Abstract
<h3>To the Editor.</h3> —The article "Invasive Group B Streptococcal Disease in Adults" by Schwartz et al<sup>1</sup>emphasized the importance and need to define strategies for the prevention of group B streptococcal (GBS) disease in adults. Pregnant patients accounted for 14 (20%) of the 70 cases in adults. The study design used by Schwartz et al would tend to underestimate GBS invasive disease in parturients because intrapartum fever, presumably due to amniotic infection, is sometimes empirically treated without obtaining cultures of blood, amniotic fluid, or urine. These patients would not be identified using their study design, which required a positive culture from a normally sterile site. Parturients colonized with GBS at the time of rupture of membranes or at labor and delivery are at increased risk for endometritis, bacteremia, wound infection, and sepsis compared with noncolonized women. The vaginal infections and prematurity study evaluated 7742 women and determined that 18.6%
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: JAMA: The Journal of the American Medical Association
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
