Epidemiology of neonatal group B streptococcal disease in the Netherlands before and after introduction of guidelines for prevention
Objectives: (1) To describe the epidemiology of neonatal group B streptococcal (GBS) disease over five years (1997–2001) in the Netherlands, stratified for proven and probable sepsis and for very early (
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| Veröffentlicht in: | Archives of disease in childhood. Fetal and neonatal edition 2007-07, Vol.92 (4), p.F271-F276 |
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| container_title | Archives of disease in childhood. Fetal and neonatal edition |
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| creator | Trijbels-Smeulders, M de Jonge, G A Pasker-de Jong, P C M Gerards, L J Adriaanse, A H van Lingen, R A Kollée, L A A |
| description | Objectives: (1) To describe the epidemiology of neonatal group B streptococcal (GBS) disease over five years (1997–2001) in the Netherlands, stratified for proven and probable sepsis and for very early ( |
| doi_str_mv | 10.1136/adc.2005.088799 |
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| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_2675425</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>20292915</sourcerecordid><originalsourceid>FETCH-LOGICAL-b523t-6ab87398824736c2c423a7159f08ab6427555b2e97760975591c56c851c9f6d43</originalsourceid><addsrcrecordid>eNqFkstv1DAQxiMEoqVw5oYsIXFAytZ24tcFqSyFIq0K4nW1HGey9ZKNg-1U9M4fjqOsyuPSiz32_Px99niK4inBK0Iqfmpau6IYsxWWUih1rzgmNZclxYzez3HFVEmVkkfFoxh3GGMihHhYHBFBqZBYHBe_zkfXwt753m9vkO_QAH4wyfRoG_w0otcopgBj8tZbm3dbF8FEQG5A6QrQJeQx9GZoI2qg8wFQjpHpEoTMpODbySbnh1l6O2Wr3g0QUSbRGOAahjn5uHjQmT7Ck8N8Unx9e_5lfVFuPrx7vz7blA2jVSq5aaSolJS0FhW31Na0MoIw1WFpGl5TwRhrKCghOFZ5oYhl3EpGrOp4W1cnxatFd5yaPbQ2uwfT6zG4vQk32hun_80M7kpv_bWmXLCasizw4iAQ_I8JYtJ7Fy30uQDgp6gF5gQrpu4EKaaKKjIrPv8P3PkpDLkKmuQfqispucjU6ULZ4GMM0N3emWA9N4LOjaDnRtBLI-QTz_5-6h_-8PMZKBfAxQQ_b_MmfNfZUDB9-W2tLzYbjN98_qQ_Zv7lwjf73Z3uvwFxRMyH</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1780438867</pqid></control><display><type>article</type><title>Epidemiology of neonatal group B streptococcal disease in the Netherlands before and after introduction of guidelines for prevention</title><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><source>PubMed Central</source><creator>Trijbels-Smeulders, M ; de Jonge, G A ; Pasker-de Jong, P C M ; Gerards, L J ; Adriaanse, A H ; van Lingen, R A ; Kollée, L A A</creator><creatorcontrib>Trijbels-Smeulders, M ; de Jonge, G A ; Pasker-de Jong, P C M ; Gerards, L J ; Adriaanse, A H ; van Lingen, R A ; Kollée, L A A</creatorcontrib><description>Objectives: (1) To describe the epidemiology of neonatal group B streptococcal (GBS) disease over five years (1997–2001) in the Netherlands, stratified for proven and probable sepsis and for very early (<12 h), late early (12 h – <7 days) and late (7–90 days) onset sepsis. (2) To evaluate the effect of the introduction in January 1999 of guidelines for prevention of early onset GBS disease based on risk factors. Methods: Data on cases were collected in collaboration with the Dutch Paediatric Surveillance Unit and corrected for under-reporting by the capture-recapture technique. Results: Total incidence of proven very early onset, late early onset and late onset GBS sepsis was 0.32, 0.11 and 0.14 per 1000 live births, respectively, and of probable very early onset, late early onset and late onset GBS sepsis was 1.10, 0.18 and 0.02 per 1000 live births, respectively. Maternal risk factors were absent in 46% of the proven early onset cases. Considerably more infants with proven GBS sepsis were boys. 64% of the infants with proven very early onset GBS sepsis were first borns compared with 47% in the general population. After the introduction of guidelines the incidence of proven early onset sepsis decreased considerably from 0.54 per 1000 live births in 1997–8 to 0.36 per 1000 live births in 1999–2001. However, there was no decrease in the incidence of meningitis and the case fatality rate in the first week of life. The incidence of late onset sepsis also remained unchanged. Conclusion: After the introduction prevention guidelines based on risk factors there has been a limited decrease in the incidence of proven early onset GBS sepsis in the Netherlands. This study therefore recommends changing the Dutch GBS prevention guidelines.