Group B streptococcal disease in the mother and newborn-A review.
Antibiotic prophylaxis
GBS
Group B streptococcus
Microbiome
Vaccine
Journal
European journal of obstetrics, gynecology, and reproductive biology
ISSN: 1872-7654
Titre abrégé: Eur J Obstet Gynecol Reprod Biol
Pays: Ireland
ID NLM: 0375672
Informations de publication
Date de publication:
Sep 2020
Sep 2020
Historique:
received:
17
04
2020
revised:
12
06
2020
accepted:
13
06
2020
pubmed:
27
6
2020
medline:
15
5
2021
entrez:
27
6
2020
Statut:
ppublish
Résumé
Group B Streptococcus, a common commensal in the gut of humans and in the lower genital tract in women, remains an important cause of neonatal mortality and morbidity. The incidence of early onset disease has fallen markedly in countries that test women for carriage at 35-37 weeks of pregnancy and then offer intrapartum prophylaxis with penicillin during labour. Countries that do not test, but instead employ a risk factor approach, have not seen a similar fall. There are concerns about the effect on the neonatal microbiome of widespread use of antibiotic prophylaxis during labour, but so far the effects seem minor and temporary. Vaccination against GBS would be acceptable to most women and GBS vaccines are in the early stages of development. Tweetable abstract: Group B Strep is a key cause of infection, death and disability in young babies. Antibiotics given in labour remain the mainstay of prevention, until a vaccine is available.
Identifiants
pubmed: 32586597
pii: S0301-2115(20)30391-2
doi: 10.1016/j.ejogrb.2020.06.024
pmc: PMC7295463
pii:
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
526-533Subventions
Organisme : Medical Research Council
ID : MC_PC_17221
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R005990/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R005990/2
Pays : United Kingdom
Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors do not have any other conflicts of interest to declare.
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