Author:
Gopal Rao Guduru,Townsend Jane,Stevenson Daniel,Nartey Grace,Hiles Stephen,Bassett Paul,Lamagni Theresa,Nicholl Richard
Abstract
ObjectivesTo describe the impact on early-onset group BStreptococcus(EOGBS) infection rates following reversion from screening-based to risk-based intrapartum antimicrobial prophylaxis (IAP) for prevention.SettingMaternity services provided by secondary healthcare organisation in North West London.ParticipantsAll women who gave birth in the healthcare organisation between April 2016 and March 2017. There were no exclusions.DesignObservational study comparing EOGBS rates in the postscreening period (2016–2017) with prescreening (2009–2013) and screening periods (2014–2015).MethodsLocal guidelines for risk-based IAP were reintroduced in April 2016. Compliance with guidelines was audited. Gestational age, mode of delivery, maternal demographics and EOGBS rates in three time periods were compared using Poisson regression analysis. EOGBS was defined through GBS being cultured from blood, cerebrospinal fluid or other sterile fluids within 6 days of birth.Primary outcomeEOGBS rates/1000 live births in prescreening, screening and postscreening periodsResultsIncremental changes in maternity population were observed throughout the study period (2009 onwards), in particular the ethnic profile of mothers. Of the 5033 live births in postscreening period, 9 babies developed EOGBS infection. Only one of the mothers of affected babies had a risk factor indicating use of IAP. Comparison of postscreening period with screening period showed a fivefold increase in EOGBS rates after adjustment for ethnicity (1.79 vs 0.33/1000 live births; risk ratio =5.67, p=0.009). There was no significant difference between prescreening and postscreening periods with rates of infection reverting to their prescreening level.ConclusionsThis study provides further evidence of efficacy of screening-based IAP compared with risk-based IAP in prevention of EOGBS in newborns in an area of high incidence.