Group B Streptococcus (GBS) Invasive Infections in Women of Childbearing Age, France, 2012-2020: GBS CC-17 Hypervirulence in Intrapartum Infections

被引:2
|
作者
Plainvert, Celine [1 ,2 ,3 ]
Salvy-Tabet, Yasmina de Saint [1 ]
Dmytruk, Nicolas [1 ,2 ]
Frigo, Amandine [1 ,2 ]
Poyart, Claire [1 ,2 ,3 ,4 ]
Tazi, Asmaa [1 ,2 ,3 ,4 ]
机构
[1] Univ Hosp Paris, French Natl Reference Ctr Streptococci, Dept Bacteriol, Ctr Cochin,Federat Hosp Univ Fighting Prematur, Paris, France
[2] Cochin Hosp, AP HP, Paris, France
[3] Cochin Inst, Inst Natl Sante & Rech Med U1016, CNRS, Unite Mixte Rech 8104,Team Bacteria & Perinatal, Paris, France
[4] Univ Paris, Paris, France
来源
JOURNAL OF INFECTIOUS DISEASES | 2022年 / 226卷 / 03期
关键词
group B Streptococcus; Streptococcus agalactiae; invasive infection; women of childbearing age; epidemiology; pregnancy; capsular serotype; CC-17; clone; MENINGITIS; DISEASE; SEPSIS;
D O I
10.1093/infdis/jiac076
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Group B Streptococcus(GBS) infections in pregnancy mainly occur preterm and are highly associated with obstetrical and neonatal complications. The hypervirulent neonatal GBS CC-17 represents a risk factor for intrapartum infections. Group B Streptococcus (GBS) is the leading cause of neonatal infections and an important pathogen in pregnancy. However, the features of pregnancy-associated infections are poorly reported. We analyzed 336 cases of GBS invasive infections in women aged 18-50 years, including 242 (72.0%) pregnancy-associated infections. In pregnancy, most cases were intra-amniotic infections (55.8%), occurred preterm (61.3%), and were associated with obstetrical and neonatal complications (81.7%). The GBS clone CC-17 (18.8% of the cases) was overrepresented intrapartum (35.2%; odds ratio, 5.1 [95% confidence interval, 1.6-19.3]). This work highlights the burden of GBS and of the CC-17 clone infections during pregnancy.
引用
收藏
页码:541 / 545
页数:5
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