Evidence map›Paper›PMID 41065369›Full record

ArticleThe Journal of infectious diseases2026

Prevalence of Candidate Vaccine Targets and Genomic Features of Pediatric Invasive Streptococcus Agalactiae in Japan.

Masashi Kasai, Satoshi Nakano, Shota Koide, Shogo Otake, Meiwa Shibata, Kasumi Ishida-Kuroki, Yo Sugawara, Yukihiro Akeda, Kandai Nozu, Motoyuki Sugai

Abstract readClinical StudyMulticenter Study
In one paragraph

Article in The Journal of infectious diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Clinical and molecular characteristics of Streptococcus agalactiae bacteremia in nonpregnant adults: a single-center analysis over 16 years in Hiroshima, Japan.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2026
    Article
  2. Review
  3. Article
  4. 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

10 authors.

Masashi KasaiDivision of Infectious Disease, Hyogo Prefectural Kobe Children's Hospital, Kobe, Japan.
Satoshi NakanoAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-8987-0250
Shota KoideAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-3970-9119
Shogo OtakeDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Meiwa ShibataDivision of Infectious Diseases, Department of Pediatrics, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.ORCID 0000-0003-1477-1415
Kasumi Ishida-KurokiAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-1694-3711
Yo SugawaraAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0002-9897-3905
Yukihiro AkedaDepartment of Bacteriology I, National Institute of Infectious Diseases, Toyama, Tokyo, Japan.ORCID 0000-0002-5325-4173
Kandai NozuDepartment of Pediatrics, Kobe University Graduate School of Medicine, Kobe, Japan.
Motoyuki SugaiAntimicrobial Resistance Research Center, National Institute of Infectious Diseases, Tokyo, Japan.ORCID 0000-0001-9252-7739

Funding

AMED 24fk0108665AMED 24fk0108699AMED 24wm0225048JSPS KAKENHI 23K07957
6 · The paper itself

Abstract

backgroundStreptococcus agalactiae (Group B Streptococcus, GBS) is a leading cause of invasive neonatal and infant infections, including sepsis and meningitis. This study aimed to estimate the vaccine coverage and characterize the genomic features of pediatric invasive GBS in Japan.

methodsWe conducted a nationwide, multicenter, retrospective genomic surveillance study involving 237 GBS isolates from sterile specimens of children aged ≤15 years across 35 hospitals in Japan between 2004 and 2023. Serotyping, antimicrobial susceptibility testing, and whole-genome sequencing were performed.

resultsThe estimated vaccine coverage was 98.3% for the hexavalent polysaccharide vaccine and 94.9% for the GBS-NN/NN2 protein vaccine. Erythromycin and clindamycin resistance were observed in 61.2% and 43.5%, respectively. Among the 75 CC17 isolates, 59 (78.7%) contained only PI-2B and harbored both ermB and tetO, indicating the predominance of a multidrug-resistant clone. Single nucleotide polymorphism-based analysis revealed evidence of nosocomial transmission and persistent regional circulation, particularly within the ST17 and ST23 lineages.

conclusionsThis study suggests that current maternal GBS vaccine candidates would provide broad coverage for pediatric invasive infections in Japan. The identification of persistent and regionally disseminated lineages highlights the importance of investigating potential, yet, poorly understood, transmission routes, including environmental reservoirs, to inform future prevention strategies.

Indexed as

Streptococcal InfectionsStreptococcal VaccinesStreptococcus agalactiaeAdolescentAnti-Bacterial AgentsChildChild, PreschoolDrug Resistance, Multiple, BacterialFemaleGenome, BacterialHumansInfantInfant, NewbornJapanMaleMicrobial Sensitivity TestsAnti-Bacterial AgentsStreptococcal VaccinesGroup B StreptococcuspediatricStreptococcus agalactiaetransmissionvaccine

Identifiers

PMID41065369
PMCPMC12811887

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.