Evidence map›Paper›PMID 33436658›Full record

ArticleScientific reports2021

Trends in molecular characteristics and antimicrobial resistance of group B streptococci: a multicenter study in Serbia, 2015-2020.

Dusan Kekic, Ina Gajic, Natasa Opavski, Milan Kojic, Goran Vukotic, Aleksandra Smitran, Lidija Boskovic, Marina Stojkovic, Lazar Ranin

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 9% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
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  3. Molecular epidemiology ofMicrobial genomics · 2023
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  8. Antibiotic Resistance and Serotypes Distribution inPolish journal of microbiology · 2024
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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

9 authors at 3 institutions in 2 countries.

Dusan Kekic *Institute for Microbiology and Immunology, Medical Faculty, University of Belgrade, Dr Subotica No. 1, 11000, Belgrade, Serbia. dusan_vk@yahoo.com.
Ina Gajic *Institute for Microbiology and Immunology, Medical Faculty, University of Belgrade, Dr Subotica No. 1, 11000, Belgrade, Serbia.
Natasa OpavskiInstitute for Microbiology and Immunology, Medical Faculty, University of Belgrade, Dr Subotica No. 1, 11000, Belgrade, Serbia.
Milan KojicInstitute of Molecular Genetics and Genetic Engineering, University of Belgrade, 11000, Belgrade, Serbia.
Goran VukoticInstitute of Molecular Genetics and Genetic Engineering, University of Belgrade, 11000, Belgrade, Serbia.
Aleksandra SmitranInstitute for Microbiology and Immunology, Medical Faculty, University of Banja Luka, 78000, Banja Luka, Bosnia and Herzegovina.
Lidija BoskovicDepartment for Microbiology, University Hospital Center "Dr Dragisa Misovic", 11000, Belgrade, Serbia.
Marina StojkovicDepartment for Microbiology, The Obstetrics and Gynaecology Clinic "Narodni Front", 11000, Belgrade, Serbia.
Lazar RaninInstitute for Microbiology and Immunology, Medical Faculty, University of Belgrade, Dr Subotica No. 1, 11000, Belgrade, Serbia.
University of Belgrade · RSUniversity Hospital Center Dr Dragiša Mišović · RSUniversity of Banja Luka · BA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Group B Streptococcus (GBS) is a major cause of neonatal morbidity and mortality. Serbia has not fully implemented preventive measures against GBS neonatal diseases. Therefore, we aimed to assess the maternal GBS colonisation and invasive neonatal disease rate, to reveal the trends of antimicrobial resistance and serotype distribution of GBS from various patient groups. Randomly selected non-invasive (n = 991) and all invasive GBS (n = 80) collected throughout Serbia from 2015 to 2020 were tested for antimicrobial susceptibility, capsular typing, and hvgA detection. Overall, 877/5621 (15.6%) pregnant women were colonised with GBS. Invasive GBS infections incidence in infants (0.18/1000 live births) showed a decreasing trend (0.3 to 0.1/1000 live births). Type III was overrepresented in infants with invasive infections (n = 35, 58.3%), whereas type V predominated among colonised adults (n = 224, 25.5%) and those with noninvasive (n = 37, 32.5%) and invasive infections (n = 8, 40%). The hypervirulent clone III/ST17 was highly associated with invasive infections (n = 28, 35%), particularly late-onset disease (n = 9, 47.4%), showing an increase from 12.3 to 14.8%. The GBS resistance to erythromycin and clindamycin was 26.7% and 22.1%, respectively, with an upward trend. The emergence of the hypervirulent clone III/ST17 and the escalation in GBS resistance highlight an urgent need for continuous monitoring of GBS infections.

Indexed as

Anti-Bacterial AgentsClindamycinDrug Resistance, BacterialErythromycinFemaleHumansInfant, NewbornInfant, Newborn, DiseasesMalePregnancyPregnancy Complications, InfectiousPrevalenceSerbiaStreptococcal InfectionsStreptococcus agalactiaeTime FactorsAnti-Bacterial AgentsClindamycinErythromycin

Identifiers

PMID33436658
PMCPMC7804007
OpenAlexW3118982743

What OpenQuestion holds

Textmetadata
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.