Evidence map›Paper›PMID 33553474›Full record

ArticleOpen forum infectious diseases2021

Low but Increasing Prevalence of Reduced Beta-lactam Susceptibility Among Invasive Group B Streptococcal Isolates, US Population-Based Surveillance, 1998-2018.

Miwako Kobayashi, Lesley McGee, Sopio Chochua, Mirasol Apostol, Nisha B Alden, Monica M Farley, Lee H Harrison, Ruth Lynfield, Paula Snippes Vagnone, Chad Smelser and 6 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Penicillin-Binding Proteins inAntibiotics (Basel, Switzerland) · 2026
    Review
  3. Article
  4. Article
  5. Genomic characterization of group BMicrobial genomics · 2025
    Article
  6. Article
  7. Genomic Analysis of Group BOpen forum infectious diseases · 2023
    Article
  8. Article
  9. Article
  10. Population genetics of group BFrontiers in microbiology · 2023
    Article
  11. A review of penicillin binding protein and group AFrontiers in cellular and infection microbiology · 2023
    Review
  12. Article
  13. Article
  14. 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

16 authors at 8 institutions in 1 country.

Miwako KobayashiDivision of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Lesley McGeeDivision of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Sopio ChochuaDivision of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-8222-7353
Mirasol ApostolCalifornia Emerging Infections Program, Oakland, California, USA.
Nisha B AldenColorado Department of Public Health and Environment, Denver, Colorado, USA.
Monica M FarleyEmory University School of Medicine and the Atlanta VA Medical Center, Atlanta, Georgia, USA.
Lee H HarrisonUniversity of Pittsburgh Department of Medicine, Pittsburgh, Pennsylvania, USA.
Ruth LynfieldMinnesota Department of Health, Saint Paul, Minnesota, USA.
Paula Snippes VagnoneMinnesota Department of Health, Saint Paul, Minnesota, USA.
Chad SmelserNew Mexico Department of Health, Santa Fe, New Mexico, USA.
Alison MuseNew York State Department of Health, Albany, New York, USA.
Ann R ThomasOregon Public Health Division, Portland, Oregon, USA.
Li DengDivision of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Benjamin J MetcalfDivision of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Bernard W BeallDivision of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Stephanie J SchragDivision of Bacterial Diseases, National Center for Immunizations and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Centers for Disease Control and Prevention · USMinnesota Department of Health · USColorado Department of Public Health and Environment · USEmory University · USNew Mexico Department of Health · USNew York State Department of Health · USOregon Health Authority · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInvasive group B

methodsWe analyzed iGBS isolates from 8 multistate population-based surveillance sites from 1998 to 2018. During 1998-2014, phenotypic antimicrobial susceptibility was determined by broth microdilution; criteria for 6 antibiotics were used to identify RBLS, followed by whole-genome sequencing (WGS). WGS for all isolates was added in 2015; we used phenotypic and genotypic results of >2000 isolates to validate phenotypic RBLS criteria and genotypic predictions. Since 2016, WGS has been used to screen for RBLS with broth microdilution confirmation of predicted RBLS isolates.

resultsOf 28 269 iGBS isolates, 28 (0.1%) were nonsusceptible by CLSI criteria; 137 (0.5%) met RBLS criteria. RBLS isolates were detected in all Active Bacterial Core surveillance sites. The RBLS proportion increased, especially since 2013 (odds ratio, 1.17; 95% CI, 1.03-1.32); the proportion that were nonsusceptible remained stable.

conclusionsThe RBSL proportion was low but increasing among US iGBS isolates. Ongoing monitoring is needed to detect emerging threats to prevention and treatment of GBS infections.

Indexed as

group B Streptococcuspenicillin binding protein 2xreduced beta-lactam susceptibilitywhole-genome sequencing

Identifiers

PMID33553474
PMCPMC7850125
OpenAlexW3114144734

What OpenQuestion holds

Textmetadata
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.