Declive de la incidencia de la sepsis perinatal por estreptococo del grupo B (Barcelona 1994-2001). Relación con las políticas profilácticas
Decreasing incidence of perinatal group B streptococcal disease (Barcelona 1994-2002). Relation with hospital prevention policies
Antonia Andreua,1
, Isabel Sanfeliub, Lluis Viñasc, Margarita Barrancod, Jordi Bosche, Eva Dopicof, Celia Guardiag, Teresa Juncosah, Josep Litei, Lurdes Matasj, Ferrán Sánchezk, Montse Sierral
Autor para correspondencia
anando@cs.vhebron.es
Correspondencia: Dra. A. Andreu. Servicio de Microbiología. Hospital Vall d’Hebron. P.º Vall d’Hebron, 119-129. 08035 Barcelona. España.
Correspondencia: Dra. A. Andreu. Servicio de Microbiología. Hospital Vall d’Hebron. P.º Vall d’Hebron, 119-129. 08035 Barcelona. España.
a Servicio de Microbiología. Hospital Vall d’Hebron. Barcelona.
b Laboratorio de Microbiología. Corporació Parc Taulí. Sabadell.
c Laboratorio de Microbiología. Institut Dexeus. Barcelona.
d Servicio de Microbiología. Hospital Clínic i Provincial. Barcelona.
e Servicio de Microbiología. Hospital Clínic i Provincial sede Maternitat. Barcelona.
f Laboratori Clínic l’Hospitalet. Hospitalet de Llobregat.
g Laboratori Clínic del Barcelonés Nord i Vallès Oriental. Badalona.
h Servicio de Microbiología. Hospital Sant Joan de Deu. Esplugues de Llobregat.
i Servicio de Microbiología. Hospital Mútua de Terrassa.
j Servicio de Microbiología. Hospital Germans Trias i Pujol. Badalona.
k Servicio de Microbiología. Hospital de Sant Pau. Barcelona. Laboratorio de Microbiología. Hospital de Barcelona-SCIAS. Barcelona. España.
l miembros del Grupo de Microbiólogos para el Estudio de las Infecciones de Transmisión Vertical, adscrito a la Societat Catalana de Malalties Infeccioses i Microbiologia Clínica
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"etiqueta" => "<span class="elsevierStyleSup">k</span>" "identificador" => "aff0055" ] 11 => array:3 [ "entidad" => "miembros del Grupo de Microbiólogos para el Estudio de las Infecciones de Transmisión Vertical, adscrito a la Societat Catalana de Malalties Infeccioses i Microbiologia Clínica" "etiqueta" => "<span class="elsevierStyleSup">l</span>" "identificador" => "aff0060" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dra. A. Andreu. Servicio de Microbiología. Hospital Vall d’Hebron. P.º Vall d’Hebron, 119-129. 08035 Barcelona. España." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Decreasing incidence of perinatal group B streptococcal disease (Barcelona 1994-2002). Relation with hospital prevention policies" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2002-07-26" "fechaAceptado" => "2002-10-31" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec205087" "palabras" => array:4 [ 0 => "Estreptococo del grupo (EGB)" 1 => "Sepsis perinatal" 2 => "Profilaxis" 3 => "Incidencia" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec205086" "palabras" => array:4 [ 0 => "GBS" 1 => "Perinatal disease" 2 => "Prophylaxis" 3 => "Incidence" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar la incidencia de la sepsis perinatal por estreptococo del grupo B (EGB) y relacionarla con la aplicación de las recomendaciones de prevención consensuadas en 1997 por las sociedades catalanas de Obstetricia, Pediatría y Enfermedades Infecciosas y Microbiología Clínica.