Document Detail


Perinatal group B streptococcal disease after universal screening recommendations--United States, 2003-2005.
MedLine Citation:
PMID:  17637595     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Group B streptococcus (GBS) is a leading cause of neonatal morbidity and mortality in the United States. In 2002, CDC, the American College of Obstetricians and Gynecologists (ACOG), and the American Academy of Pediatrics (AAP) issued revised guidelines for the prevention of perinatal GBS disease. These guidelines recommend universal screening of pregnant women by culture for rectovaginal GBS colonization at 35-37 weeks' gestation and the use of intrapartum antibiotic prophylaxis for GBS carriers. To examine rates of neonatal and pregnancy-associated GBS disease after the revised guidelines were issued, CDC analyzed surveillance data from the Active Bacterial Core surveillance (ABCs) system from the period 2003-2005 and compared them with data from 2000-2001, the period immediately preceding the universal screening recommendations. This report describes the results of that analysis, which indicated that annual incidence of early onset GBS disease (i.e., in infants aged 0-6 days) was 33% lower during 2003-2005 than during 2000-2001. However, although incidence among white infants decreased steadily during 2003-2005, incidence increased 70% among black infants. Incidence of GBS disease among infants aged 7-89 days (i.e., late-onset disease) and pregnant women remained stable after revised universal screening guidelines were issued. Continued surveillance is needed to monitor the impact of the guidelines on perinatal GBS disease and trends in racial disparities and to guide interventions to reduce disparities.
Authors:
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  MMWR. Morbidity and mortality weekly report     Volume:  56     ISSN:  1545-861X     ISO Abbreviation:  MMWR Morb. Mortal. Wkly. Rep.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-07-19     Completed Date:  2007-07-23     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7802429     Medline TA:  MMWR Morb Mortal Wkly Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  701-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Antibiotic Prophylaxis
Female
Humans
Incidence
Infant
Infant, Newborn
Infectious Disease Transmission, Vertical / prevention & control*
Mass Screening
Pregnancy
Pregnancy Complications, Infectious / epidemiology*,  prevention & control*
Streptococcal Infections / epidemiology*,  prevention & control*,  transmission
Streptococcus agalactiae*
United States / epidemiology

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


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