Strategies for preventing group B streptococcal infections in newborns: a nation-wide survey of Italian policies

Italian Journal of Pediatrics
Chryssoula TziallaItalian Association of Clinical Microbiologists

Abstract

There are no Italian data regarding the strategies for preventing neonatal group B streptococcal (GBS) infection. We conducted a national survey in order to explore obstetrical, neonatal and microbiological practices for the GBS prevention. Three distinct questionnaires were sent to obstetricians, neonatologists and microbiologists. Questionnaires included data on prenatal GBS screening, maternal risk factors, intrapartum antibiotic prophylaxis, microbiological information concerning specimen processing and GBS antimicrobial susceptibility. All respondent obstetrical units used the culture-based screening approach to identify women who should receive intrapartum antibiotic prophylaxis, and more than half of the microbiological laboratories (58%) reported using specimen processing consistent with CDC guidelines. Most neonatal units (89 out of 107, 82%) reported using protocols for preventing GBS early-onset sepsis consistent with CDC guidelines. The screening-based strategy is largely prevalent in Italy, and most protocols for preventing GBS early-onset sepsis are consistent with CDC guidelines. However, we found discrepancies in practices among centers that may reflect the lack of Italian guidelines issued by public health orga...Continue Reading

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Citations

Mar 1, 2019·Journal of Perinatal Medicine·Misgav RottenstreichSorina Grisaru-Granovsky
Jun 30, 2018·Italian Journal of Pediatrics·Alberto BerardiUNKNOWN GBS Prevention Working Group of Emilia-Romagna
Jun 12, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Enrico FinaleAndrea Guala
Jul 14, 2021·Acta Obstetricia Et Gynecologica Scandinavica·Nasteha A MohamedLene N Nejsum

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