Значення виявлення стрептокока групи В у пренатальному скринінгу з метою попередження розвитку ранніх інфекцій у новонароджених

Abstract

Group B streptococcal infection (GBS) remains the most common cause of neonatal early sepsis and an important cause of late onset of sepsis in young children. The use of intrapartum antibiotic prophylaxis is the only currently effective strategy for the prevention of perinatal GBS infection in the early stages of the disease, that is, during the first week of life. GBS causes both early and late infections in newborns, but modern interventions are effective only to prevent diseases at an early stage. The American Academy of Pediatrics teamed up with the American College of Obstetricians and Gynecologists to confirm the use of universal antenatal microbiological testing to detect colonization of GBS in the mother to facilitate the appropriate introduction of intrapartum antibacterial prevention. All recommendations for the prevention of diseases caused by group B streptococcus proposed by the CDC (Centers for Disease Control and Prevention) refer to the 2010 recommendations. The CDC will support these resources until the American Academy of Pediatrics (AAP), the American College of Obstetricians and Gynecologists (ACOG), and the American Society for Microbiology (ASM) publish all their updated guidelines. Key words: prenatal screening, culture method, group B streptococcus, S.agalactiae, microbiome, colonization.