Alshengeti Amer
Department of Pediatrics, College of Medicine, Taibah University, Al-Madinah 42353, Saudi Arabia.
Department of Infection Prevention and Control, Prince Mohammad Bin Abdulaziz Hospital, Ministry of National Guard health Affairs, Al-Madinah 42324, Saudi Arabia.
Pathogens. 2022 Sep 10;11(9):1029. doi: 10.3390/pathogens11091029.
Sepsis caused by Group B (GBS) continues to cause mortality and morbidity in newborns, especially in developing countries. Bacterial sepsis in newborns varies nationally and even within countries. Developing countries have reported 34 deaths per 1000 live births compared to 5 in developed countries. This systemic review aimed to assess the prevalence of GBS colonization among pregnant women and the incidence of neonatal GBS sepsis in Saudi Arabia. A literature search of PubMed, MEDLINE Ovid, and Google Scholar was conducted. A total of 21 studies were found: 15 described maternal GBS colonization and 6 studies described neonatal GBS infections. The GBS colonization prevalence among pregnant women ranged from 2.1% to 32.8%. Inconsistencies in the reporting method for neonatal GBS infection rates were observed. Only two studies have the incidence of neonatal GBS as the primary outcome. No national multicenter studies exist on the GBS rates among neonates. Nationwide studies are warranted to assess the burden of GBS infections in neonates. These studies would guide appropriate GBS screening strategies during pregnancy for application in a national public health program.
B族链球菌(GBS)引起的败血症持续导致新生儿死亡和发病,尤其是在发展中国家。新生儿细菌性败血症在不同国家甚至在一个国家内部都存在差异。发展中国家报告的每1000例活产中有34例死亡,而发达国家为5例。本系统评价旨在评估沙特阿拉伯孕妇中GBS定植的患病率以及新生儿GBS败血症的发病率。对PubMed、MEDLINE Ovid和谷歌学术进行了文献检索。共找到21项研究:15项描述了孕妇GBS定植情况,6项研究描述了新生儿GBS感染情况。孕妇中GBS定植患病率在2.1%至32.8%之间。观察到新生儿GBS感染率报告方法存在不一致。只有两项研究将新生儿GBS发病率作为主要结局。尚无关于新生儿GBS发生率的全国多中心研究。有必要开展全国性研究以评估新生儿GBS感染的负担。这些研究将指导孕期适当的GBS筛查策略,以便应用于国家公共卫生项目。