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

Title: Strategies for preventing group B streptococcal infections in newborns: a nation-wide survey of Italian policies
Authors: Chryssoula Tzialla; Alberto Berardi; Claudio Farina; Pierangelo Clerici; Alessandro Borghesi; Elsa Viora; Paolo Scollo; Mauro Stronati; Task Force for group B streptococcal infections for the Italian Society of Neonatology; Italian Society of Obstetricians and Gynecologists; Italian Association of Clinical Microbiologists
Source: Italian Journal of Pediatrics, Vol 43, Iss 1, Pp 1-7 (2017)
Publisher Information: BMC, 2017.
Publication Year: 2017
Collection: LCC:Pediatrics
Subject Terms: Group B streptococcus; GBS; Survey; Infection; Neonate; Newborn infant; Pediatrics; RJ1-570
Description: Abstract Background 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. Methods 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. Results 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. Conclusions 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 organizations.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1824-7288
Relation: http://link.springer.com/article/10.1186/s13052-017-0409-1; https://doaj.org/toc/1824-7288
DOI: 10.1186/s13052-017-0409-1
Access URL: https://doaj.org/article/f055eebe32aa4e7ebd8bda217eb337e5
Accession Number: edsdoj.f055eebe32aa4e7ebd8bda217eb337e5
Database: Directory of Open Access Journals