A Population-Based Comparison of Strategies to Prevent Early-Onset Group B Streptococcal Disease in Neonates

Schrag, Stephanie J.; Zell, Elizabeth R.; Lynfield, Ruth; Roome, Aaron; Arnold, Kathryn E.; Harrison, Lee H.; Reingold, Arthur; Stefonek, Karen; Smith, Greg; Gamble, Melanie; Schuchat, Anne

doi:10.1097/00006254-200301000-00004

Cited by 108 publications

(177 citation statements)

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“…This intervention has high effi cacy in preventing early-onset group B streptococcus and has substantially reduced the incidence of early-onset disease since its introduction in the 1990s. 8,9,37 Risk of group B streptococcal disease was two-times less in studies with small proportions (<20%) of infected low-birthweight infants than in studies with proportions ranging from 20-39%. Infants with low birthweight have a high risk of group B streptococcal infection and underrepresentation in a study sample can lead to substantial underestimations.…”

Section: Discussionmentioning

confidence: 93%

“…Intrapartum antibiotic prophylaxis also is not currently reaching the women most in need-those with high-risk home deliveries. 8,89 Emphasis must be placed on improving use of intrapartum antibiotic prophylaxis in low-income settings.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 Prevention of early-onset group B streptococcus has become a realistic option, through the use of intrapartum antibiotics given to pregnant women with risk factors or known carriage of the bacteria (intrapartum antibiotic prophylaxis). [8][9][10] This prophylaxis has been implemented in most high-income countries since the late 1990s, but has been diffi cult to implement in many low-income countries and middle-income countries. [11][12][13] Several group B strepto coccus vaccines are also at various stages of testing and could allow prevention of both early-onset disease and late-onset disease.…”

Section: Introductionmentioning

confidence: 99%

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Group B streptococcal disease in infants aged younger than 3 months: systematic review and meta-analysis

Edmond¹,

Kortsalioudaki²,

Scott³

et al. 2012

The Lancet

533

457

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SummaryBackground Despite widespread use of intrapartum antibiotic prophylaxis, group B streptococcus remains a leading cause of morbidity and mortality in infants in Europe, the Americas, and Australia. However, estimates of disease burden in many countries outside of these regions is not available. We aimed to examine the current global burden of invasive disease and the serotype distribution of group B streptococcus isolates.

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Group B streptococcal disease in infants aged younger than 3 months: systematic review and meta-analysis

Edmond¹,

Kortsalioudaki²,

Scott³

et al. 2012

The Lancet

533

457

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“…[1][2][3][4][5] However, the range of normal maternal temperature during labour is not well described in literature.…”

Section: Introductionmentioning

confidence: 99%

Maternal temperature during labour

Schouten

Wolf

Smit

et al. 2008

BJOG

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Objective The aim of this study was to describe the variation of normal maternal temperature during labour. Design A prospective cohort study. Setting Two hospitals in Amsterdam, the Netherlands. Population All women with a live singleton pregnancy and a gestational age of 36 weeks or more admitted to the delivery ward from June 2000 to January 2002. Methods Maternal temperature was measured rectally every 2–3 hours from admission until the beginning of second stage, and 1‐hour postpartum. Normal labour (n = 843) was defined as gestational age ≥37 weeks, spontaneous onset of labour, rupture of membranes <18 hours before birth, normal progress of labour without the need for augmentation or epidural analgesia and spontaneous vaginal delivery of a healthy infant. The remaining group was classified as abnormal (n = 2209). Main outcome measures Rectal measured temperature in degrees Celsius. Results The mean temperature during labour in the complete study population increased from 37.1°C at the beginning of labour to 37.4°C after 22 hours. Temperature in the abnormal labour group was equal to the normal labour group during the first 3 hours of labour (P > 0.05) but increased thereafter. Conclusions At the beginning of labour, temperature was 37.1°C. Temperature increased slowly during labour and was 37.4°C (2SD 1.2) after 22 hours. The upper 2SD limit for normal temperature did not follow a circadian pattern and time of day is not relevant for the classification of normal versus elevated temperature.

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“…This was the first large-scale direct comparison of the two prevention strategies. Analysis of this study showed that the screening-based approach was greater than 50% more effective than the risk-based approach (45). The protective effect of the screening approach persisted even after controlling for risk factors associated with early-onset GBS disease (eg, preterm delivery, prolonged rupture of membranes, young maternal age and black race).…”

mentioning

confidence: 80%

Preventing Group B Streptococcal Infections: New Recommendations

Davies

2002

Canadian Journal of Infectious Diseases and Medical Microbiolog

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A Population-Based Comparison of Strategies to Prevent Early-Onset Group B Streptococcal Disease in Neonates

Cited by 108 publications

References 0 publications

Group B streptococcal disease in infants aged younger than 3 months: systematic review and meta-analysis

Group B streptococcal disease in infants aged younger than 3 months: systematic review and meta-analysis

Maternal temperature during labour

Preventing Group B Streptococcal Infections: New Recommendations

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