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El estudio se realizó desde 1994 a 2001 y en él participaron 10 hospitales del área de Barcelona, donde se registraron 157.848 nacidos vivos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Fueron diagnosticados 129 recién nacidos de sepsis perinatal por EGB. La incidencia disminuyó el 86,1%, desde el 1,92/1.000 nacidos vivos en 1994 hasta el 0,26/1.000 en 2001 (p < 0,001). Las características de la sepsis perinatal por EGB son distintas en los 18 casos diagnosticados en los últimos 3 años, cuando las políticas profilácticas estaban consolidadas, puesto que su incidencia es menor (0,28/1.000 frente al 1,19 de los 5 años anteriores, p < 0,00006), el porcentaje de madres sin factores de riesgo es mayor (77,8% frente a 55,9%, p = 0,009), no afecta a prematuros (0% frente a 12,6%, p = 0,003), siendo similar la mortalidad (5,5% frente a 4,5%, p = 0,8). De estas 18 sepsis, 9 podrían considerarse fallos inherentes a la política profiláctica y 9 fallos en la cumplimentación de ésta. En 1994, sólo 3 hospitales practicaban políticas de prevención mientras que en 2001 los diez utilizan profilaxis intraparto basada en estudio de colonización.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En 8 años se ha conseguido una importante disminución de la incidencia de sepsis perinatal por EGB, coincidiendo con la aplicación de protocolos de prevención de esta patología.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To analyze the incidence of perinatal sepsis due to group B streptococcus (GBS) as related to compliance with recommendations for its prevention issued by the Catalan Societies for Obstetrics, for Pediatrics, and for Infectious Diseases and Clinical Microbiology in 1997.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The study was conducted from 1994 to 2001 in 10 Barcelona-area hospitals, where 157,848 live infants were born.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">GBS disease was diagnosed in 129 neonates. Incidence decreased by 86.1% over the study period, from 1.92 cases per 1000 live births in 1994 to 0.26 per 1000 in 2001 (p < 0.001). Changes in the characteristics of perinatal GBS disease were observed in the 18 cases diagnosed in the last 3 years, the time when prevention policies were operative. The incidence was lower (0.28 per 1000 vs. 1.19 for the previous 5 years, p < .00006), the proportion of mothers without risk factors was greater (77.8% vs. 55.9%, p = 0.009), and premature neonates were not affected (0% vs. 12.6%, p = 0.003); nevertheless, mortality was similar (5.5% vs. 4.5%, p = 0.8). Among these 18 cases of sepsis, 9 can be considered failures inherent to the prevention policy and 9 failures of compliance. Only 3 hospitals had prevention policies in 1994, whereas all 10 used intrapartum prophylaxis based on screening results in 2001.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A substantial decrease in the incidence of perinatal GBS disease coinciding with the application of prevention measures for this pathology has been registered in 10 participating hospitals over the 1994-2001 period.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:43 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Group B streptoccci: The new challenge in neonatal infections" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "G.H. 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| año/Mes | Html | Total | |
|---|---|---|---|
| 2024 Noviembre | 6 | 5 | 11 |
| 2024 Octubre | 6 | 16 | 22 |
| 2024 Septiembre | 9 | 10 | 19 |
| 2024 Agosto | 11 | 11 | 22 |
| 2024 Julio | 11 | 11 | 22 |
| 2024 Junio | 12 | 30 | 42 |
| 2024 Mayo | 12 | 8 | 20 |
| 2024 Abril | 20 | 20 | 40 |
| 2024 Marzo | 26 | 31 | 57 |
| 2024 Febrero | 29 | 16 | 45 |
| 2024 Enero | 21 | 14 | 35 |
| 2023 Diciembre | 21 | 15 | 36 |
| 2023 Noviembre | 20 | 31 | 51 |
| 2023 Octubre | 21 | 49 | 70 |
| 2023 Septiembre | 20 | 6 | 26 |
| 2023 Agosto | 10 | 17 | 27 |
| 2023 Julio | 18 | 55 | 73 |
| 2023 Junio | 24 | 31 | 55 |
| 2023 Mayo | 43 | 6 | 49 |
