Table 2.
Bacterial carriage in newborns and mothers Intent-to-treat analysis; nasopharyngeal swab and breast milk samples
Day 0a |
Day 3 |
Day 6b |
Day 14 |
Day 28 |
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---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
P'bo (%) | AZI (%) | PR (95% CI) | p value | P'bo (%) | AZI (%) | PR (95% CI) | p value | P'bo (%) | AZI (%) | PR (95% CI) | p value | P'bo (%) | AZI (%) | PR (95% CI) | p value | P'bo (%) | AZI (%) | PR (95% CI) | p value | |
NPS newborn | n = 416 | n = 417 | n = 396 | n = 386 | n = 387 | n = 378 | n = 381 | n = 372 | n = 374 | n = 359 | ||||||||||
GBS | 1.7 | 0.7 | 0.44 (0.11–1.68) | 0.341 | 10.4 | 0.8 | 0.08 (0.02–0.24) | <0.001 | 5.4 | 1.1 | 0.20 (0.07–0.56) | 0.001 | 4.7 | 0.8 | 0.17 (0.05–0.57) | 0.001 | 3.2 | 0.6 | 0.17 (0.04–0.77) | 0.012 |
Streptococcus pneumoniae | 0.2 | 0.2 | 1.02 (0.06–16.3) | 1.000 | 1.3 | 0.8 | 0.62 (0.15–2.56) | 0.725 | 4.1 | 0.8 | 0.19 (0.06–0.65) | 0.004 | 19.7 | 8.1 | 0.41 (0.28–0.61) | <0.001 | 37.2 | 24.8 | 0.67 (0.53–0.83) | <0.001 |
Staphylococcus aureus | 3.6 | 1.5 | 0.41 (0.16–1.04) | 0.075 | 57.6 | 25.4 | 0.44 (0.36–0.53) | <0.001 | 63.3 | 27.5 | 0.43 (0.36–0.52) | <0.001 | 44.1 | 23.1 | 0.52 (0.42–0.65) | <0.001 | 35.3 | 25.6 | 0.73 (0.58–0.91) | 0.005 |
Any bacteria | 5.5 | 2.2 | 0.40 (0.19–0.85) | 0.018 | 62.1 | 26.2 | 0.42 (0.35–0.51) | <0.001 | 65.1 | 28.3 | 0.43 (0.36–0.52) | <0.001 | 57.7 | 29.6 | 0.51 (0.43–0.61) | <0.001 | 60.4 | 45.7 | 0.76 (0.66–0.87) | <0.001 |
NPS mother | n = 415 | n = 414 | n = 402 | n = 400 | n = 397 | n = 395 | n = 390 | n = 390 | n = 386 | n = 381 | ||||||||||
GBS | 0.5 | 0.7 | 1.50 (0.25–8.95) | 0.686 | 0.2 | 0 | NA | NA | 0 | 0 | NA | NA | 0 | 0 | NA | NA | 0.5 | 0.3 | 0.51 (0.05–5.56) | 1 |
S. pneumoniae | 17.1 | 15.9 | 0.93 (0.69–1.27) | 0.709 | 17.9 | 1.0 | 0.06 (0.02–1.15) | <0.001 | 16.1 | 1.3 | 0.08 (0.03–0.19) | <0.001 | 22.3 | 3.1 | 0.14 (0.08–0.25) | <0.001 | 23.8 | 4.2 | 0.18 (0.11–0.29) | <0.001 |
S. aureus | 19.3 | 18.6 | 0.96 (0.73–1.28) | 0.859 | 25.4 | 8.3 | 0.33 (0.23–0.47) | <0.001 | 27.2 | 7.8 | 0.29 (0.20–0.42) | <0.001 | 26.2 | 10.5 | 0.40 (0.29–0.56) | <0.001 | 26.9 | 15.2 | 0.57 (0.42–0.75) | <0.001 |
Any bacteria | 34.5 | 32.6 | 0.95 (0.78–1.15) | 0.607 | 40.0 | 9.3 | 0.23 (0.17–0.32) | <0.001 | 40.3 | 9.1 | 0.23 (0.16–0.32) | <0.001 | 43.8 | 12.8 | 0.29 (0.22–0.39) | <0.001 | 45.6 | 19.4 | 0.43 (0.34–0.54) | <0.001 |
Breast milk | n = 0 | n = 0 | n = 399 | n = 394 | n = 397 | n = 385 | n = 387 | n = 388 | n = 384 | n = 381 | ||||||||||
GBS | — | — | — | — | 6.8 | 0.8 | 0.11 (0.33–0.37) | <0.001 | 7.6 | 1.8 | 0.23 (0.10–0.53) | <0.001 | 6.5 | 0.8 | 0.12 (0.04–0.39) | <0.001 | 1.6 | 0.0 | NA | 0.031 |
S. pneumoniae | — | — | — | — | 0.5 | 0 | NA | NA | 0 | 0 | NA | NA | 0.8 | 0.0 | NA | 0.124 | 0.0 | 0.0 | NA | NA |
S. aureus | — | — | — | — | 15.5 | 7.1 | 0.46 (0.30–0.70) | <0.001 | 16.4 | 8.1 | 0.49 (0.33–0.74) | <0.001 | 12.4 | 8.0 | 0.64 (0.42–0.99) | 0.044 | 10.4 | 5.0 | 0.48 (0.28–0.81) | 0.006 |
Any bacteria | — | — | — | — | 21.6 | 7.9 | 0.37 (0.25–0.54) | <0.001 | 21.9 | 9.6 | 0.44 (0.31–0.63) | <0.001 | 17.3 | 8.8 | 0.51 (0.33–0.75) | <0.001 | 11.7 | 5.0 | 0.43 (0.25–0.71) | 0.001 |
Vaginal swabs | n = 415 | n = 414 | n = 0 | n = 0 | n = 396 | n = 386 | n = 0 | n = 0 | n = 0 | n = 0 | ||||||||||
GBS | 15.9 | 18.1 | 1.14 (0.84–1.54) | 0.407 | — | — | — | — | 13.6 | 4.6 | 0.4 (0.20–0.56) | <0.001 | — | — | — | — | — | — | — | — |
S. pneumoniae | 0 | 0 | NA | NA | — | — | — | — | 0 | 0 | NA | NA | — | — | — | — | — | — | — | — |
S. aureus | 16.6 | 12.3 | 0.74 (0.53–1.04) | 0.093 | — | — | — | — | 14.1 | 8.9 | 0.63 (0.42–0.94) | 0.026 | — | — | — | — | — | — | — | — |
Any bacteria | 28.9 | 25.1 | 0.87 (0.69–1.09) | 0.241 | — | — | — | — | 24.2 | 13.2 | 0.55 (0.40–0.74) | <0.001 | — | — | — | — | — | — | — | — |
Abbreviations: AZI, azithromycin; GBS, group B streptococci; NPS, nasopharyngeal swab; P'bo– placebo; PR, Prevalence Ratio.
At day 0, nasopharyngeal and vaginal swabs in mothers were collected before the intervention and nasopharyngeal swabs in newborns after the intervention.
Vaginal swabs were collected at day 8–10 instead.