Table 2.
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.