Group B streptococcus in the Northern Territory in 2023: clindamycin down but not out.


Journal

Communicable diseases intelligence (2018)
ISSN: 2209-6051
Titre abrégé: Commun Dis Intell (2018)
Pays: Australia
ID NLM: 101735394

Informations de publication

Date de publication:
21 09 2023
Historique:
received: 13 09 2023
medline: 12 10 2023
pubmed: 11 10 2023
entrez: 11 10 2023
Statut: epublish

Résumé

Group B streptococcus (GBS) is a significant cause of perinatal morbidity and mortality; prophylactic antibiotics in the obstetric population can mitigate the risk of neonatal infection. The antibiotic of choice is penicillin; however, in women who have a penicillin hypersensitivity, clindamycin is the preferred agent. Worldwide resistance to clindamycin is rising in GBS isolates. In the Top End of the Northern Territory of Australia, we reviewed 113 GBS isolates in 2023. These GBS isolates revealed a 30% resistance to clindamycin. This rate has considerably increased since the Australia-wide survey published in 2011 where GBS resistance to clindamycin was quoted at 4.2%. As a result of this study, we are advocating for a change in practice in patients with known GBS resistance with penicillin hypersensitivity.

Identifiants

pubmed: 37817335
doi: 10.33321/cdi.2023.47.52
doi:

Substances chimiques

Anti-Bacterial Agents 0
Clindamycin 3U02EL437C

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© Commonwealth of Australia CC BY-NC-ND

Auteurs

Kate E Proudmore (KE)

Advanced Trainee Infectious Diseases and Acute and General Care Medicine; Territory Pathology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.;Department of Microbiology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.. kate.proudmore@nt.gov.au.

Ma Nu Nu Swe (MNN)

Territory Pathology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.; Department of Microbiology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.

May Leitch (M)

Territory Pathology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.; Department of Microbiology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.

Kim Clayfield (K)

Territory Pathology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.; Department of Microbiology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.

Jann Hennessy (J)

Territory Pathology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.; Department of Microbiology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.

Rob W Baird (RW)

Territory Pathology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.; Clinical Microbiologist and Director of Pathology, Territory Pathology, Royal Darwin Hospital, Rocklands Drive TIWI NT 0810 Australia.

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