Two cases of early-onset neonatal group B streptococcal infection. The prevention of vertical infection by chemophylaxis.:—THE PREVENTION OF VERTICAL INFECTION BY CHEMOPHYLAXIS—
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Perinatal group B streptococcal (GBS) infection has been recognized as one of the most common causes of neonatal infectious morbidity and mortality. GBS are found in 10 to 15% of pregnant women. Vertical transmission of GBS to neonates occurs in 70 to 80% of culture-positive women, but only 1 to 2% of their infants develop early-onset disease. We report two cases of early-onset neonatal GBS infection. The first case is the rapidly progressing septic type with severe meningitis. The second one is the amniotic infection type, and the baby was transported to our hospital with severe dyspnea and massive lung bleeding secondary to DIC. Both mothers were found to be asymptomatic carriers of GBS. Recently the American Academy of Pediatrics has recommended that all pregnant women should be screened for vaginal and rectal carriage of GBS with a culture at 26-28 weeks of gestation. Culture-positive women with any of several risk factors should receive the chemoprophylaxis to prevent neonatal sepsis.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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