Group B streptococcal infections during pregnancy and perinatal consequences: what do we need to determine more than a bacteriological analysis?
Group B of streptococcal infection is responsible for maternal and fetal morbidity and mortality. Fetal consequences of streptococcal B infection may lead to puerperal sepsis, meningitis, encephalitis or pneumonia. Long-term consequences may determine neurological sequelae and mental disabilities, a...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Amaltea Medical Publishing House
2021-06-01
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Series: | Romanian Journal of Infectious Diseases |
Subjects: | |
Online Access: | https://rjid.com.ro/articles/2021.2/RJID_2021_2_Art-02.pdf |
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author | Anca A. Simionescu Ana Maria Alexandra Stanescu |
author_facet | Anca A. Simionescu Ana Maria Alexandra Stanescu |
author_sort | Anca A. Simionescu |
collection | DOAJ |
description | Group B of streptococcal infection is responsible for maternal and fetal morbidity and mortality. Fetal consequences of streptococcal B infection may lead to puerperal sepsis, meningitis, encephalitis or pneumonia. Long-term consequences may determine neurological sequelae and mental disabilities, and very rare are reported cases for the late death of the child. Maternal consequences of streptococcal B infection are endometritis and sepsis. Universal screening and antibioprophylaxy during labour are safe and effective.
But, systematic intrapartum prophylaxis for carriers of SGB does not appear to have effects on long-term complications. Also, systematic cultures in neonates do not appear to detect antenatally all carriers of streptococcus B. Herein, we present the particularity of streptococcal infection in pregnancy that may contribute to further strategy. Better laboratory tests for identifying serotypes, genotypes and phenotypes must be available, significantly to differentiate between dtreptococcal high- and low-risk regarding materno-fetal consequences. Immunization remains a promising way to eradicate this infection |
first_indexed | 2024-04-14T00:48:03Z |
format | Article |
id | doaj.art-91cf113f3da2490394616a02ccf1c6a4 |
institution | Directory Open Access Journal |
issn | 1454-3389 2069-6051 |
language | English |
last_indexed | 2024-04-14T00:48:03Z |
publishDate | 2021-06-01 |
publisher | Amaltea Medical Publishing House |
record_format | Article |
series | Romanian Journal of Infectious Diseases |
spelling | doaj.art-91cf113f3da2490394616a02ccf1c6a42022-12-22T02:21:55ZengAmaltea Medical Publishing HouseRomanian Journal of Infectious Diseases1454-33892069-60512021-06-01242717510.37897/RJID.2021.2.2Group B streptococcal infections during pregnancy and perinatal consequences: what do we need to determine more than a bacteriological analysis?Anca A. Simionescu0Ana Maria Alexandra Stanescu1“Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania; Filantropia Clinical Hospital, Bucharest, Romania“Carol Davila“ University of Medicine and Pharmacy, Bucharest, RomaniaGroup B of streptococcal infection is responsible for maternal and fetal morbidity and mortality. Fetal consequences of streptococcal B infection may lead to puerperal sepsis, meningitis, encephalitis or pneumonia. Long-term consequences may determine neurological sequelae and mental disabilities, and very rare are reported cases for the late death of the child. Maternal consequences of streptococcal B infection are endometritis and sepsis. Universal screening and antibioprophylaxy during labour are safe and effective. But, systematic intrapartum prophylaxis for carriers of SGB does not appear to have effects on long-term complications. Also, systematic cultures in neonates do not appear to detect antenatally all carriers of streptococcus B. Herein, we present the particularity of streptococcal infection in pregnancy that may contribute to further strategy. Better laboratory tests for identifying serotypes, genotypes and phenotypes must be available, significantly to differentiate between dtreptococcal high- and low-risk regarding materno-fetal consequences. Immunization remains a promising way to eradicate this infectionhttps://rjid.com.ro/articles/2021.2/RJID_2021_2_Art-02.pdfpregnancystreptococcus agalactiaehemolysinimmunologymembranes vesicle |
spellingShingle | Anca A. Simionescu Ana Maria Alexandra Stanescu Group B streptococcal infections during pregnancy and perinatal consequences: what do we need to determine more than a bacteriological analysis? Romanian Journal of Infectious Diseases pregnancy streptococcus agalactiae hemolysin immunology membranes vesicle |
title | Group B streptococcal infections during pregnancy and perinatal consequences: what do we need to determine more than a bacteriological analysis? |
title_full | Group B streptococcal infections during pregnancy and perinatal consequences: what do we need to determine more than a bacteriological analysis? |
title_fullStr | Group B streptococcal infections during pregnancy and perinatal consequences: what do we need to determine more than a bacteriological analysis? |
title_full_unstemmed | Group B streptococcal infections during pregnancy and perinatal consequences: what do we need to determine more than a bacteriological analysis? |
title_short | Group B streptococcal infections during pregnancy and perinatal consequences: what do we need to determine more than a bacteriological analysis? |
title_sort | group b streptococcal infections during pregnancy and perinatal consequences what do we need to determine more than a bacteriological analysis |
topic | pregnancy streptococcus agalactiae hemolysin immunology membranes vesicle |
url | https://rjid.com.ro/articles/2021.2/RJID_2021_2_Art-02.pdf |
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