| Risk factors in early-onset neonatal group b streptococcal infections. | |
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MedLine Citation:
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PMID: 348607 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Newborn infants with "early-onset" disease due to group B beta hemolytic streptococcus were studied over a 40-month period. Clinical presentations included asymptomatic bacteremia, mild transient illness, respiratory distress, meningitis, and overwhelming sepsis. Chronologically, 18 were ill at birth; 10 became ill after a symptom-free period; and four were asymptomatic. Sixty-six percent of the cases weighted less than 2500 grams, and 56% were born to mothers whose amniotic membranes were ruptured for over 20 hours. All 15 of the deaths occurred in low birth weight infants who were criticially ill from birth. A review of 128 consecutive deliveries of infants weighing under 2000 grams revealed 28 cases with prolonged ruptured membranes, and three of these 28 infants developed group B streptococcal infection. The infant of the colonized gravid woman in premature labor or with prolonged ruptured membranes is clearly at risk, and these results suggest that the management of "early-onset" disease should begin prior to delivery. |
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Authors:
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P B Stewardson-Krieger; S P Gotoff |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Infection Volume: 6 ISSN: 0300-8126 ISO Abbreviation: Infection Publication Date: 1978 |
Date Detail:
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Created Date: 1978-07-15 Completed Date: 1978-07-15 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0365307 Medline TA: Infection Country: GERMANY, WEST |
Other Details:
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Languages: eng Pagination: 50-3 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Fetal Membranes, Premature Rupture* Fever / complications Humans Infant, Low Birth Weight Infant, Newborn Infant, Newborn, Diseases* Pregnancy Puerperal Infection / complications Streptococcal Infections* Streptococcus agalactiae / isolation & purification |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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