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Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1986 Mar;23(3):489–492. doi: 10.1128/jcm.23.3.489-492.1986

Reduction of morbidity and mortality rates for neonatal group B streptococcal disease through early diagnosis and chemoprophylaxis.

D V Lim, W J Morales, A F Walsh, D Kazanis
PMCID: PMC268680  PMID: 3514659

Abstract

Pregnant women, part of the term service population at Orlando Regional Medical Center, were screened for group B streptococci (GBS), using Lim Group B Strep Broth (GIBCO Laboratories, Madison, Wis.) and the Phadebact Strep B Test (Pharmacia Diagnostics, Piscataway, N.J.). Of the 803 women screened, 173 were confirmed as colonized with GBS at the time of admission in labor. Eighty of these women were treated with ampicillin at least 6 h prior to delivery. The remaining 93 women received no ampicillin. None of the infants born to the treated women was colonized with GBS at surface culture sites. Forty-three of the infants born to untreated women were colonized. Rapid identification of GBS colonization in women, combined with ampicillin chemoprophylaxis, significantly reduced vertical transmission of GBS.

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Selected References

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  1. Aber R. C., Allen N., Howell J. T., Wilkenson H. W., Facklam R. R. Nosocomial transmission of group B streptococci. Pediatrics. 1976 Sep;58(3):346–353. [PubMed] [Google Scholar]
  2. Ayres D. C., Lim C. K. Modification of the pendant ring of podophyllotoxin. Cancer Chemother Pharmacol. 1982;7(2-3):99–101. doi: 10.1007/BF00254529. [DOI] [PubMed] [Google Scholar]
  3. Baker C. J., Goroff D. K., Alpert S., Crockett V. A., Zinner S. H., Evrard J. R., Rosner B., McCormack W. M. Vaginal colonization with group B streptococcus: a study in college women. J Infect Dis. 1977 Mar;135(3):392–397. doi: 10.1093/infdis/135.3.392. [DOI] [PubMed] [Google Scholar]
  4. Boyer K. M., Gadzala C. A., Kelly P. D., Gotoff S. P. Selective intrapartum chemoprophylaxis of neonatal group B streptococcal early-onset disease. III. Interruption of mother-to-infant transmission. J Infect Dis. 1983 Nov;148(5):810–816. doi: 10.1093/infdis/148.5.810. [DOI] [PubMed] [Google Scholar]
  5. Bromberger P. I., Chandler B., Gezon H., Haddow J. E. Rapid detection of neonatal group B streptococcal infections by latex agglutination. J Pediatr. 1980 Jan;96(1):104–106. doi: 10.1016/s0022-3476(80)80340-4. [DOI] [PubMed] [Google Scholar]
  6. Christensen P., Kahlmeter G., Jonsson S., Kronvall G. New method for the serological grouping of Streptococci with specific antibodies adsorbed to protein A-containing staphylococci. Infect Immun. 1973 Jun;7(6):881–885. doi: 10.1128/iai.7.6.881-885.1973. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Drow D. L., Welch D. F., Hensel D., Eisenach K., Long E., Slifkin M. Evaluation of the Phadebact CSF test for detection of the four most common causes of bacterial meningitis. J Clin Microbiol. 1983 Dec;18(6):1358–1361. doi: 10.1128/jcm.18.6.1358-1361.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Friedman C. A., Wender D. F., Rawson J. E. Rapid diagnosis of group B streptococcal infection utilizing a commercially available latex agglutination assay. Pediatrics. 1984 Jan;73(1):27–30. [PubMed] [Google Scholar]
  9. Hahn G., Nyberg I. Identification of streptococcal groups A,B,C, and G by slide co-agglutination of antibody-sensitized protein A-containing staphylococci. J Clin Microbiol. 1976 Jul;4(1):99–101. doi: 10.1128/jcm.4.1.99-101.1976. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Jacobs R. F., Yamauchi T., Eisenach K. D. Detection of streptococcal antigen by counterimmunoelectrophoresis. Am J Clin Pathol. 1981 Feb;75(2):203–208. doi: 10.1093/ajcp/75.2.203. [DOI] [PubMed] [Google Scholar]
  11. Jones D. E., Friedl E. M., Kanarek K. S., Williams J. K., Lim D. V. Rapid identification of pregnant women heavily colonized with group B streptococci. J Clin Microbiol. 1983 Sep;18(3):558–560. doi: 10.1128/jcm.18.3.558-560.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Jones D. E., Kanarek K. S., Angel J. L., Lim D. V. Elimination of multiple reactions of the Phadebact Streptococcus coagglutination test. J Clin Microbiol. 1983 Sep;18(3):526–528. doi: 10.1128/jcm.18.3.526-528.1983. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Jones D. E., Kanarek K. S., Lim D. V. Group B streptococcal colonization patterns in mothers and their infants. J Clin Microbiol. 1984 Sep;20(3):438–440. doi: 10.1128/jcm.20.3.438-440.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Lim D. V., Smith R. D., Day S. Evaluation of an improved rapid coagglutination method for the serological grouping of beta-hemolytic streptococci. Can J Microbiol. 1979 Jan;25(1):40–43. doi: 10.1139/m79-006. [DOI] [PubMed] [Google Scholar]
  15. Lue Y. A., Howit I. P., Ellner P. D. Rapid grouping of beta-hemolytic streptococci by latex agglutination. J Clin Microbiol. 1978 Sep;8(3):326–328. doi: 10.1128/jcm.8.3.326-328.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. MacDonald N. E., Mackenzie A. M. Maternal and neonatal colonization with group B streptococci in Ottawa. Can Med Assoc J. 1979 May 5;120(9):1110–1111. [PMC free article] [PubMed] [Google Scholar]
  17. Rosner R. Laboratory evaluation of a rapid four-hour serological grouping of groups A,B,C, and G beta-streptococci by the Phadebact streptococcus test. J Clin Microbiol. 1977 Jul;6(1):23–26. doi: 10.1128/jcm.6.1.23-26.1977. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Summary of the workshop on perinatal infections due to group B Streptococcus. J Infect Dis. 1977 Jul;136(1):137–152. doi: 10.1093/infdis/136.1.137. [DOI] [PubMed] [Google Scholar]
  19. Thirumoorthi M. C., Dajani A. S. Comparison of staphylococcal coagglutination, latex agglutination, and counterimmunoelectrophoresis for bacterial antigen detection. J Clin Microbiol. 1979 Jan;9(1):28–32. doi: 10.1128/jcm.9.1.28-32.1979. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Typlin B. L., Koranyi K., Azimi P., Hilty M. D. Counterimmunoelectrophoresis for the rapid diagnosis of group B streptococcal infections. Clin Pediatr (Phila) 1979 Jun;18(6):366–369. doi: 10.1177/000992287901800610. [DOI] [PubMed] [Google Scholar]
  21. Wilkinson H. W. Group B streptococcal infection in humans. Annu Rev Microbiol. 1978;32:41–57. doi: 10.1146/annurev.mi.32.100178.000353. [DOI] [PubMed] [Google Scholar]
  22. Yow M. D., Mason E. O., Leeds L. J., Thompson P. K., Clark D. J., Gardner S. E. Ampicillin prevents intrapartum transmission of group B streptococcus. JAMA. 1979 Mar 23;241(12):1245–1247. [PubMed] [Google Scholar]

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