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Risk factors for neonatal early-onset group B streptococcus-related diseases after the implementation of a universal

Li-Chen Hung1,2, Pei-Tseng Kung3,4, Tsan-Hung Chiu5

  • 1Department of Public Health, China Medical University, Taichung, Taiwan, Republic of China.

BMC Public Health
|April 4, 2018
PubMed

Insights

Universal Group B Streptococcus (GBS) screening significantly reduced early-onset GBS infections in newborns by 80%. This program lessened the impact of socioeconomic factors and high-risk pregnancies on neonatal GBS disease.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Infectious Diseases

Background:

  • Group B Streptococcus (GBS) poses a risk for neonatal diseases.
  • Universal GBS screening in pregnant women is a key public health strategy.
  • Understanding factors influencing neonatal GBS morbidity is crucial.

Purpose of the Study:

  • To evaluate the effectiveness of a universal GBS screening program on neonatal disease risk.
  • To identify factors affecting morbidity in early-onset GBS-related neonatal diseases.

Main Methods:

  • Retrospective study of women and newborns between April 2012 and December 2013.
  • Utilized GBS screening and National Health Insurance databases.
  • Calculated GBS prevalence in pregnant women and neonatal morbidity rates.

Main Results:

  • GBS prevalence in pregnant women was 19.58%.
  • Early-onset GBS infection rate in newborns decreased by 80% (from 0.1% to 0.02%).
  • Positive GBS screening, CCI, and preterm birth remained significant factors for neonatal morbidity.

Conclusions:

  • Universal GBS screening effectively reduces neonatal early-onset GBS infection rates.
  • The program diminishes the influence of socioeconomic factors and high-risk pregnancies on GBS infections.
Abstract

Keywords:
Early-onset GBS-related diseaseGroup B streptococcusNewbornPreterm birthUniversal screening

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