| 2023 Abril | 40 | 14 | 54 |
| 2023 Marzo | 29 | 25 | 54 |
| 2023 Febrero | 24 | 16 | 40 |
| 2023 Enero | 18 | 20 | 38 |
| 2022 Diciembre | 24 | 29 | 53 |
| 2022 Noviembre | 40 | 30 | 70 |
| 2022 Octubre | 28 | 23 | 51 |
| 2022 Septiembre | 21 | 32 | 53 |
| 2022 Agosto | 27 | 30 | 57 |
| 2022 Julio | 16 | 21 | 37 |
| 2022 Junio | 23 | 27 | 50 |
| 2022 Mayo | 22 | 28 | 50 |
| 2022 Abril | 42 | 25 | 67 |
| 2022 Marzo | 29 | 28 | 57 |
| 2022 Febrero | 24 | 26 | 50 |
| 2022 Enero | 32 | 17 | 49 |
| 2021 Diciembre | 17 | 27 | 44 |
| 2021 Noviembre | 20 | 29 | 49 |
| 2021 Octubre | 17 | 28 | 45 |
| 2021 Septiembre | 16 | 15 | 31 |
| 2021 Agosto | 13 | 18 | 31 |
| 2021 Julio | 19 | 16 | 35 |
| 2021 Junio | 14 | 15 | 29 |
| 2021 Mayo | 17 | 28 | 45 |
| 2021 Abril | 26 | 42 | 68 |
| 2021 Marzo | 27 | 32 | 59 |
| 2021 Febrero | 21 | 22 | 43 |
| 2021 Enero | 12 | 11 | 23 |
| 2020 Diciembre | 19 | 17 | 36 |
| 2020 Noviembre | 12 | 6 | 18 |
| 2020 Octubre | 21 | 6 | 27 |
| 2020 Septiembre | 13 | 8 | 21 |
| 2020 Agosto | 12 | 9 | 21 |
| 2020 Julio | 11 | 3 | 14 |
| 2020 Junio | 3 | 7 | 10 |
| 2020 Mayo | 9 | 14 | 23 |
| 2020 Abril | 2 | 3 | 5 |
| 2020 Marzo | 12 | 5 | 17 |
| 2020 Febrero | 12 | 8 | 20 |
| 2020 Enero | 15 | 20 | 35 |
| 2019 Diciembre | 18 | 19 | 37 |
| 2019 Noviembre | 6 | 15 | 21 |
| 2019 Octubre | 10 | 4 | 14 |
| 2019 Septiembre | 16 | 14 | 30 |
| 2019 Agosto | 7 | 10 | 17 |
| 2019 Julio | 9 | 25 | 34 |
| 2019 Junio | 26 | 40 | 66 |
| 2019 Mayo | 83 | 81 | 164 |
| 2019 Abril | 34 | 32 | 66 |
| 2019 Marzo | 5 | 7 | 12 |
| 2019 Febrero | 9 | 10 | 19 |
| 2019 Enero | 9 | 4 | 13 |
| 2018 Diciembre | 13 | 12 | 25 |
| 2018 Noviembre | 17 | 5 | 22 |
| 2018 Octubre | 28 | 16 | 44 |
| 2018 Septiembre | 19 | 8 | 27 |
| 2018 Agosto | 6 | 17 | 23 |
| 2018 Julio | 3 | 2 | 5 |
| 2018 Junio | 6 | 5 | 11 |
| 2018 Mayo | 6 | 12 | 18 |
| 2018 Abril | 7 | 4 | 11 |
| 2018 Marzo | 3 | 2 | 5 |
| 2018 Febrero | 8 | 3 | 11 |
| 2018 Enero | 5 | 4 | 9 |
| 2017 Diciembre | 10 | 1 | 11 |
| 2017 Noviembre | 9 | 1 | 10 |
| 2017 Octubre | 9 | 2 | 11 |
| 2017 Septiembre | 12 | 9 | 21 |
| 2017 Agosto | 5 | 4 | 9 |
| 2017 Julio | 9 | 3 | 12 |
| 2017 Junio | 12 | 10 | 22 |
| 2017 Mayo | 20 | 9 | 29 |
| 2017 Abril | 11 | 12 | 23 |
| 2017 Marzo | 16 | 19 | 35 |
| 2017 Febrero | 15 | 3 | 18 |
| 2017 Enero | 11 | 0 | 11 |
| 2016 Diciembre | 30 | 1 | 31 |
| 2016 Noviembre | 30 | 4 | 34 |
| 2016 Octubre | 45 | 3 | 48 |
| 2016 Septiembre | 24 | 4 | 28 |
| 2016 Agosto | 12 | 5 | 17 |
| 2016 Julio | 18 | 5 | 23 |
| 2016 Junio | 34 | 10 | 44 |
| 2016 Mayo | 30 | 12 | 42 |
| 2016 Abril | 33 | 7 | 40 |
| 2016 Marzo | 25 | 11 | 36 |
| 2016 Febrero | 32 | 14 | 46 |
| 2016 Enero | 28 | 13 | 41 |
| 2015 Diciembre | 31 | 16 | 47 |
| 2015 Noviembre | 30 | 11 | 41 |
| 2015 Octubre | 36 | 13 | 49 |
| 2015 Septiembre | 28 | 5 | 33 |
| 2015 Agosto | 51 | 4 | 55 |
| 2015 Julio | 49 | 0 | 49 |
| 2015 Junio | 35 | 4 | 39 |
| 2015 Mayo | 38 | 1 | 39 |
| 2015 Abril | 39 | 10 | 49 |
| 2015 Marzo | 34 | 7 | 41 |
| 2015 Febrero | 24 | 5 | 29 |
| 2015 Enero | 42 | 6 | 48 |
| 2014 Diciembre | 54 | 4 | 58 |
| 2014 Noviembre | 47 | 2 | 49 |
| 2014 Octubre | 50 | 3 | 53 |
| 2014 Septiembre | 42 | 3 | 45 |
| 2014 Agosto | 39 | 3 | 42 |
| 2014 Julio | 43 | 1 | 44 |
| 2014 Junio | 37 | 2 | 39 |
| 2014 Mayo | 26 | 1 | 27 |
| 2014 Abril | 32 | 3 | 35 |
| 2014 Marzo | 31 | 3 | 34 |
| 2014 Febrero | 30 | 1 | 31 |
| 2014 Enero | 20 | 0 | 20 |
| 2013 Diciembre | 20 | 2 | 22 |
| 2013 Noviembre | 22 | 2 | 24 |
| 2013 Octubre | 47 | 3 | 50 |
| 2013 Septiembre | 25 | 5 | 30 |
| 2013 Agosto | 27 | 2 | 29 |
| 2013 Julio | 31 | 3 | 34 |
| 2003 Marzo | 1875 | 0 | 1875 |
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