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BIBTEX RIS

Comment on "Risk-based screening combined with a PCR-based test for group B streptococci diminishes the use of antibiotics in laboring women"

2017; Elsevier BV; Volume: 217; Linguagem: Inglês

10.1016/j.ejogrb.2017.07.008

ISSN

1872-7654

Autores

Otto Henrique May Feuerschuette, Ana Carolina Labor Cancelier, Sheila Koetker Silveira, Jefferson Ricardo Pereira,

Tópico(s)

Sepsis Diagnosis and Treatment

Resumo

After reading Khalil’s paper [ [1] Khalil M.R. Uldbjerg N. Thorsen P.B. Henriksen B. Møller J.K. Risk-based screening combined with a PCR-based test for group B streptococci diminishes the use of antibiotics in laboring women. Eur J Obstet Gynecol Reprod Biol. 2017; 215: 188-192 Abstract Full Text Full Text PDF PubMed Scopus (11) Google Scholar ], we thought to be necessary to make some considerations. Any initiative to reduce the use of antibiotics in the perinatal period is appreciated, but this should not increase the risk of early-onset neonatal sepsis (EONS). As the author stated, since initial recommendations of intrapartum antibiotics prophylaxes (IAP) in the 1990s, there has been a progressive decline in EONS cases in countries that have adopted the culture-based screening [ [2] Phares C.R. Lynfield R. Farley M.M. Mohle-Boetani J. Harrison L.H. Petit S. et al. Epidemiology of invasive group B streptococcal disease in the United States, 1999–2005. JAMA. 2008; 299: 2056-2065 Crossref PubMed Scopus (672) Google Scholar ]. Despite the possibility of unnecessary use of IAP, the effectiveness of universal screening is 50% higher than risk-based approach [ [3] Schrag S.J. Zell E.R. Lynfield R. Roome A. Arnold K.E. Craig A.S. et al. A population-based comparison of strategies to prevent early-onset group B streptococcal disease in neonates. N Engl J Med. 2002; 34: 233-239 Crossref Scopus (539) Google Scholar ]. Risk-based screening combined with a PCR-based test for group B streptococci diminishes the use of antibiotics in laboring womenEuropean Journal of Obstetrics and Gynecology and Reproductive BiologyVol. 215PreviewTo assess the performance of a polymerase chain reaction – group B streptococci test (PCR-GBS test) – in deciding antibiotic prophylaxis in term laboring women. Full-Text PDF Corrigendum to “Risk-based screening combined with a PCR-based test for group B streptococci diminishes the use of antibiotics in laboring women” [Eur J Obstet Gynecol Reprod Biol 215 (August) (2017) 188–192]European Journal of Obstetrics and Gynecology and Reproductive BiologyVol. 221PreviewThe authors regret in finding 2 minor errors in Table 2. The errors do not affect the results or the conclusion. Full-Text PDF

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