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核心技术专利：CN118964589B侵权必究
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2022年12月至2023年2月意大利全国性调查：产前筛查中B族链球菌（GBS）的检测、孕产妇GBS定植情况及早发型新生儿疾病（GBS-EOD）发病率

Detection of Group B Streptococcus (GBS) from Antenatal Screening, Maternal GBS Colonization and Incidence of Early-Onset Neonatal Disease (GBS-EOD): A National Survey, December 2022 to February 2023, Italy.

作者信息

Sabbatucci Michela, Clerici Pierangelo, Creti Roberta

机构信息

Unit 2, Directorate General of Health Emergencies, Department of Prevention, Research and Health Emergencies, Ministry of Health, 00144 Rome, Italy.

Italian Clinical Microbiologists Association (AMCLI), 20159 Milano, Italy.

出版信息

Microorganisms. 2025 Jun 20;13(7):1438. doi: 10.3390/microorganisms13071438.

DOI:10.3390/microorganisms13071438
PMID:40731948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12299446/
Abstract

Invasive neonatal GBS infections constitute a major cause of sepsis and meningitis in Western countries. Vaginal/rectal GBS colonization during pregnancy is the main risk factor for the development of early-onset infections (GBS-EOD) in newborn by vertical transmission at birth, in addition to prematurity and stillbirth. In Italy, intrapartum antibiotic prophylaxis (IAP) to prevent GBS-EOD is offered to pregnant women who tested as GBS-positive in late pregnancy. Passive surveillance in Italy showed that a non-negligible number of GBS-EOD cases (about 50%) occurred from GBS-negative pregnant women. This finding prompted the launch of a national online survey from 15 December 2022 to 12 February 2023 to investigate the microbiological procedures followed for GBS identification in Italian public and private microbiology laboratories, the prevalence of maternal GBS colonization, and the incidence of GBS-EOD cases. The survey results demonstrated that national guidelines for the prevention of EOD-GBS cases as well as harmonization of microbiological methodologies for GBS identification in the antenatal screening are needed.

摘要

在西方国家，新生儿侵袭性B族链球菌（GBS）感染是败血症和脑膜炎的主要病因。孕期阴道/直肠GBS定植是新生儿早发型感染（GBS-EOD）的主要危险因素，通过分娩时的垂直传播导致感染，此外还有早产和死产。在意大利，对于妊娠晚期GBS检测呈阳性的孕妇，会提供产时抗生素预防（IAP）以预防GBS-EOD。意大利的被动监测显示，相当数量的GBS-EOD病例（约50%）发生在GBS阴性的孕妇中。这一发现促使在2022年12月15日至2023年2月12日开展了一项全国在线调查，以调查意大利公共和私人微生物实验室中GBS鉴定所采用的微生物学程序、孕产妇GBS定植的患病率以及GBS-EOD病例的发生率。调查结果表明，需要制定预防EOD-GBS病例的国家指南以及统一产前筛查中GBS鉴定的微生物学方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/e3ca9e28ece4/microorganisms-13-01438-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/21b178d03d9c/microorganisms-13-01438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/2985dec1dcb8/microorganisms-13-01438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/b268256fe1ed/microorganisms-13-01438-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/e9d031b90f86/microorganisms-13-01438-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/b7f4c317cdf3/microorganisms-13-01438-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/cf9f78f671c6/microorganisms-13-01438-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/e3ca9e28ece4/microorganisms-13-01438-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/21b178d03d9c/microorganisms-13-01438-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/2985dec1dcb8/microorganisms-13-01438-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/b268256fe1ed/microorganisms-13-01438-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/e9d031b90f86/microorganisms-13-01438-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/b7f4c317cdf3/microorganisms-13-01438-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/cf9f78f671c6/microorganisms-13-01438-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df73/12299446/e3ca9e28ece4/microorganisms-13-01438-g007.jpg

相似文献

[1]
Detection of Group B Streptococcus (GBS) from Antenatal Screening, Maternal GBS Colonization and Incidence of Early-Onset Neonatal Disease (GBS-EOD): A National Survey, December 2022 to February 2023, Italy.

Microorganisms. 2025-6-20

[2]
Vaginal chlorhexidine during labour to prevent early-onset neonatal group B streptococcal infection.

Cochrane Database Syst Rev. 2014-12-14

[3]
Group B streptococcal infections in pregnancy and early life.

Clin Microbiol Rev. 2025-3-13

[4]
Assessing the accuracy of a novel algorithm for group B Streptococcus detection in pregnant women and its impact on early-onset neonatal group B streptococcal infections.

Clin Microbiol Infect. 2025-7-1

[5]
Clinical Characteristics and Treatment Strategies for Group B Streptococcus (GBS) Infection in Pediatrics: A Systematic Review.

Medicina (Kaunas). 2023-7-9

[6]
Group B Streptococcus (GBS) Carriage in Pregnant Women: Possible Emergence of Rare Serotypes and Antibiotic Resistance in Neonatal Disease.

Microorganisms. 2025-6-26

[7]
Intrapartum antibiotics for known maternal Group B streptococcal colonization.

Cochrane Database Syst Rev. 2014-6-10

[8]
Intrapartum antibiotics for known maternal Group B streptococcal colonization.

Cochrane Database Syst Rev. 2013-1-31

[9]
Intrapartum antibiotics for known maternal Group B streptococcal colonization.

Cochrane Database Syst Rev. 2009-7-8

[10]
Impact of antibiotics on membrane vesicle production in Group B .

Microbiol Spectr. 2025-7

本文引用的文献

[1]
Antimicrobial Therapies for Early-Onset Group B Streptococcal Sepsis: Insights from an Italian Multicenter Study.

Antibiotics (Basel). 2025-4-16

[2]
An improved procedure based on fluorescence immunochromatography for rapid detection of group B streptococcus from enrichment cultures.

BMC Pregnancy Childbirth. 2025-4-12

[3]
Neonatal Early-Onset Sepsis: Epidemiology, Microbiology, and Controversies in Practice.

Clin Perinatol. 2025-3

[4]
Group B streptococcal infections in pregnancy and early life.

Clin Microbiol Rev. 2025-3-13

[5]
Group B streptococcus colonization in pregnancy and neonatal outcomes: a three-year monocentric retrospective study during and after the COVID-19 pandemic.

Ital J Pediatr. 2024-9-13

[6]
Beyond Early- and Late-onset Neonatal Sepsis Definitions: What are the Current Causes of Neonatal Sepsis Globally? A Systematic Review and Meta-analysis of the Evidence.

Pediatr Infect Dis J. 2024-9-12

[7]
Vaginal screening for group B streptococcus using PCR in pregnant women with unknown colonization status: Impact on newborn monitoring for early-onset sepsis.

Arch Pediatr. 2024-10

[8]
Maternal Streptococcus agalactiae colonization in Europe: data from the multi-center DEVANI study.

Infection. 2025-2

[9]
Emergence of High-Level Gentamicin Resistance in Hypervirulent Serotype IV ST1010 (CC452) Strains by Acquisition of a Novel Integrative and Conjugative Element.

Antibiotics (Basel). 2024-5-26

[10]
Development and performance evaluation of a qPCR-based assay for the fully automated detection of group B (GBS) on the Panther Fusion Open Access system.

Microbiol Spectr. 2024-6-4

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