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Updated: Aug 24, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
[Screening for hemolytic streptococcus group B in pregnancy and prevention of infection in neonates]
1II. gynekologicko-pôrodnícka klinika LFUK a FNsP, Ruzinov, Bratislava, Slovenská republika.
Insights
Implementing Group B streptococcus (GBS) screening and intrapartum antibiotic prophylaxis significantly reduced GBS disease incidence in newborns. This proactive approach prevented GBS infections in the screened and treated group.
Area of Science:
- Obstetrics and Gynecology
- Neonatal Medicine
- Infectious Diseases
Background:
- Group B streptococcus (GBS) poses a significant risk for neonatal infections.
- Effective screening and prophylaxis strategies are crucial for preventing GBS disease in newborns.
Purpose of the Study:
- To evaluate the impact of GBS screening and intrapartum antibiotic prophylaxis on the incidence of GBS disease in newborns.
- To assess the effectiveness of GBS prevention protocols in a clinical setting.
Main Methods:
- Prospective non-randomized study involving 3023 newborns.
- Comparison of a study group (GBS screening and prophylaxis) with a control group (no prevention).
- Data collected included GBS disease incidence, forms of GBS neonatal disease, and perinatal deaths.
Main Results:
- Zero cases of GBS disease occurred in the study group of 754 newborns.
- GBS carriers (21.4%) received intrapartum antibiotic prophylaxis (Penicillin G or Clindamycin).
- The control group (2269 newborns) had an incidence of 7.5/1000 GBS neonatal disease cases.
Conclusions:
- A significant reduction in GBS neonatal disease incidence was observed following the implementation of GBS screening and intrapartum antibiotic prophylaxis.
- These preventive measures are effective in decreasing GBS-related neonatal morbidity and mortality.
Objective:
The aim of this study was to evaluate the influence of Group B streptococcus (GBS) screening and intrapartum antibiotic prophylaxis to the incidence of GBS disease in newborns.
Design:
Prospective non-randomised study.
Setting:
IInd Clinic of Obstetric and Gynaecology LFUK and FNsP Ruzinov, Bratislava, Slovakia.
Methods:
We enrolled 3023 newborns (754 in the study group, 2269 in the control group), which were born between 1.9.2000 and 31.3.2003. In both groups we compared following variables: total number of infectious diseases in newborns, number and forms of GBS neonatal disease, number of perinatal death due to GBS disease.
Results:
There was no GBS disease in the study group of 754 newborns. Mothers of these newborns had one screening culture in 35-36th week of gestation. One swab was taken from vagina and anus. GBS carriers (161-21.4%) were administered i.v. intrapartum antibiotic prophylaxis with Penicillin G i.v., or, when allergy to penicillin was in history, with Clindamycin i.v. In the control group of 2269 newborns, whose mothers had no prevention, the incidence of GBS neonatal disease reached 7.5/1000 newborns (17 cases). The incidence of invasive GBS neonatal disease was 2.6/1000 newborns.
Conclusion:
The authors have noticed a significant decrease in incidence of GBS neonatal disease after implication of GBS screening and intrapartum antibiotic prophylaxis.
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