Evidence map›Paper›PMID 33148312›Full record

ArticleAntimicrobial resistance and infection control2020

Association of sexually-transmitted infection and African-American race with Streptococcus agalactiae colonization in pregnancy.

Gerald A Capraro, Sajel Lala, Khaldia Khaled, Elizabeth Gosciniak, Brianna Saadat, Sarah M Alvarez, Seema Kumar, Tara Calhoun, Edward Landry, Gloria Caldito and 2 more

Open access · goldAbstract read
In one paragraph

Article in Antimicrobial resistance and infection control, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Re-framing the importance of Group BInfection and immunity · 2024
    Review
  4. Article
  5. Article
  6. 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

12 authors at 2 institutions in 1 country.

Gerald A CapraroDepartment of Pediatrics, Louisiana State University Health Sciences Center - Shreveport, 1501 Kings Highway, #5-303, Shreveport, LA, 71130, USA.
Sajel LalaDepartment of Pediatrics, Louisiana State University Health Sciences Center - Shreveport, 1501 Kings Highway, #5-303, Shreveport, LA, 71130, USA.
Khaldia KhaledSchool of Medicine, Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA, USA.
Elizabeth GosciniakSchool of Medicine, Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA, USA.
Brianna SaadatSchool of Medicine, Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA, USA.
Sarah M AlvarezDepartment of Pediatrics, Louisiana State University Health Sciences Center - Shreveport, 1501 Kings Highway, #5-303, Shreveport, LA, 71130, USA.
Seema KumarSchool of Medicine, Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA, USA.
Tara CalhounSchool of Medicine, Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA, USA.
Edward LandrySchool of Medicine, Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA, USA.
Gloria CalditoDepartment of Neurology, Louisiana State University Health Sciences Center - Shreveport, Shreveport, LA, USA.
Joseph A BocchiniDepartment of Pediatrics, Louisiana State University Health Sciences Center - Shreveport, 1501 Kings Highway, #5-303, Shreveport, LA, 71130, USA.
John A VanchiereDepartment of Pediatrics, Louisiana State University Health Sciences Center - Shreveport, 1501 Kings Highway, #5-303, Shreveport, LA, 71130, USA. jvanch@LSUHSC.edu.ORCID 0000-0001-6863-4323
Louisiana State University Health Sciences Center Shreveport · USLouisiana State University in Shreveport · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGroup B Streptococcus (GBS) remains a significant cause of neonatal infection, but the maternal risk factors for GBS colonization remain poorly defined. We hypothesized that there may be an association between antibiotic exposure during pregnancy and GBS colonization and/or the presence of inducible clindamycin resistance (iCLI-R) in GBS isolates from GBS-colonized pregnant women.

methodsA retrospective cohort study was performed at Louisiana State University Health Sciences Center - Shreveport including demographic and clinical data from 1513 pregnant women who were screened for GBS between July 1, 2009 and December 31, 2010.

resultsAmong 526 (34.8%) women who screened positive for GBS, 124 (23.6%) carried GBS strains with iCLI-R (GBS-iCLI-R). While antibiotic exposure, race, sexually-transmitted infection (STI) in pregnancy, GBS colonization in prior pregnancy and BMI were identified as risk factors for GBS colonization in univariate analyses, the only independent risk factors for GBS colonization were African-American race (AOR = 2.142; 95% CI = 2.092-3.861) and STI during pregnancy (AOR = 1.309; 95% CI = 1.035-1.653). Independent risk factors for GBS-iCLI-R among women colonized with GBS were non-African-American race (AOR = 2.13; 95% CI = 1.20-3.78) and younger age (AOR = 0.94; 95% CI = 0.91-0.98). Among GBS-colonized women with an STI in the current pregnancy, the only independent risk factor for iCLI-R was Chlamydia trachomatis infection (AOR = 4.31; 95% CI = 1.78-10.41).

conclusionsThis study identified novel associations for GBS colonization and colonization with GBS-iCLI-R. Prospective studies will improve our understanding of the epidemiology of GBS colonization during pregnancy and the role of antibiotic exposure in alterations of the maternal microbiome.

Indexed as

Black or African AmericanAdolescentAdultClindamycinDrug Resistance, BacterialFemaleHumansMiddle AgedPregnancyPregnancy Complications, InfectiousRetrospective StudiesRisk FactorsSexually Transmitted DiseasesStreptococcus agalactiaeVaginaYoung AdultClindamycinAzithromycinGroup B StreptococcusInducible clindamycin resistancePregnancySexually transmitted infections

Identifiers

PMID33148312
PMCPMC7640462
OpenAlexW3097710399

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.