Background: The survey was designed to determine the trend
of group B streptococcal (GBS) infection during the last 15 years, as well
as update the reality of this disease.
Methods: Questionnaires were administered every 5 years
towards neonatal intensive care unit-equipped hospitals. The first survey
was made from 1983 to 1987, the second one from 1988 to 1992 and the third
one from 1993 to 1997. The 15-year questionnaire survey included a total of
831 patients. The changes in number of patients, the ages at onset, the
diagnosis, the serotypes of causative agents, the presence or absence of
complicated delivery and the prognosis were analyzed.
Results: It seems that the increasing trend of the number
of patients has stopped in the period from 1993 to 1997 (third survey). The
most common causative subtype was type III GBS, regardless of early onset
type or late onset type. As to perinatal abnormality, approximately 40% of
the early onset cases were free from risk factors. Concerning the prognosis,
22.6% of early onset cases and 38.7% of late onset cases died or had
sequelae.
Conclusion: The number of GBS-infected cases has stopped
increasing, but it is still necessary to carry out screenings of pregnant
women for the purpose of decreasing the onset of the disease.
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YOUR HEALTH CARE PROVIDER.
"A foolish faith in authority is the worst enemy of truth."
-- Albert Einstein, letter to a friend, 1901
"I know of no safe depository of the ultimate powers of the society but the people themselves, and if we think them not enlightened enough to exercise control with a wholesome discretion, the remedy is not to take it from them, but to inform their discretion by education."
-- Thomas Jefferson, letter to William C. Jarvis, September 28, 1820
"What's the point of vaccination if it doesn't protect you from the unvaccinated?"
-- Sandy Gottstein
"Who gets to decide what the greater good is and how many will be sacrificed to it?"