Evidence map›Paper›PMID 34946181›Full record

ArticleMicroorganisms2021

Invasive Group B Streptococcal Disease in Neonates and Infants, Italy, Years 2015-2019.

Roberta Creti, Monica Imperi, Alberto Berardi, Erika Lindh, Giovanna Alfarone, Marco Pataracchia, Simona Recchia, The Italian Network On Neonatal And Infant Gbs Infections

Open access · goldAbstract read
In one paragraph

Article in Microorganisms, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Prevalence of Group BMedical sciences (Basel, Switzerland) · 2026
    Pooled it
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  3. First case of penicillin-resistantEuro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2026
    Article
  4. Review
  5. CRISPR interference in aJournal of bacteriology · 2026
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  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Prevalence and Antibiotic Resistance ofLife (Basel, Switzerland) · 2024
    Article
  13. Article
  14. Emergence of High-Level Gentamicin Resistance inAntibiotics (Basel, Switzerland) · 2024
    Article
  15. Article
  16. Group B streptococci (GBS) strains evading molecular diagnostics showed novel chromosomal deletions encompassing the CAMP-factor (cfb) encoding gene.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  17. Article
  18. Article
  19. Microorganisms · 2022
    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

8 authors at 2 institutions in 2 countries.

Roberta CretiDepartment of Infectious Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy.ORCID 0000-0003-4290-9039
Monica ImperiDepartment of Infectious Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy.
Alberto BerardiNeonatal Intensive Care Unit, Azienda Ospedaliero-Universitaria Policlinico, 41125 Modena, Italy.ORCID 0000-0002-3534-7499
Erika LindhDepartment of Infectious Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy.ORCID 0000-0002-9168-1053
Giovanna AlfaroneDepartment of Infectious Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy.
Marco PataracchiaDepartment of Infectious Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy.
Simona RecchiaDepartment of Infectious Diseases, Istituto Superiore di Sanità, 00161 Rome, Italy.
The Italian Network On Neonatal And Infant Gbs Infections
Istituto Superiore di Sanità · ITAzienda Ospedaliero-Universitaria di Modena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive infections by group B streptococci (iGBS) are the leading cause of sepsis and meningitis in the first three months of life worldwide. The clinical and microbiological characteristics of neonatal and infant iGBS in Italy during the years 2015-2019 were investigated. Voluntary-based surveillance reported 191 cases (67 early-onset (EOD) and 124 late-onset disease (LOD)) and 89 bacterial isolates were received. The main clinical manifestations were sepsis (59.2%) followed by meningitis (21.5%), bacteremia (12.0%) and septic shock (6.3%). Hospitalized preterm babies accounted for one third of iGBS and constituted the most fragile population in terms of mortality (8.2%) and brain damage (16.4%). GBS serotype III was predominant in EOD (56%) and caused almost all LOD (95%). The rate of resistance to clindamycin reached 28.8%. Most of clindamycin-resistant GBS strains (76%) were serotype III-ST17 and possessed the genetic markers of the emerging multidrug resistant (MDR) CC-17 sub-clone. Our data revealed that iGBS is changing since it is increasingly reported as a healthcare-associated infection (22.6%), mainly caused by MDR-CC17. Continuous monitoring of the clinical and microbiological characteristics of iGBS remains of primary importance and it represents, at present, the most effective tool to support prevention strategies and the research on the developing GBS vaccine.

Indexed as

GBSgroup B streptococcimulti-drug resistant CC17 sub-cloneneonatal invasive GBS infectionStreptococcus agalactiaesurveillance

Identifiers

PMID34946181
PMCPMC8708122
OpenAlexW4200452888

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.