Infection in newborn babies (group B streptococcus)

What is group B streptococcus infection in newborn babies?
Infection with bacteria (a kind of germ) called group B streptococcus can make a newborn baby seriously ill. This infection doesn't happen often, but when it does babies need to be treated quickly.
Most
infections in newborn babies are caused by bacteria called group B streptococcus (also called group B strep or GBS).
1 Group B strep can live in your body without causing any problems. But if these bacteria spread from a mother to her baby
during birth they can cause serious illness such as:
1
2
infection
You get an infection when viruses, bacteria, fungi or other tiny organisms get into your body. These bugs are so tiny that you can't see them without a microscope. For example, an infection in your airways causes the common cold. And an infection in your skin can cause rashes such as athlete's foot.
You get an infection when viruses, bacteria, fungi or other tiny organisms get into your body. These bugs are so tiny that you can't see them without a microscope. For example, an infection in your airways causes the common cold. And an infection in your skin can cause rashes such as athlete's foot.
Source:
Centers for Disease Control and Prevention.
Group B strep disease: frequently asked questions.
April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
Centers for Disease Control and Prevention.
Group B strep disease: frequently asked questions.
April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
Source:
Centers for Disease Control and Prevention.
Group B strep disease: frequently asked questions.
April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
Centers for Disease Control and Prevention.
Group B strep disease: frequently asked questions.
April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
Source:
Royal College of Obstetricians and Gynaecologists.
Preventing group B streptococcus (GBS) infection in newborn babies: information for you.
January 2007. Available at http://www.rcog.org.uk/index.asp?PageID=1400 (accessed on 3 February 2009).
Royal College of Obstetricians and Gynaecologists.
Preventing group B streptococcus (GBS) infection in newborn babies: information for you.
January 2007. Available at http://www.rcog.org.uk/index.asp?PageID=1400 (accessed on 3 February 2009).
- Blood infection (sepsis)
- Lung infection (
pneumonia
Pneumonia is an infection in your lungs. Anything that causes infections (bacteria, viruses or fungi, for example) can give you pneumonia.pneumonia) - Infection of the fluid and lining around the brain (
meningitis
If you have a swelling in the thin layers of tissue that surround your brain and your spinal cord, it's called meningitis. It's most often caused by an infection with certain kinds of bacteria or viruses. Meningitis can give you a severe headache and a stiff neck. And you may find it difficult to keep your eyes open in the light. Meningitis is a life-threatening disease. If you have these symptoms, you should get to a hospital right away.meningitis).
There are two main types of group B strep infection in newborn babies.
If your baby gets group B strep infection in the first seven days of life, it's called early-onset infection. Doctors think that babies who get an infection soon after they are born breathed in fluid that contained group B strep during
labor.
3 Early-onset group B strep infection in newborn babies can be prevented by giving women
antibiotics during labor. The antibiotics kill the bacteria before they can be passed on to the baby. To learn more see Preventing group B streptococcus infections in newborn babies.
Source:
Shet A, Ferrieri P.
Neonatal and maternal group B streptococcal infections: a comprehensive review.
Indian Journal of Medical Research. 2004; 120: 141-150.
Shet A, Ferrieri P.
Neonatal and maternal group B streptococcal infections: a comprehensive review.
Indian Journal of Medical Research. 2004; 120: 141-150.
antibiotics
These medications are used to help your immune system fight infection. There are a number of different types of antibiotics that work in different ways to get rid of bacteria, parasites and other infectious agents. Antibiotics do not work against viruses.
These medications are used to help your immune system fight infection. There are a number of different types of antibiotics that work in different ways to get rid of bacteria, parasites and other infectious agents. Antibiotics do not work against viruses.
If your baby gets group B strep infection between seven days and two months after birth, it's called late-onset infection.
1 Doctors aren't exactly sure how a baby gets late-onset infection. It seems that mothers probably pass group B strep to their
babies through close physical contact.
1
3 Giving women antibiotics during labor doesn't prevent babies from getting late-onset infections.
Source:
Centers for Disease Control and Prevention.
Group B strep disease: frequently asked questions.
April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
Centers for Disease Control and Prevention.
Group B strep disease: frequently asked questions.
