MARC Record from Library of Congress

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035 $a(OCoLC)ocn681952227
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043 $an-us---
050 00 $aRA644.S75$bV47 2010
050 14 $aRA407.3$b.C44a v. 59 no. RR-10
100 1 $aVerani, Jennifer R.
245 10 $aPrevention of perinatal group B streptococcal disease :$brevised guidelines from CDC, 2010 /$c[prepared by Jennifer R. Verani, Lesley McGee, Stephanie J. Schrag].
260 $aAtlanta, GA:$bDept. of Health and Human Services, Centers for Disease Control and Prevention,$c[2010].
300 $a32 p. :$bill. ;$c28 cm.
490 1 $aMMWR. Morbidity and mortality weekly report. Recommendations and reports,$x1057-5987 ;$vv. 59, no. RR-10
500 $aCover title.
500 $a"November 19, 2010."
500 $a"The material in this report originated in the National Center for Immunization and Respiratory Diseases, Anne Schuchat, MD, Director, and the Division of Bacterial Diseases, Rana Hajjeh, MD, Director"--P. 1.
500 $a"U.S. Government Printing Office: 2011-723-011/21003, Region IV"--P. [4] of cover.
500 $aRevision of: Prevention of perinatal group B streptococcal disease: revised guidelines from CDC. MMWR 2002;51 (RR-11):1-24.
504 $aIncludes bibliographical references (p. 23-31).
505 0 $aIntroduction -- Methods -- Invasive group B streptococcal disease -- Prevention of early-onset group B streptococcal disease -- Identification of candidates for intrapartum antibiotic prophylaxis -- Specimen collection and processing for GBS screening -- Secondary prevention of early-onset GBS among infants -- Implementation and impact of GBS prevention efforts -- Recommendations -- Future of GBS prevention.
520 $a"Despite substantial progress in prevention of perinatal group B streptococcal (GBS) disease since the 1990s, GBS remains the leading cause of early-onset neonatal sepsis in the United States. In 1996, CDC, in collaboration with relevant professional societies, published guidelines for the prevention of perinatal group B streptococcal disease (CDC. Prevention of perinatal group B streptococcal disease: a public health perspective. MMWR 1996;45 [No. RR-7]); those guidelines were updated and republished in 2002 (CDC. Prevention of perinatal group B streptococcal disease: revised guidelines from CDC. MMWR 2002;51 [No. RR-11]). In June 2009, a meeting of clinical and public health representatives was held to reevaluate prevention strategies on the basis of data collected after the issuance of the 2002 guidelines. This report presents CDC's updated guidelines, which have been endorsed by the American College of Obstetricians and Gynecologists, the American Academy of Pediatrics, the American College of Nurse- Midwives, the American Academy of Family Physicians, and the American Society for Microbiology. The recommendations were made on the basis of available evidence when such evidence was sufficient and on expert opinion when available evidence was insufficient. The key changes in the 2010 guidelines include the following: expanded recommendations on laboratory methods for the identification of GBS, clarification of the colony-count threshold required for reporting GBS detected in the urine of pregnant women, updated algorithms for GBS screening and intrapartum chemoprophylaxis for women with preterm labor or preterm pre- mature rupture of membranes, a change in the recommended dose of penicillin-G for chemoprophylaxis, updated prophylaxis regimens for women with penicillin allergy, and a revised algorithm for management of newborns with respect to risk for early-onset GBS disease. Universal screening at 35-37 weeks' gestation for maternal GBS colonization and use of intrapartum antibiotic prophylaxis has resulted in substantial reductions in the burden of early-onset GBS disease among newborns. Although early-onset GBS disease has become relatively uncommon in recent years, the rates of maternal GBS colonization (and therefore the risk for early-onset GBS disease in the absence of intrapartum antibiotic prophylaxis) remain unchanged since the 1970s. Continued efforts are needed to sustain and improve on the progress achieved in the prevention of GBS disease. There also is a need to monitor for potential adverse consequences of intrapartum antibiotic prophylaxis (e.g., emergence of bacterial antimicrobial resistance or increased incidence or severity of non-GBS neonatal pathogens). In the absence of a licensed GBS vaccine, universal screening and intrapartum antibiotic prophylaxis continue to be the cornerstones of early-onset GBS disease prevention"--P. 1.
530 $aAlso available via the World Wide Web in html form and as a .pdf file (1.54 MB, 36 p.).
650 0 $aStreptococcus agalactiae$xPrevention.
650 0 $aNeonatal infections$xPrevention.
650 0 $aStreptococcal infections$xPrevention.
650 0 $aCommunicable diseases in newborn infants$zUnited States.
650 2 $aInfectious Disease Transmission, Vertical$xprevention & control.
650 2 $aMass Screening.
650 2 $aPregnancy Complications, Infectious$xprevention & control.
650 2 $aStreptococcal Infections$xprevention & control.
650 2 $aStreptococcal Vaccines.
655 2 $aPractice Guideline.
700 1 $aMcGee, Lesley.
700 1 $aSchrag, Stephanie J.
710 2 $aNational Center for Immunization and Respiratory Diseases (U.S.).$bDivision of Bacterial Diseases.
710 2 $aCenters for Disease Control and Prevention (U.S.)
830 0 $aMorbidity and mortality weekly report.$pRecommendations and reports ;$vv. 59, no. RR-10.
856 41 $3text version$uhttp://www.cdc.gov/mmwr/preview/mmwrhtml/rr5910a1.htm?s_cid=rr5910a1_w
856 41 $3PDF version$uhttp://www.cdc.gov/mmwr/pdf/rr/rr5910.pdf