Culture-based versus risk-based screening for the prevention of group B streptococcal disease in newborns: A review of national guidelines |
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| Authors: | Caroline SE Homer Vanessa Scarf Christine Catling Deborah Davis |
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| Institution: | 1. Centre for Midwifery, Child and Family Health, Faculty of Health, University of Technology, Sydney, Australia;2. Faculty of Health, University of Canberra, Canberra, Australia;1. School of Nursing and Midwifery, La Trobe University, Bundoora 3086, Australia;2. Judith Lumley Centre, La Trobe University, 215 Franklin St., Melbourne 3000, Australia;3. The Royal Women’s Hospital, 20 Flemington Road, Parkville 3052, Australia;1. School of Life Sciences, Jawaharlal Nehru University, New Delhi 110067, India;2. School of Environmental Sciences, Jawaharlal Nehru University, New Delhi 110067, India;3. Department of Microbiology and Immunology, Beijing Children''s Hospital, Capital Medical University, Nan Lishi Road, Beijing 100045, PR China;4. Novartis Vaccines and Diagnostics, Via Fiorentina 1, 53100 Siena, Italy;5. Bio-Manguinhos/Fiocruz, Rio de Janeiro, Brazil;6. Novartis Vaccine Institute for Global Health, Via Fiorentina 1, 53100 Siena, Italy;7. Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA;8. Center for Global Health, Cincinnati Children''s Hospital, Cincinnati, USA |
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| Abstract: | BackgroundMaternal colonisation with group B streptococcus (GBS) is recognised as the most frequent cause of severe early onset infection in newborns. National and international guidelines outline two approaches to the prevention of early onset disease in the neonate: risk based management and antenatal culture-based screening. We undertook an analysis of existing national and international guidelines in relation to GBS in pregnancy using a standardised and validated instrument to highlight the different recommended approaches to care.MethodsEnglish language guidelines on the screening and management of GBS colonisation in pregnant women and the prevention of early-onset group B streptococcal disease in newborns were sought.ResultsFour guidelines met the inclusion criteria, one from the United States of America (USA), the United Kingdom (UK), Canada and New Zealand. All four were appraised as at a high standard in terms of development using the AGREE II tool. Both approaches were recommended in the guidelines with different regions of the world advocating different approaches often based on the same evidence. Guidelines from the USA recommend an antenatal culture-based approach while the UK guidelines recommend risk-based management.ConclusionBased on an AGREE II analysis, the standard of the guidelines was high despite having disparate recommendations. Both approaches to the prevention of early onset GBS infection in neonates are recommended with the split being geographically-based. |
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| Keywords: | Neonatal infection Group B streptococcus Screening midwifery labour |
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