Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies

Aim: To determine the prevalence of group B Streptococcus (GBS) carriage among parturient women and neonates, and the relative risk of vertical transmission, the relative risk of early and late-onset GBS and the pooled incidence of early-late-onset GBS infection. Methods: A systematic search of rele...

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Main Authors: Lee, Kai Wei, Yap, Sook Fan, Murdan, Sudaxshina, Zainudin, Zurina, Abdul Hamid, Habibah, Emamjomeh, Mohsen, Mohd Desa, Mohd Nasir, Sither Joseph, Narcisse Mary, Azmai Amal, Mohammad Noor, Amin‐Nordin, Syafinaz
Format: Article
Language:English
Published: John Wiley and Sons Inc 2024
Online Access:http://psasir.upm.edu.my/id/eprint/117808/
http://psasir.upm.edu.my/id/eprint/117808/1/117808.pdf
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author Lee, Kai Wei
Yap, Sook Fan
Murdan, Sudaxshina
Zainudin, Zurina
Abdul Hamid, Habibah
Emamjomeh, Mohsen
Mohd Desa, Mohd Nasir
Sither Joseph, Narcisse Mary
Azmai Amal, Mohammad Noor
Amin‐Nordin, Syafinaz
author_facet Lee, Kai Wei
Yap, Sook Fan
Murdan, Sudaxshina
Zainudin, Zurina
Abdul Hamid, Habibah
Emamjomeh, Mohsen
Mohd Desa, Mohd Nasir
Sither Joseph, Narcisse Mary
Azmai Amal, Mohammad Noor
Amin‐Nordin, Syafinaz
author_sort Lee, Kai Wei
building UPM Institutional Repository
collection Online Access
description Aim: To determine the prevalence of group B Streptococcus (GBS) carriage among parturient women and neonates, and the relative risk of vertical transmission, the relative risk of early and late-onset GBS and the pooled incidence of early-late-onset GBS infection. Methods: A systematic search of relevant cohort studies from three electronic databases to identify all relevant studies published up to 7 November 2022. The review was conducted in accordance with PRISMA guidelines. Estimates were pooled using random-effects meta-analyses. Results: A total of 54 articles with 355 787 matched pairs of parturient women and neonates from 30 countries were included in the analysis. The pooled prevalence of GBS colonisation was 17.1% among the pregnant women and 1.0% among neonates. The pooled prevalence of vertical transmission of GBS was 4.5% and the pooled relative risk of GBS colonisation of neonates born to mothers with GBS was 9.9. Conclusion: We support the implementation of targeted intrapartum antibiotic prophylaxis for all women who are positive for GBS as well as women with risks factors for early onset GBS in their infants regardless of their GBS colonisation status.
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spelling upm-1178082025-06-12T03:29:40Z http://psasir.upm.edu.my/id/eprint/117808/ Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies Lee, Kai Wei Yap, Sook Fan Murdan, Sudaxshina Zainudin, Zurina Abdul Hamid, Habibah Emamjomeh, Mohsen Mohd Desa, Mohd Nasir Sither Joseph, Narcisse Mary Azmai Amal, Mohammad Noor Amin‐Nordin, Syafinaz Aim: To determine the prevalence of group B Streptococcus (GBS) carriage among parturient women and neonates, and the relative risk of vertical transmission, the relative risk of early and late-onset GBS and the pooled incidence of early-late-onset GBS infection. Methods: A systematic search of relevant cohort studies from three electronic databases to identify all relevant studies published up to 7 November 2022. The review was conducted in accordance with PRISMA guidelines. Estimates were pooled using random-effects meta-analyses. Results: A total of 54 articles with 355 787 matched pairs of parturient women and neonates from 30 countries were included in the analysis. The pooled prevalence of GBS colonisation was 17.1% among the pregnant women and 1.0% among neonates. The pooled prevalence of vertical transmission of GBS was 4.5% and the pooled relative risk of GBS colonisation of neonates born to mothers with GBS was 9.9. Conclusion: We support the implementation of targeted intrapartum antibiotic prophylaxis for all women who are positive for GBS as well as women with risks factors for early onset GBS in their infants regardless of their GBS colonisation status. John Wiley and Sons Inc 2024 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/117808/1/117808.pdf Lee, Kai Wei and Yap, Sook Fan and Murdan, Sudaxshina and Zainudin, Zurina and Abdul Hamid, Habibah and Emamjomeh, Mohsen and Mohd Desa, Mohd Nasir and Sither Joseph, Narcisse Mary and Azmai Amal, Mohammad Noor and Amin‐Nordin, Syafinaz (2024) Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies. Acta Paediatrica, International Journal of Paediatrics, 113 (5). pp. 892-911. ISSN 0803-5253; eISSN: 1651-2227 https://onlinelibrary.wiley.com/doi/10.1111/apa.17152 10.1111/apa.17152
spellingShingle Lee, Kai Wei
Yap, Sook Fan
Murdan, Sudaxshina
Zainudin, Zurina
Abdul Hamid, Habibah
Emamjomeh, Mohsen
Mohd Desa, Mohd Nasir
Sither Joseph, Narcisse Mary
Azmai Amal, Mohammad Noor
Amin‐Nordin, Syafinaz
Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies
title Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies
title_full Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies
title_fullStr Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies
title_full_unstemmed Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies
title_short Maternal and neonatal group B streptococcus colonisation: A systematic review and the meta-analysis of matched-pair studies
title_sort maternal and neonatal group b streptococcus colonisation: a systematic review and the meta-analysis of matched-pair studies
url http://psasir.upm.edu.my/id/eprint/117808/
http://psasir.upm.edu.my/id/eprint/117808/
http://psasir.upm.edu.my/id/eprint/117808/
http://psasir.upm.edu.my/id/eprint/117808/1/117808.pdf