April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
Source:
Centers for Disease Control and Prevention.
Group B strep disease: frequently asked questions.
April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
Centers for Disease Control and Prevention.
Group B strep disease: frequently asked questions.
April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
Source:
Shet A, Ferrieri P.
Neonatal and maternal group B streptococcal infections: a comprehensive review.
Indian Journal of Medical Research. 2004; 120: 141-150.
Shet A, Ferrieri P.
Neonatal and maternal group B streptococcal infections: a comprehensive review.
Indian Journal of Medical Research. 2004; 120: 141-150.
Here we look at preventing and treating group B strep infections that babies can get in the first week of their life (early-onset
infections).
Certain things make it more likely that your baby will get a group B strep infection soon after birth. These are called risk
factors. If you have a risk factor it doesn't mean your baby will definitely get an infection. But the chance of your baby
getting an infection is greater than that of another baby whose mother doesn't have any risk factors.

Going into labor early is a risk factor for your baby getting an infection.
Your baby is more likely to get early-onset group B strep infection if:
4
5
6
Source:
Zaleznik DF, Rench MA, Hillier S, et al.
Invasive disease due to group B streptococcus in pregnant women and neonates from diverse population groups.
Clinical Infectious Diseases. 2000; 30: 276-281.
Zaleznik DF, Rench MA, Hillier S, et al.
Invasive disease due to group B streptococcus in pregnant women and neonates from diverse population groups.
Clinical Infectious Diseases. 2000; 30: 276-281.
Source:
Schuchat A, Zywicki SS, Dinsmoor MJ, et al.
Risk factors and opportunities for prevention of early-onset neonatal sepsis: a multicenter case-control study.
Pediatrics. 2000; 105: 21-26.
Schuchat A, Zywicki SS, Dinsmoor MJ, et al.
Risk factors and opportunities for prevention of early-onset neonatal sepsis: a multicenter case-control study.
Pediatrics. 2000; 105: 21-26.
Source:
Benitz WE, Gould JB, Druzin ML.
Risk factors for early-onset group B streptococcal sepsis: estimation of odds ratios by critical literature review.
Pediatrics. 1999; 103: 77.
Benitz WE, Gould JB, Druzin ML.
Risk factors for early-onset group B streptococcal sepsis: estimation of odds ratios by critical literature review.
Pediatrics. 1999; 103: 77.
- You carry group B strep (that is, you have the bacteria in your body but you don't have any symptoms of an infection)
- Your baby is born before the 37th week of pregnancy
- Your baby weighs less than 5.5 pounds
- You have a fever when you are in labor
- Your waters break before the 37th week of pregnancy or before labor (this is called the premature rupture of membranes)
- You have lots of vaginal examinations (six or more) when you are in labor
- You're having more than one baby.
Sources for the information on this page:
- Centers for Disease Control and Prevention.Group B strep disease: frequently asked questions.April 2008. Available at http://www.cdc.gov/groupbstrep/general/gen_public_faq.htm (accessed on 3 February 2009).
- Royal College of Obstetricians and Gynaecologists.Preventing group B streptococcus (GBS) infection in newborn babies: information for you.January 2007. Available at http://www.rcog.org.uk/index.asp?PageID=1400 (accessed on 3 February 2009).
- Shet A, Ferrieri P.Neonatal and maternal group B streptococcal infections: a comprehensive review.Indian Journal of Medical Research. 2004; 120: 141-150.
- Zaleznik DF, Rench MA, Hillier S, et al.Invasive disease due to group B streptococcus in pregnant women and neonates from diverse population groups.Clinical Infectious Diseases. 2000; 30: 276-281.
- Schuchat A, Zywicki SS, Dinsmoor MJ, et al.Risk factors and opportunities for prevention of early-onset neonatal sepsis: a multicenter case-control study.Pediatrics. 2000; 105: 21-26.
- Benitz WE, Gould JB, Druzin ML.Risk factors for early-onset group B streptococcal sepsis: estimation of odds ratios by critical literature review.Pediatrics. 1999; 103: 77.
This information was last updated on Feb 05, 2009
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
© BMJ Publishing Group Limited 2009. All rights reserved.
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