Evidence map›Paper›PMID 36547864›Full record

ArticleInfection2023

Neonatal invasive disease caused by Streptococcus agalactiae in Europe: the DEVANI multi-center study.

Florens Lohrmann, Markus Hufnagel, Mirjam Kunze, Baharak Afshar, Roberta Creti, Antoaneta Detcheva, Jana Kozakova, Javier Rodriguez-Granger, Uffe B Skov Sørensen, Immaculada Margarit and 10 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Infection, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  14. Mechanisms and Manifestations of Group B Streptococcus Meningitis in Newborns.Journal of the Pediatric Infectious Diseases Society · 2025
    Review
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  17. Frontiers in veterinary science · 2025
    Article
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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

20 authors at 10 institutions in 8 countries.

Florens LohrmannDepartment of Pediatrics and Adolescent Medicine, University Medical Center, Medical Faculty, University of Freiburg, Freiburg, Germany.
Markus HufnagelDepartment of Pediatrics and Adolescent Medicine, University Medical Center, Medical Faculty, University of Freiburg, Freiburg, Germany.
Mirjam KunzeDepartment for Gynecology and Obstetrics, University Medical Center, Medical Faculty, University of Freiburg, Freiburg, Germany.
Baharak AfsharUK Health Security Agency GB, London, UK.
Roberta CretiDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
Antoaneta DetchevaNational Center of Infectious and Parasitic Diseases, Sofia, Bulgaria.
Jana KozakovaNational Institute of Public Health, Prague, Czech Republic.
Javier Rodriguez-GrangerServicio Andaluz de Salud, Hospital Universitario Virgen de Las Nieves, Granada, Spain.
Uffe B Skov SørensenDepartment of Biomedicine, Health, Aarhus University, Aarhus, Denmark.
Immaculada MargaritGSK, Siena, Italy.
Domenico MaioneGSK, Siena, Italy.
Daniela RinaudoGSK, Siena, Italy.
Graziella OreficiDepartment of Infectious Diseases, Istituto Superiore Di Sanità, Rome, Italy.
John TelfordGSK, Siena, Italy.
Manuel de la Rosa FraileServicio Andaluz de Salud, Hospital Universitario Virgen de Las Nieves, Granada, Spain.
Mogens KilianDepartment of Biomedicine, Health, Aarhus University, Aarhus, Denmark.
Androulla EfstratiouUK Health Security Agency GB, London, UK.
Reinhard Berner *Department of Pediatrics, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Pierrette Melin *Department of Clinical Microbiology, National Reference Center Streptococcus agalactiae, University Hospital Center of Liege, Avenue de L'Hôpital, 1, 4000, Liège 1, Belgique. Pierrette.Melin@uliege.be.ORCID http://orcid.org/0000-0002-2159-5774
DEVANI Study Group
Aarhus University · DKCentre Hospitalier Universitaire de Liège · BEUK Health Security Agency · GBUniversity of Freiburg · DEAndalusian Health Service · ESIstituto Superiore di Sanità · ITUniversity Hospital Carl Gustav Carus · DENational Center of Infectious and Parasitic Diseases · BGNational Institute of Public Health · CZUniversity of Liège · BE

Funding

IMM-PACT stipend DFG 413517907Seventh Framework Programme 200481
6 · The paper itself

Abstract

purposeGroup B streptococcus (GBS) remains a leading cause of invasive disease, mainly sepsis and meningitis, in infants < 3 months of age and of mortality among neonates. This study, a major component of the European DEVANI project (Design of a Vaccine Against Neonatal Infections) describes clinical and important microbiological characteristics of neonatal GBS diseases. It quantifies the rate of antenatal screening and intrapartum antibiotic prophylaxis among cases and identifies risk factors associated with an adverse outcome.

methodsClinical and microbiological data from 153 invasive neonatal cases (82 early-onset [EOD], 71 late-onset disease [LOD] cases) were collected in eight European countries from mid-2008 to end-2010.

resultsRespiratory distress was the most frequent clinical sign at onset of EOD, while meningitis is found in > 30% of LOD. The study revealed that 59% of mothers of EOD cases had not received antenatal screening, whilst GBS was detected in 48.5% of screened cases. Meningitis was associated with an adverse outcome in LOD cases, while prematurity and the presence of cardiocirculatory symptoms were associated with an adverse outcome in EOD cases. Capsular-polysaccharide type III was the most frequent in both EOD and LOD cases with regional differences in the clonal complex distribution.

conclusionsStandardizing recommendations related to neonatal GBS disease and increasing compliance might improve clinical care and the prevention of GBS EOD. But even full adherence to antenatal screening would miss a relevant number of EOD cases, thus, the most promising prophylactic approach against GBS EOD and LOD would be a vaccine for maternal immunization.

Indexed as

Pregnancy Complications, InfectiousStreptococcal InfectionsAntibiotic ProphylaxisEuropeFemaleHumansInfantInfant, NewbornPregnancyStreptococcus agalactiaeEarly-onset diseaseGroup B streptococcal vaccineGroup B streptococcusLate-onset diseaseNeonatal infectionStreptococcus agalactiae

Identifiers

PMID36547864
PMCPMC9773664
OpenAlexW4312113980

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.