[Screening for hemolytic streptococcus group B in pregnancy and prevention of infection in neonates]

L Janek1, K Holomán, P Suska

  • 1II. gynekologicko-pôrodnícka klinika LFUK a FNsP, Ruzinov, Bratislava, Slovenská republika.

Ceska Gynekologie
|May 15, 2004
PubMed

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.
Abstract

Related Concept Videos

Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Transmission-based Precautions I: Contact, Enteric, and Droplets01:17

Transmission-based Precautions I: Contact, Enteric, and Droplets

Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Transmission-based Precautions II: Airborne and Protective Environment01:25

Transmission-based Precautions II: Airborne and Protective Environment

Transmission-based precautions are for patients infected or suspected to be infected (or colonized) with organisms posing a significant risk to others. The transmission precautions include airborne and protective environment precautions.
Airborne precautions:
Use airborne precautions when treating patients known or suspected to have diseases that spread through the air—for example, tuberculosis or measles. These organisms are present in smaller droplets expelled by an infected person and...
Respiratory Syncytial Virus Disease01:29

Respiratory Syncytial Virus Disease

Human respiratory syncytial virus (RSV) is a widespread pathogen that primarily targets infants and young children but also poses a serious health risk to elderly and immunocompromised individuals. Belonging to the Pneumoviridae family, RSV is a negative-sense, single-stranded RNA virus within the Pneumovirus genus. Its global health burden is significant, with millions of cases annually resulting in hospitalizations and mortality, particularly in resource-limited settings. Although most...