego State University, San Diego, CA, United States of America.
Melody N NeelyDepartment of Molecular & Biomedical Sciences, University of Maine, Orono, ME, United States of America.
Kelly S DoranDepartment of Immunology and Microbiology, University of Colorado, Aurora, CO, United States of America.ORCID 0000-0003-4232-6837
San Diego State University · USUniversity of Colorado Anschutz Medical Campus · USUniversity of Maine · US

Funding

TRAINING PROGRAM IN IMMUNOLOGYT32AI007405 · NIAID · UNIVERSITY OF COLORADO DENVER · PI Laurel L Lenz, Raul Martin Torres · 1991 to 2026
$10.5M
Blood-brain barrier in bacterial meningitisR01NS051247 · NINDS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DORAN, KELLY S · 2006 to 2015
$3.2M
NIAID NIH HHS T32 AI007405NINDS NIH HHS R01 NS051247
6 · The paper itself

Abstract

Streptococcus agalactiae, also known as Group B Streptococcus (GBS), is a Gram-positive bacterium isolated from the vaginal tract of approximately 25% of women. GBS colonization of the female reproductive tract is of particular concern during pregnancy as the bacteria can invade gestational tissues or be transmitted to the newborn during passage through the birth canal. Infection of the neonate can result in life-threatening pneumonia, sepsis and meningitis. Thus, surveillance of GBS strains and corresponding virulence potential during colonization is warranted. Here we describe a panel of GBS isolates from the vaginal tracts of a cohort of pregnant women in Michigan, USA. We determined that capsular serotypes III and V were the most abundant across the strain panel, with only one isolate belonging to serotype IV. Further, 12.8% of strains belonged to the hyper-virulent serotype III, sequence type 17 (ST-17) and 15.4% expressed the serine rich repeat glycoprotein-encoding gene srr2. Functional assessment of the colonizing isolates revealed that almost all strains exhibited some level of β-hemolytic activity and that ST-17 strains, which express Srr2, exhibited increased bacterial adherence to vaginal epithelium. Finally, analysis of strain antibiotic susceptibility revealed the presence of antibiotic resistance to penicillin (15.4%), clindamycin (30.8%), erythromycin (43.6%), vancomycin (30.8%), and tetracycline (94.9%), which has significant implications for treatment options. Collectively, these data provide important information on vaginal GBS carriage isolate virulence potential and highlight the value of continued surveillance.

Indexed as

Bacterial AdhesionDrug Resistance, MicrobialFemaleHumansMichiganPregnancyPregnancy Complications, InfectiousSerotypingStreptococcal InfectionsStreptococcus agalactiaeVaginaVirulence

Identifiers

PMID31851721
PMCPMC6919605
OpenAlexW2995511806

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.