Prevention of Neonatal Group B Sreptococcal Infection. Spanish Recommendations. Update 2012. SEIMC/SEGO/SEN/SEQ/SEMFYC Consensus Document
Copyright © 2012 Elsevier España, S.L. All rights reserved..
Group B streptococci (GBS) remain the most common cause of early onset neonatal sepsis. In 2003 the Spanish Societies of Obstetrics and Gynaecology, Neonatology, Infectious Diseases and Clinical Microbiology, Chemotherapy, and Family and Community Medicine published updated recommendations for the prevention of early onset neonatal GBS infection. It was recommended to study all pregnant women at 35-37 weeks gestation to determine whether they were colonised by GBS, and to administer intrapartum antibiotic prophylaxis (IAP) to all colonised women. There has been a significant reduction in neonatal GBS infection in Spain following the widespread application of IAP. Today most cases of early onset GBS neonatal infection are due to false negative results in detecting GBS, to the lack of communication between laboratories and obstetric units, and to failures in implementing the prevention protocol. In 2010, new recommendations were published by the CDC, and this fact, together with the new knowledge and experience available, has led to the publishing of these new recommendations. The main changes in these revised recommendations include: microbiological methods to identify pregnant GBS carriers and for testing GBS antibiotic sensitivity, and the antibiotics used for IAP are updated; The significance of the presence of GBS in urine, including criteria for the diagnosis of UTI and asymptomatic bacteriuria in pregnancy are clarified; IAP in preterm labour and premature rupture of membranes, and the management of the newborn in relation to GBS carrier status of the mother are also revised. These recommendations are only addressed to the prevention of GBS early neonatal infection, are not effective against late neonatal infection.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2013 |
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| Erschienen: |
2013 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:31 |
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| Enthalten in: |
Enfermedades infecciosas y microbiologia clinica - 31(2013), 3 vom: 15. März, Seite 159-72 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
Prevención de la infección perinatal por estreptococo del grupo B. Recomendaciones españolas. Actualización 2012. Documento de consenso SEIMC/SEGO/SEN/SEQ/SEMFYC |
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| Beteiligte Personen: |
Alós Cortés, Juan Ignacio [VerfasserIn] |
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| Links: |
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| Themen: |
Consensus Development Conference |
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| Anmerkungen: |
Date Completed 05.02.2014 Date Revised 08.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.eimc.2012.03.013 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Prevention of Neonatal Group B Sreptococcal Infection. Spanish Recommendations. Update 2012. SEIMC/SEGO/SEN/SEQ/SEMFYC Consensus Document |
| 246 | 3 | 3 | |a Prevención de la infección perinatal por estreptococo del grupo B. Recomendaciones españolas. Actualización 2012. Documento de consenso SEIMC/SEGO/SEN/SEQ/SEMFYC |
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| 520 | |a Copyright © 2012 Elsevier España, S.L. All rights reserved. | ||
| 520 | |a Group B streptococci (GBS) remain the most common cause of early onset neonatal sepsis. In 2003 the Spanish Societies of Obstetrics and Gynaecology, Neonatology, Infectious Diseases and Clinical Microbiology, Chemotherapy, and Family and Community Medicine published updated recommendations for the prevention of early onset neonatal GBS infection. It was recommended to study all pregnant women at 35-37 weeks gestation to determine whether they were colonised by GBS, and to administer intrapartum antibiotic prophylaxis (IAP) to all colonised women. There has been a significant reduction in neonatal GBS infection in Spain following the widespread application of IAP. Today most cases of early onset GBS neonatal infection are due to false negative results in detecting GBS, to the lack of communication between laboratories and obstetric units, and to failures in implementing the prevention protocol. In 2010, new recommendations were published by the CDC, and this fact, together with the new knowledge and experience available, has led to the publishing of these new recommendations. The main changes in these revised recommendations include: microbiological methods to identify pregnant GBS carriers and for testing GBS antibiotic sensitivity, and the antibiotics used for IAP are updated; The significance of the presence of GBS in urine, including criteria for the diagnosis of UTI and asymptomatic bacteriuria in pregnancy are clarified; IAP in preterm labour and premature rupture of membranes, and the management of the newborn in relation to GBS carrier status of the mother are also revised. These recommendations are only addressed to the prevention of GBS early neonatal infection, are not effective against late neonatal infection | ||
| 650 | 4 | |a Consensus Development Conference | |
| 650 | 4 | |a English Abstract | |
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Practice Guideline | |
| 650 | 4 | |a Review | |
| 700 | 1 | |a Andreu Domingo, Antonia |e verfasserin |4 aut | |
| 700 | 1 | |a Arribas Mir, Lorenzo |e verfasserin |4 aut | |
| 700 | 1 | |a Cabero Roura, Luis |e verfasserin |4 aut | |
| 700 | 1 | |a de Cueto López, Marina |e verfasserin |4 aut | |
| 700 | 1 | |a López Sastre, José |e verfasserin |4 aut | |
| 700 | 1 | |a Melchor Marcos, Juan Carlos |e verfasserin |4 aut | |
| 700 | 1 | |a Puertas Prieto, Alberto |e verfasserin |4 aut | |
| 700 | 1 | |a de la Rosa Fraile, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Salcedo Abizanda, Salvador |e verfasserin |4 aut | |
| 700 | 1 | |a Sánchez Luna, Manuel |e verfasserin |4 aut | |
| 700 | 1 | |a Sanchez Pérez, María José |e verfasserin |4 aut | |
| 700 | 1 | |a Torrejon Cardoso, Rafael |e verfasserin |4 aut | |
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| 700 | 0 | |a Sociedad Española de Quimioterapia |e verfasserin |4 aut | |
| 700 | 0 | |a Sociedad Española de Medicina Familiar y Comunitaria |e verfasserin |4 aut | |
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