</description><identifier>ISSN: 1359-2998</identifier><identifier>EISSN: 1468-2052</identifier><identifier>DOI: 10.1136/adc.2005.088799</identifier><identifier>PMID: 17227807</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Age of Onset ; Antibiotic Prophylaxis ; Birth Order ; Births ; case fatality rate ; CFR ; DPSU ; Dutch Paediatric Surveillance Unit ; Epidemiology ; Female ; GBS ; Group B streptococcal disease ; group B streptococci ; guidelines ; Humans ; Incidence ; Infant, Newborn ; Infants ; Infectious Disease Transmission, Vertical - prevention & control ; Male ; Meningitis, Bacterial - epidemiology ; Meningitis, Bacterial - microbiology ; neonate ; Netherlands - epidemiology ; Original ; Practice Guidelines as Topic ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Prevention ; Risk Factors ; Sepsis - epidemiology ; Sepsis - microbiology ; Sex Factors ; Streptococcal Infections - epidemiology ; Streptococcal Infections - prevention & control ; Streptococcal Infections - transmission ; Streptococcus ; Streptococcus agalactiae</subject><ispartof>Archives of disease in childhood. Fetal and neonatal edition, 2007-07, Vol.92 (4), p.F271-F276</ispartof><rights>Copyright 2007 Archives of Disease in Childhood</rights><rights>Copyright: 2007 Copyright 2007 Archives of Disease in Childhood</rights><rights>Copyright ©2007 BMJ Publishing Group & Royal College of Paediatrics and Child Health</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b523t-6ab87398824736c2c423a7159f08ab6427555b2e97760975591c56c851c9f6d43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://fn.bmj.com/content/92/4/F271.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://fn.bmj.com/content/92/4/F271.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,723,776,780,881,3183,23550,27901,27902,53766,53768,77342,77373</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17227807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Trijbels-Smeulders, M</creatorcontrib><creatorcontrib>de Jonge, G A</creatorcontrib><creatorcontrib>Pasker-de Jong, P C M</creatorcontrib><creatorcontrib>Gerards, L J</creatorcontrib><creatorcontrib>Adriaanse, A H</creatorcontrib><creatorcontrib>van Lingen, R A</creatorcontrib><creatorcontrib>Kollée, L A A</creatorcontrib><title>Epidemiology of neonatal group B streptococcal disease in the Netherlands before and after introduction of guidelines for prevention</title><title>Archives of disease in childhood. Fetal and neonatal edition</title><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><description>Objectives: (1) To describe the epidemiology of neonatal group B streptococcal (GBS) disease over five years (1997–2001) in the Netherlands, stratified for proven and probable sepsis and for very early (<12 h), late early (12 h – <7 days) and late (7–90 days) onset sepsis. (2) To evaluate the effect of the introduction in January 1999 of guidelines for prevention of early onset GBS disease based on risk factors. Methods: Data on cases were collected in collaboration with the Dutch Paediatric Surveillance Unit and corrected for under-reporting by the capture-recapture technique. Results: Total incidence of proven very early onset, late early onset and late onset GBS sepsis was 0.32, 0.11 and 0.14 per 1000 live births, respectively, and of probable very early onset, late early onset and late onset GBS sepsis was 1.10, 0.18 and 0.02 per 1000 live births, respectively. Maternal risk factors were absent in 46% of the proven early onset cases. Considerably more infants with proven GBS sepsis were boys. 64% of the infants with proven very early onset GBS sepsis were first borns compared with 47% in the general population. After the introduction of guidelines the incidence of proven early onset sepsis decreased considerably from 0.54 per 1000 live births in 1997–8 to 0.36 per 1000 live births in 1999–2001. However, there was no decrease in the incidence of meningitis and the case fatality rate in the first week of life. The incidence of late onset sepsis also remained unchanged. Conclusion: After the introduction prevention guidelines based on risk factors there has been a limited decrease in the incidence of proven early onset GBS sepsis in the Netherlands. This study therefore recommends changing the Dutch GBS prevention guidelines.</description><subject>Age of Onset</subject><subject>Antibiotic Prophylaxis</subject><subject>Birth Order</subject><subject>Births</subject><subject>case fatality rate</subject><subject>CFR</subject><subject>DPSU</subject><subject>Dutch Paediatric Surveillance Unit</subject><subject>Epidemiology</subject><subject>Female</subject><subject>GBS</subject><subject>Group B streptococcal disease</subject><subject>group B streptococci</subject><subject>guidelines</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Infectious Disease Transmission, Vertical - prevention & control</subject><subject>Male</subject><subject>Meningitis, Bacterial - epidemiology</subject><subject>Meningitis, Bacterial - microbiology</subject><subject>neonate</subject><subject>Netherlands - epidemiology</subject><subject>Original</subject><subject>Practice Guidelines as Topic</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Prevention</subject><subject>Risk Factors</subject><subject>Sepsis - epidemiology</subject><subject>Sepsis - microbiology</subject><subject>Sex Factors</subject><subject>Streptococcal Infections - epidemiology</subject><subject>Streptococcal Infections - prevention & control</subject><subject>Streptococcal Infections - transmission</subject><subject>Streptococcus</subject><subject>Streptococcus agalactiae</subject><issn>1359-2998</issn><issn>1468-2052</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkstv1DAQxiMEoqVw5oYsIXFAytZ24tcFqSyFIq0K4nW1HGey9ZKNg-1U9M4fjqOsyuPSiz32_Px99niK4inBK0Iqfmpau6IYsxWWUih1rzgmNZclxYzez3HFVEmVkkfFoxh3GGMihHhYHBFBqZBYHBe_zkfXwt753m9vkO_QAH4wyfRoG_w0otcopgBj8tZbm3dbF8FEQG5A6QrQJeQx9GZoI2qg8wFQjpHpEoTMpODbySbnh1l6O2Wr3g0QUSbRGOAahjn5uHjQmT7Ck8N8Unx9e_5lfVFuPrx7vz7blA2jVSq5aaSolJS0FhW31Na0MoIw1WFpGl5TwRhrKCghOFZ5oYhl3EpGrOp4W1cnxatFd5yaPbQ2uwfT6zG4vQk32hun_80M7kpv_bWmXLCasizw4iAQ_I8JYtJ7Fy30uQDgp6gF5gQrpu4EKaaKKjIrPv8P3PkpDLkKmuQfqispucjU6ULZ4GMM0N3emWA9N4LOjaDnRtBLI-QTz_5-6h_-8PMZKBfAxQQ_b_MmfNfZUDB9-W2tLzYbjN98_qQ_Zv7lwjf73Z3uvwFxRMyH</recordid><startdate>20070701</startdate><enddate>20070701</enddate><creator>Trijbels-Smeulders, M</creator><creator>de Jonge, G A</creator><creator>Pasker-de Jong, P C M</creator><creator>Gerards, L J</creator><creator>Adriaanse, A H</creator><creator>van Lingen, R A</creator><creator>Kollée, L A A</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070701</creationdate><title>Epidemiology of neonatal group B streptococcal disease in the Netherlands before and after introduction of guidelines for prevention</title><author>Trijbels-Smeulders, M ; 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Fetal and neonatal edition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Trijbels-Smeulders, M</au><au>de Jonge, G A</au><au>Pasker-de Jong, P C M</au><au>Gerards, L J</au><au>Adriaanse, A H</au><au>van Lingen, R A</au><au>Kollée, L A A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of neonatal group B streptococcal disease in the Netherlands before and after introduction of guidelines for prevention</atitle><jtitle>Archives of disease in childhood. Fetal and neonatal edition</jtitle><addtitle>Arch Dis Child Fetal Neonatal Ed</addtitle><date>2007-07-01</date><risdate>2007</risdate><volume>92</volume><issue>4</issue><spage>F271</spage><epage>F276</epage><pages>F271-F276</pages><issn>1359-2998</issn><eissn>1468-2052</eissn><abstract>Objectives: (1) To describe the epidemiology of neonatal group B streptococcal (GBS) disease over five years (1997–2001) in the Netherlands, stratified for proven and probable sepsis and for very early (<12 h), late early (12 h – <7 days) and late (7–90 days) onset sepsis. (2) To evaluate the effect of the introduction in January 1999 of guidelines for prevention of early onset GBS disease based on risk factors. Methods: Data on cases were collected in collaboration with the Dutch Paediatric Surveillance Unit and corrected for under-reporting by the capture-recapture technique. Results: Total incidence of proven very early onset, late early onset and late onset GBS sepsis was 0.32, 0.11 and 0.14 per 1000 live births, respectively, and of probable very early onset, late early onset and late onset GBS sepsis was 1.10, 0.18 and 0.02 per 1000 live births, respectively. Maternal risk factors were absent in 46% of the proven early onset cases. Considerably more infants with proven GBS sepsis were boys. 64% of the infants with proven very early onset GBS sepsis were first borns compared with 47% in the general population. After the introduction of guidelines the incidence of proven early onset sepsis decreased considerably from 0.54 per 1000 live births in 1997–8 to 0.36 per 1000 live births in 1999–2001. However, there was no decrease in the incidence of meningitis and the case fatality rate in the first week of life. The incidence of late onset sepsis also remained unchanged. Conclusion: After the introduction prevention guidelines based on risk factors there has been a limited decrease in the incidence of proven early onset GBS sepsis in the Netherlands. This study therefore recommends changing the Dutch GBS prevention guidelines.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>17227807</pmid><doi>10.1136/adc.2005.088799</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Age of Onset Antibiotic Prophylaxis Birth Order Births case fatality rate CFR DPSU Dutch Paediatric Surveillance Unit Epidemiology Female GBS Group B streptococcal disease group B streptococci guidelines Humans Incidence Infant, Newborn Infants Infectious Disease Transmission, Vertical - prevention & control Male Meningitis, Bacterial - epidemiology Meningitis, Bacterial - microbiology neonate Netherlands - epidemiology Original Practice Guidelines as Topic Pregnancy Pregnancy Complications, Infectious - epidemiology Prevention Risk Factors Sepsis - epidemiology Sepsis - microbiology Sex Factors Streptococcal Infections - epidemiology Streptococcal Infections - prevention & control Streptococcal Infections - transmission Streptococcus Streptococcus agalactiae |
| title | Epidemiology of neonatal group B streptococcal disease in the Netherlands before and after introduction of guidelines for prevention |
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