Recurrence of Group B Streptococci Colonization in Subsequent Pregnancy

Turrentine, Mark A.; Ramírez, Mildred

doi:10.1097/aog.0b013e31817f5cb9

Cited by 31 publications

(32 citation statements)

References 13 publications

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“…Among American women, rates of recurrent GBS colonization are reported between 40% and 53%, while among women who tested GBS negative in a prior pregnancy, GBS colonization is 15% to 19%. [10][11][12] Together with the present study, these results suggest that a 40% to 50% recurrent colonization risk is a reasonable estimate and also support the generalizability of our observations, in which cases were ascertained using unselected culture results from a single center. None of these reports, including the present study, allow differentiation between persistent colonization and new colonization, a distinction that would require molecular analysis not routinely performed in clinical labs.…”

Section: Discussionsupporting

confidence: 87%

“…Between 13% and 54% of women with an initial positive culture will no longer be colonized at the time of delivery. [5][6][7][8] Recurrent GBS colonization between pregnancies is reported at rates of 38% to 53%, [9][10][11][12] but a clear understanding of the factors influencing GBS colonization over time is lacking. We posited that if microbiological and clinical risk factors for colonization could be identified from an index pregnancy, an opportunity may exist to use this information in the management of a subsequent pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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Recurrence of group B streptococcus colonization in successive pregnancies

Colicchia

Lauderdale

et al. 2014

J Perinatol

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Section: Discussionsupporting

confidence: 87%

Section: Introductionmentioning

confidence: 99%

Recurrence of group B streptococcus colonization in successive pregnancies

Colicchia

Lauderdale

et al. 2014

J Perinatol

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“…Furthermore, in view of the fact that in the surveyed group there were a considerable number of women aged over 30 years (about 33%), some of them could have given birth to children in the times when Streptococcus agalactiae disease prophylaxis was not commonly used. Cheng et al and Turrentine et al are of opinion that, if the phenomenon of GBS colonisation occurs in the first pregnancy, then its return in any subsequent pregnancy is highly probable [7,21]. Nonetheless, as the tests show, it is the primiparas that more frequently did a GBS test (86.4%) and were more aware that it was obligatory (13.6%).…”

Section: Discussionmentioning

confidence: 95%

Demographic conditioning of awareness of prophylaxis against Streptococcus agalactiae (GBS) infections among parturients

Bąk¹,

Sikorski²,

Woźniak³

2016

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Introduction: Infection with Streptococcus agalactiae (group B Streptococcus -GBS) is a frequent cause of serious complications in the neonatal period. Circa 10-30% of pregnant women are carriers of this streptococcus. Current prophylaxis of GBS infections is an elementary way of defining whether there is a risk of the child's infection. The achieved research result determines further perinatal proceedings. Aim of the research:To determine how such factors as age, residence, education, and current women's parity influence their awareness concerning prophylaxis of infections with Streptococcus agalactiae. The research also analysed women's knowledge of threats to their health related to the presence of GBS infections. Material and methods: Analysis of 164 author's questionnaires completed by women giving birth at the labour ward in the early delivery stage. The results were analysed in view of statistical accordance of measurable qualities by means of c 2 test. For statistical conclusions, the significance level of p < 0.05 was adopted. Results and conclusions: Older pregnant women in comparison with the younger ones more frequently realise the importance of the GBS prophylaxis. Women from the urban environment have greater awareness of the GBS prophylaxis than women from the rural environment. An increase in the level of education is related to an increase in the GBS prophylaxis awareness. Women in their first pregnancy have a greater knowledge of the standards of pregnancy proceedings connected with GBS than women who have already given birth to a child.

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“…[25,26] Although some women with GBS colonisation during a pregnancy will be colonised during subsequent pregnancies, a substantial proportion will not. [27,28] The gastrointestinal tract serves as the primary reservoir for GBS and is the likely source of vaginal colonisation. Heavy colonisation, defi ned as culture of GBS from direct plating rather than from selective broth only, is associated with higher risk of early onset disease.…”

Section: Risk Factors For Eogbs Diseasementioning

confidence: 99%

Prevention of perinatal group B streptococcal infections: A review with an Indian perspective

Narava

Rajaram

Ramadevi

et al. 2014

Indian Journal of Medical Microbiology

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Group B Streptococcus (GBS) is an important cause of maternal and neonatal morbidity and mortality in many parts of the world. Asymptomatic colonisation of the vagina and rectum with Group B streptococci is common in pregnancy. Maternal colonisation of GBS can vary depending on ethnicity and geographical distribution. Vertical transmission of this organism from mother to foetus may lead to neonatal GBS disease. Intra-partum use of antibiotics in these women has led to a decrease in the rate of early onset but not late onset GBS disease. Identification of women with GBS is the key factor in the prevention of perinatal GBS disease. There are different screening strategies available to identify women at risk of perinatal GBS disease. Clinicians continue to face the challenge of choosing between preventive strategies to reduce the impact of perinatal GBS disease. Controversy exists regarding the ideal preventive strategy. In India, the mortality and morbidity associated with the GBS disease remains largely a under-recognised problem. This comprehensive review summarises the salient features of GBS disease and discusses the epidemiology, risk factors, screening strategies, intra-partum antibiotic prophylaxis with an Indian perspective and how it compares with the Western nations.

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Recurrence of Group B Streptococci Colonization in Subsequent Pregnancy

Abstract: Women with GBS colonization are at increased risk of GBS colonization in a subsequent pregnancy. Prior GBS colonization should be considered in the algorithm to treat unknown GBS status during term labor.

Cited by 31 publications

References 13 publications

Recurrence of group B streptococcus colonization in successive pregnancies

Recurrence of group B streptococcus colonization in successive pregnancies

Demographic conditioning of awareness of prophylaxis against Streptococcus agalactiae (GBS) infections among parturients

Prevention of perinatal group B streptococcal infections: A review with an Indian perspective

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