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Neonatal infection with Streptococcus milleri

J Raymond1, M Bergeret, C Francoual

  • 1Department of Microbiology, Hôpital Saint Vincent de Paul, Paris, France.

European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology
|September 1, 1995
PubMed
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Streptococcus milleri, a common bacteria, is an underestimated cause of serious neonatal infections and septic abortions. This study highlights its role in infections among newborns and foetuses, suggesting it

Area of Science:

  • Microbiology
  • Neonatal Medicine
  • Obstetrics

Background:

  • Streptococcus milleri is a commensal bacterium of the female genitourinary tract.
  • Its role as a pathogen in neonates is infrequently reported.
  • Specialized identification methods are required for Streptococcus milleri.

Purpose of the Study:

  • To investigate the incidence and significance of Streptococcus milleri as a cause of neonatal infections.
  • To assess the association between maternal and neonatal infections by Streptococcus milleri.
  • To highlight the potential underestimation of Streptococcus milleri in neonatal sepsis and septic abortion.

Main Methods:

  • Retrospective analysis of bacterial isolates from neonates and foetuses over a one-year period in an obstetrical unit.

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  • Clinical assessment of neonatal infections.
  • Correlation with maternal cultures (blood and vaginal).
  • Main Results:

    • Streptococcus milleri was isolated from nine neonates and one foetus.
    • In seven neonates, Streptococcus milleri was the sole identified pathogen causing infection.
    • Maternal infections (positive blood or vaginal cultures) were noted in four mothers of affected newborns.
    • The bacterium was implicated in cases of neonatal infection and septic abortion.

    Conclusions:

    • Streptococcus milleri may be an underrecognized cause of neonatal infections and pregnancy complications like septic abortion.
    • Increased awareness and appropriate diagnostic methods are crucial for identifying Streptococcus milleri infections in neonates.
    • Further research is warranted to understand the pathogenicity and transmission of Streptococcus milleri in the perinatal period.