Emerging infectious diseases · 2019 · 38 citations · 17 references
MedicineInfectious DiseasesPediatricsEpidemiologyMolecular EpidemiologyPediatric Infectious DiseasesBacterial EpidemiologyBacterial InfectionsInfant Infectious DiseasesInfection SurveillanceNeonatal InfectionsNeonatal Infectious DiseasesBacterial Infections In NewbornsEpidemiology Of Bacterial InfectionsInvasive Group B Streptococcal DiseaseLaboratory SurveillanceLaboratory-based SurveillanceMaternal Vaccination CoverageNeonatal Bacterial InfectionNeonatal Infectious Disease Epidemiology
Invasive group B Streptococcus (GBS) remains a leading cause of illness and death among infants globally. We conducted prospective and retrospective laboratory-based surveillance of GBS-positive cultures from infants <3 months of age in 18 hospitals across China during January 1, 2015-December 31, 2017. The overall incidence of GBS was 0.31 (95% CI 0.27-0.36) cases/1,000 live births; incidence was 0-0.76 cases/1,000 live births across participating hospitals. The case-fatality rate was 2.3%. We estimated 13,604 cases of GBS and 1,142 GBS-associated deaths in infants <90 days of age annually in China. GBS isolates were most commonly serotype III (61.5%) and clonal complex 17 (40.6%). Enhanced active surveillance and implementation of preventive strategies, such as maternal GBS vaccination, warrants further investigation in China to help prevent these infections.
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Vincent Bekker, Merijn W. Bijlsma, Diederik van de Beek et al. · The Lancet Infectious Diseases · 2014 · 155 citations