Diani F, Turinetto A, Tanganelli E
Clinica Ostetrica e Ginecologica-Policlinico Borgo Roma-Università di Verona, Italia.
Pediatr Med Chir. 1995 Jul-Aug;17(4):307-9.
While our understanding of Group B Streptococcal infections has progressed with impressive measure, their prevention has not been accompanied by an effective means. Chemoprophylaxis for selected colonized women at rupture of membranes or at onset of labour, enhances benefit and minimizes adverse effects. Two or more maternal risk factors are special circumstances for routine use of chemoprophylaxis in asymptomatic neonates. Immunoprophylaxis by IgG antibodies directed against the type-specific polysaccharide antigen of GBS may be provided by passive or active immunization. Hyperimmune i.v. globulins or vaccination of adult women with low levels of antibodies in their sera have been demonstrate to be protective in vivo.
尽管我们对B族链球菌感染的理解已经取得了显著进展,但其预防仍缺乏有效的手段。对选定的胎膜破裂或临产时的定植妇女进行化学预防,可增加益处并将不良反应降至最低。两个或更多的母体风险因素是对无症状新生儿常规使用化学预防的特殊情况。针对GBS型特异性多糖抗原的IgG抗体进行免疫预防可通过被动或主动免疫来实现。静脉注射超免疫球蛋白或对血清中抗体水平低的成年女性进行疫苗接种已被证明在体内具有保护作用。