Literature DB >> 2653894

Prevention of group B streptococci transmission during delivery by vaginal application of chlorhexidine gel.

L A Kollée1, I Speyer, M A van Kuijck, R Koopman, J M Dony, J H Bakker, R G Wintermans.   

Abstract

In a prospective study in 227 parturients, carriership of group B streptococci was established to be 25%. In carriers, transmission of streptococci to the newborn occurred in 50%. 10 ml of a chlorhexidine gel containing hydroxypropylmethylcellulose was introduced into the vagina during labor in 17 parturients, who were known to be carriers of group B streptococci from the first trimester of pregnancy. In none of the newborns from these mothers colonization by group B streptococci did occur. Vaginal application of chlorhexidine may prevent transmission of group B streptococci, and serve as an alternative to intrapartum prophylaxis using antibiotics. A large multicenter randomized controlled study should be performed to confirm this hypothesis.

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Year:  1989        PMID: 2653894     DOI: 10.1016/0028-2243(89)90025-7

Source DB:  PubMed          Journal:  Eur J Obstet Gynecol Reprod Biol        ISSN: 0301-2115            Impact factor:   2.435


  5 in total

Review 1.  Safety and impact of chlorhexidine antisepsis interventions for improving neonatal health in developing countries.

Authors:  Luke C Mullany; Gary L Darmstadt; James M Tielsch
Journal:  Pediatr Infect Dis J       Date:  2006-08       Impact factor: 2.129

2.  Prevalence of early-onset neonatal infection among newborns of mothers with bacterial infection or colonization: a systematic review and meta-analysis.

Authors:  Grace J Chan; Anne C C Lee; Abdullah H Baqui; Jingwen Tan; Robert E Black
Journal:  BMC Infect Dis       Date:  2015-03-07       Impact factor: 3.090

3.  What is the result of vaginal cleansing with chlorhexidine during labour on maternal and neonatal infections? A systematic review of randomised trials with meta-analysis.

Authors:  Charlotte Bell; Laura Hughes; Trevor Akister; Vin Ramkhelawon; Amie Wilson; David Lissauer
Journal:  BMC Pregnancy Childbirth       Date:  2018-05-08       Impact factor: 3.007

4.  Chlorhexidine vs. