A korai kezdetu újszülöttkori B csoportú Streptococcus-szepszis megelozésének helyzete Magyarorszá gon 2012-ben. Egy országos felmérés adatai

Translated title of the contribution: Prevention of neonatal group B streptococcal sepsis in Hungary in 2012. Preliminary data of a nation-wide survey

I. Sziller, Miklós Szabó, Andrea Valek, Barbara Rigó, N. Ács

Research output: Contribution to journalArticle

Abstract

Introduction: At present, there is no obligatory guideline for the prevention of early-onset neonatal group B streptococcal disease in Hungary. Aim: The aim of the present study was to gain insight into the spontaneously developed preventive strategy of the domestic obstetric divisions and departments in Hungary. Method: Standardized questionnaire was sent out to each of the 71 obstetric divisions and departments in Hungary. Results: Overall, 20 (27.4%) of the chairpersons replied, and thus, 39.9% of the total number of live births in Hungary were included in the study. Despite missing public health guidelines, each of the divisions and departments developed their own strategy to prevent neonatal group B streptococcal disease. In 95% of cases, bacterial culture of the lower vagina was the method of identifying pregnant women at risk. In 5% of the cases intrapartum antibiotic prophylaxis was based on risk assessment only. Of the departments using culture-based prophylaxis, 58% departments sampled women after completion of 36th gestational weeks. Antibiotic of choice was penicillin or ampicillin in 100% of cases. Of the study participants, 80% reported on multiple administration of colonized pregnant women after onset of labor or rupture of the membranes. Conclusions: The authors concluded that the rate of participation in the study was low. However, prevention of early-onset neonatal group B streptococcal infection is a priority of obstetric care in Hungary. Lack of a nation-wide public health policy did not prevent obstetric institutions in this country to develop their own prevention strategy. In the majority of cases and institutions, the policy is consistent with the widely accepted international standards. Orv. Hetil., 2014, 155(29), 1167-1172.

Original languageHungarian
Pages (from-to)1167-1172
Number of pages6
JournalOrvosi Hetilap
Volume155
Issue number29
DOIs
Publication statusPublished - Jul 1 2014

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Hungary
Sepsis
Hospital Obstetrics and Gynecology Department
Obstetrics
Pregnant Women
Public Health
Guidelines
Labor Onset
Streptococcal Infections
Antibiotic Prophylaxis
Live Birth
Vagina
Ampicillin
Public Policy
Health Policy
Penicillins
Rupture
Surveys and Questionnaires
Anti-Bacterial Agents
Membranes

ASJC Scopus subject areas

  • Medicine(all)

Cite this

A korai kezdetu újszülöttkori B csoportú Streptococcus-szepszis megelozésének helyzete Magyarorszá gon 2012-ben. Egy országos felmérés adatai. / Sziller, I.; Szabó, Miklós; Valek, Andrea; Rigó, Barbara; Ács, N.

In: Orvosi Hetilap, Vol. 155, No. 29, 01.07.2014, p. 1167-1172.

Research output: Contribution to journalArticle

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abstract = "Introduction: At present, there is no obligatory guideline for the prevention of early-onset neonatal group B streptococcal disease in Hungary. Aim: The aim of the present study was to gain insight into the spontaneously developed preventive strategy of the domestic obstetric divisions and departments in Hungary. Method: Standardized questionnaire was sent out to each of the 71 obstetric divisions and departments in Hungary. Results: Overall, 20 (27.4{\%}) of the chairpersons replied, and thus, 39.9{\%} of the total number of live births in Hungary were included in the study. Despite missing public health guidelines, each of the divisions and departments developed their own strategy to prevent neonatal group B streptococcal disease. In 95{\%} of cases, bacterial culture of the lower vagina was the method of identifying pregnant women at risk. In 5{\%} of the cases intrapartum antibiotic prophylaxis was based on risk assessment only. Of the departments using culture-based prophylaxis, 58{\%} departments sampled women after completion of 36th gestational weeks. Antibiotic of choice was penicillin or ampicillin in 100{\%} of cases. Of the study participants, 80{\%} reported on multiple administration of colonized pregnant women after onset of labor or rupture of the membranes. Conclusions: The authors concluded that the rate of participation in the study was low. However, prevention of early-onset neonatal group B streptococcal infection is a priority of obstetric care in Hungary. Lack of a nation-wide public health policy did not prevent obstetric institutions in this country to develop their own prevention strategy. In the majority of cases and institutions, the policy is consistent with the widely accepted international standards. Orv. Hetil., 2014, 155(29), 1167-1172.",
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