Vaccination for Group B Streptococcus during pregnancy: Attitudes and concerns of women and health care providers

Patten, San; Vollman, Ardene Robinson; Manning, Shannon D.; Mucenski, Melissa; Vidakovich, Jeanne; Davies, H. Dele

doi:10.1016/j.socscimed.2005.11.044

Cited by 26 publications

(39 citation statements)

References 40 publications

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“…An Australian study of women's attitudes to GBS and screening 76 showed that most women knew very little about GBS and those who underwent screening did so because it was part of routine care and was perceived to be better for the baby. A qualitative study 77 in Canada found that women did not feel that the low risk associated with GBS warranted the use of antibiotics, and they were also wary of taking a vaccine during pregnancy to prevent infection, should this become available.…”

Section: Acceptability Of Gbs Screeningmentioning

confidence: 99%

“…Alternative methods of preventing GBS transmission were not discussed with the women involved in the study so they could not give their views on their preferences for screening in late pregnancy, the administration of universal prophylactic antibiotics or the possibility of a vaccination being developed to be taken during pregnancy. A small qualitative study 77 found that women in Canada did not feel that the low risk associated with GBS warranted the use of antibiotics but were also wary of taking a vaccine during pregnancy, should this become available. Only those who had direct experience of delivering a baby with GBS infection endorsed the vaccine.…”

Section: Limitations Of the Studymentioning

confidence: 99%

“…The Canadian study cited above showed that how positive women were towards treatment for GBS was dependent on their experience and level of knowledge. 77 In this study those for whom GBS was salient, through their own experience of it, would be expected to have more knowledge. This group was more suspicious that the test could be carried out properly in practice as well as less confident that they would be free to make treatment choices, but, interestingly, this group also reported that they felt that the test was more important than the group for whom GBS was not salient.…”

Section: Findings In the Light Of Limitationsmentioning

confidence: 99%

See 2 more Smart Citations

Rapid testing for group B streptococcus during labour: a test accuracy study with evaluation of acceptability and cost-effectiveness

Daniels

Gray²,

Pattison³

et al. 2009

Health Technol Assess

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How to obtain copies of this and other HTA programme reports An electronic version of this publication, in Adobe Acrobat format, is available for downloading free of charge for personal use from the HTA website (www.hta.ac.uk). A fully searchable CD-ROM is also available (see below).Printed copies of HTA monographs cost £20 each (post and packing free in the UK) to both public and private sector purchasers from our Despatch Agents.Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA programme and lists the membership of the various committees. HTA NIHR Health Technology Assessment programmeT he Health Technology Assessment (HTA) programme, part of the National Institute for Health Research (NIHR), was set up in 1993. It produces high-quality research information on the effectiveness, costs and broader impact of health technologies for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined as all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care. The research findings from the HTA programme directly influence decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC). HTA findings also help to improve the quality of clinical practice in the NHS indirectly in that they form a key component of the 'National Knowledge Service'. The HTA programme is needs led in that it fills gaps in the evidence needed by the NHS. There are three routes to the start of projects. First is the commissioned route. Suggestions for research are actively sought from people working in t...

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Section: Acceptability Of Gbs Screeningmentioning

confidence: 99%

Section: Limitations Of the Studymentioning

confidence: 99%

Section: Findings In the Light Of Limitationsmentioning

confidence: 99%

See 1 more Smart Citation

Rapid testing for group B streptococcus during labour: a test accuracy study with evaluation of acceptability and cost-effectiveness

Daniels

Gray²,

Pattison³

et al. 2009

Health Technol Assess

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show abstract

“…Currently, there is inadequate information available to women regarding GBS and the risks associated with GBS carriage during pregnancy. 45,46 Of women participating in focus groups to explore key issues and concerns that would be associated with GBS vaccination during pregnancy, only those who had, or who had known someone whose baby had been diagnosed with GBS disease, had a comprehensive understanding of GBS. 45 Most did not otherwise take GBS seriously.…”

confidence: 99%

Group B streptococcal conjugate vaccine: A timely concept for which the time has come

Edwards¹

2008

Human Vaccines

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“…GBS vaccines targeting the most virulent neonatal disease serotypes are currently under development. This would overcome growing concerns about the adverse eff ects of antibiotic prophylaxis, and about the development of antibiotic resistance 29 . At present, there is still no vaccine available for clinical use.…”

Section: Discussionmentioning

confidence: 99%

Postnatal penicillin prophylaxis of early-onset group B streptococcal infection in term newborns. A preliminary study

Stillova¹,

Strechova²,

Matasová³

et al. 2007

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background: Early-onset group B Streptococcal disease (EOGBSD) is a serious but preventable neonatal infection. Maternal intrapartum antibiotic prophylaxis (IAP) does not prevent all cases of the disease. Management of asymptomatic neonates of GBS colonized mothers is problematic.Aims: The objective of this prospective study was to determine whether administration of intramuscular penicillin at birth to a strictly defi ned group of term newborns of GBS colonized mothers is an eff ective and safe method to prevent EOGBSD.Methods: A protocol for management of full-term infants born to GBS colonized mothers was created. Either an abnormality of blood count or presence of more than one obstetric risk factor were chosen as the indication criteria for administering postnatal antibiotic prophylaxis (PAP).Results: The study sample consists of 250 newborns (11.5 % of all term infants). PAP was administered in 39 cases. Indication criteria included leucocytosis in 37 cases, leucopenia in 1 case and obstetric risk factors in 1 case. There was no case of clinically manifest infection, and no case of sepsis either suspect or proven.Conclusions: The authors suggest that the strategy of selective PAP using penicillin, may be an eff ective and safe method in order to reduce morbidity and mortality from streptococcal infections. They recommend a combination of IAP and selective PAP.

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Vaccination for Group B Streptococcus during pregnancy: Attitudes and concerns of women and health care providers

Cited by 26 publications

References 40 publications

Rapid testing for group B streptococcus during labour: a test accuracy study with evaluation of acceptability and cost-effectiveness

Rapid testing for group B streptococcus during labour: a test accuracy study with evaluation of acceptability and cost-effectiveness

Group B streptococcal conjugate vaccine: A timely concept for which the time has come

Postnatal penicillin prophylaxis of early-onset group B streptococcal infection in term newborns. A preliminary study

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