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Updated: Jun 3, 2026

A Murine Model of Group B Streptococcus Vaginal Colonization
Published on: November 16, 2016
Serotype distribution and invasive potential of group B streptococcus isolates causing disease in infants and
Mashudu Madzivhandila1, Peter V Adrian, Clare L Cutland
1Vaccine Preventable Diseases and Respiratory and Meningeal Pathogens Research Unit, Department of Science and Technology/National Research Foundation, University of Witwatersrand, Johannesburg, South Africa.
Insights
Group B Streptococcus (GBS) serotype III is the most common cause of invasive infant disease. A GBS vaccine targeting serotypes Ia, Ib, and III could prevent a significant percentage of maternal colonization and infant infections.
Area of Science:
- Microbiology
- Vaccinology
- Neonatal Health
Background:
- Group B Streptococcus (GBS) serotype-specific vaccines are under development.
- Understanding GBS epidemiology in maternal colonization and infant invasive disease is crucial for vaccine efficacy.
Purpose of the Study:
- To determine the serotype distribution of GBS in maternal colonization and neonatal invasive disease.
- To evaluate the invasive potential of different GBS serotypes in infants.
- To assess the potential impact of a serotype-specific GBS vaccine.
Main Methods:
- GBS isolates collected from maternal vaginal swabs and newborn skin.
- Invasive GBS isolates identified through laboratory surveillance.
- Serotyping performed using latex agglutination and PCR; invasive potential assessed.
Main Results:
- GBS colonization identified in 52.4% of newborns via maternal vaginal swabs.
- Serotype III was predominant in both colonization (37.3%) and invasive disease (57.7% in neonates <7 days, 84.3% in infants 7-90 days).
- Serotypes Ia, II, and V demonstrated significantly lower invasive potential compared to serotype III.
Conclusions:
- A GBS vaccine including serotypes Ia, Ib, and III could prevent 74.1% of maternal colonization.
- This vaccine could prevent 85.4% of neonatal invasive disease (<7 days) and 98.2% of infant invasive disease (7-90 days).
Background:
Serotype-specific polysaccharide based group B streptococcus (GBS) vaccines are being developed. An understanding of the serotype epidemiology associated with maternal colonization and invasive disease in infants is necessary to determine the potential coverage of serotype-specific GBS vaccines.
Methods:
Colonizing GBS isolates were identified by vaginal swabbing of mothers during active labor and from skin of their newborns post-delivery. Invasive GBS isolates from infants were identified through laboratory-based surveillance. GBS serotyping was done by latex agglutination. Serologically non-typeable isolates were typed by a serotype-specific PCR method. The invasive potential of GBS serotypes associated with sepsis within seven days of birth was evaluated in association to maternal colonizing serotypes.
Results:
GBS was identified in 289 (52.4%) newborns born to 551 women with GBS-vaginal colonization and from 113 (5.6%) newborns born to 2,010 mothers in whom GBS was not cultured from vaginal swabs. The serotype distribution among vaginal-colonizing isolates was as follows: III (37.3%), Ia (30.1%), and II (11.3%), V (10.2%), Ib (6.7%) and IV (3.7%). There were no significant differences in serotype distribution between vaginal and newborn colonizing isolates (P = 0.77). Serotype distribution of invasive GBS isolates were significantly different to that of colonizing isolates (P<0.0001). Serotype III was the most common invasive serotype in newborns less than 7 days (57.7%) and in infants 7 to 90 days of age (84.3%; P<0.001). Relative to serotype III, other serotypes showed reduced invasive potential: Ia (0.49; 95%CI 0.31-0.77), II (0.30; 95%CI 0.13-0.67) and V (0.38; 95%CI 0.17-0.83).
Conclusion:
In South Africa, an anti-GBS vaccine including serotypes Ia, Ib and III has the potential of preventing 74.1%, 85.4% and 98.2% of GBS associated with maternal vaginal-colonization, invasive disease in neonates less than 7 days and invasive disease in infants between 7-90 days of age, respectively.
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