Document Detail


Epidemiology of neonatal group B streptococcal disease in the Netherlands before and after introduction of guidelines for prevention.
MedLine Citation:
PMID:  17227807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: (1) To describe the epidemiology of neonatal group B streptococcal (GBS) disease over five years (1997-2001) in the Netherlands, stratified for proven and probable sepsis and for very early (<12 h), late early (12 h - <7 days) and late (7-90 days) onset sepsis. (2) To evaluate the effect of the introduction in January 1999 of guidelines for prevention of early onset GBS disease based on risk factors.
METHODS: Data on cases were collected in collaboration with the Dutch Paediatric Surveillance Unit and corrected for under-reporting by the capture-recapture technique.
RESULTS: Total incidence of proven very early onset, late early onset and late onset GBS sepsis was 0.32, 0.11 and 0.14 per 1000 live births, respectively, and of probable very early onset, late early onset and late onset GBS sepsis was 1.10, 0.18 and 0.02 per 1000 live births, respectively. Maternal risk factors were absent in 46% of the proven early onset cases. Considerably more infants with proven GBS sepsis were boys. 64% of the infants with proven very early onset GBS sepsis were first born compared with 47% in the general population. After the introduction of guidelines the incidence of proven early onset sepsis decreased considerably from 0.54 per 1000 live births in 1997-8 to 0.36 per 1000 live births in 1999-2001. However, there was no decrease in the incidence of meningitis and the case fatality rate in the first week of life. The incidence of late onset sepsis also remained unchanged.
CONCLUSION: After the introduction prevention guidelines based on risk factors there has been a limited decrease in the incidence of proven early onset GBS sepsis in the Netherlands. This study therefore recommends changing the Dutch GBS prevention guidelines.
Authors:
M Trijbels-Smeulders; G A de Jonge; P C M Pasker-de Jong; L J Gerards; A H Adriaanse; R A van Lingen; L A A Kollée
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Publication Detail:
Type:  Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2007-01-16
Journal Detail:
Title:  Archives of disease in childhood. Fetal and neonatal edition     Volume:  92     ISSN:  1359-2998     ISO Abbreviation:  Arch. Dis. Child. Fetal Neonatal Ed.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-22     Completed Date:  2007-07-12     Revised Date:  2013-06-06    
Medline Journal Info:
Nlm Unique ID:  9501297     Medline TA:  Arch Dis Child Fetal Neonatal Ed     Country:  England    
Other Details:
Languages:  eng     Pagination:  F271-6     Citation Subset:  AIM; IM    
Affiliation:
University Medical Centre Nijmegen, Department of Paediatrics, Nijmegen, the Netherlands. Trijbels@planet.nl
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MeSH Terms
Descriptor/Qualifier:
Age of Onset
Antibiotic Prophylaxis
Birth Order
Female
Humans
Incidence
Infant, Newborn
Infectious Disease Transmission, Vertical / prevention & control
Male
Meningitis, Bacterial / epidemiology,  microbiology
Netherlands / epidemiology
Practice Guidelines as Topic
Pregnancy
Pregnancy Complications, Infectious / epidemiology
Risk Factors
Sepsis / epidemiology,  microbiology
Sex Factors
Streptococcal Infections / epidemiology*,  prevention & control*,  transmission
Streptococcus agalactiae*
Comments/Corrections
Comment In:
Arch Dis Child Fetal Neonatal Ed. 2008 May;93(3):F249   [PMID:  18426928 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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