A retrospective analysis of perinatal group B streptococcal infection prevention
10.3969/j.issn.1673-4130.2018.09.015
- VernacularTitle:围产期GBS感染预防回顾性分析
- Author:
Hua HU
1
;
Beibei ZHANG
;
Junli FU
;
Wei GONG
;
Yufen ZHU
;
Dong CHANG
Author Information
1. 复旦大学附属浦东医院 妇产科 上海201399
- Keywords:
early-onset disease;
group B Streptococcus;
intrapartum antibiotic prophylaxis;
risk fac-tors;
preterm infant
- From:
International Journal of Laboratory Medicine
2018;39(9):1074-1076,1079
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the efficiency of perinatal group B streptococcal(GBS)infection preven-tion in the local area.Methods From June 2015 to June 2016,3 667 pregnant women were included.Both pre-natal examinations and deliveries were done in our hospital.The analysis of GBS colonization,risk factors and prevention of early-onset disease were done.Results Among preterm and term pregnant women,the rates of GBS screening were 23.4% and 35.6%,respectively.The positive results of GBS were 10.9% and 8.4%,re-spectively.The percentage of women with 2 risk factors were 22.9% and 0.3%,respectively.GBS screening has a better prediction effect for GBS colonization status of women at labor.There were significant differences in the intrapartum antibiotic prophylaxis(IAP)implementation between preterm and term pregnant women. In the IAP efficiency analysis of preterm,GBS colonization and risk factors,preterm had a high sensitivity (96.1%),while the specialties of GBS carry and risk factors were high(93.2% and 90.3% respectively).Con-clusion preterm pregnant women should be highlighted as an important population in the implementation of IAP.GBS screening strategy is better than the risk factors strategy.
