Group Beta Streptococcus

From: Wanner Jill (jillkw@yahoo.com)
Tue, 10 Sep 2002 13:59:37 -0700 (PDT)

Hi, my name is Jill Snyder and I am a Nursing Student at the University of North Dakota. My sister-in-law encountered a scary situation while giving birth to her baby girl. During the delivery she passed Group Beta streptococcus (GBS) to her baby. This led to complications that sent her baby to the NICU for ten days. I did some research on this topic and would appreciate any knowledge on the issue. Spitzer and Turow (2000) state that since the 1970's GBS has been one of the leading causes of death and illness in newborm babies in the United States. A study that they headed reported that in 1990 there were 7,600 cases of GBS reported in newborns with 310 deaths among otherwise healthy babies. Preboth (2001) reports that there are two strategies to help in the prevention of GBS. The first one is the risk-based approach. Here the women in labor who have risk factors for GBS transmission are offered intrapartum chemoprophylaxis. The second strategy is the screening based approach which allows all pregnant women to be tested for GBS aty 35 to 37 weeks of gestation. With this screening you could virtually omit this problem. I am interested to know the protocol in different facilities. Schuchat (1999) states that during the 1990's the issue of GBS has shifted to prevention. The increased use of intra partum antimicrobial prophylaxis has led to substational declines in this prenatal disease. This form of treatment has also proven to be cost effective. Now that I have this information I would appreciate any response on GBS as to feelings and practices on this issue. Thank you, Jill Snyder. College of Nursing Student, University of North Dakota.

Preboth, M. (2001). Prevention of early-onset GBS disease in infants. American Family Physician. 63(8), p.1641.

Schuchat, A. (1999). Group B streptococcus. The Lancet. 353(9146),p.51-56.

Spitzer, A.R., Turow, J. (2000). Group B streptococcal infection early onset disease controversies in prevention guidelines, and management strategies for the neonate. Clinical Pediatrics. 39(6),p.317-326.

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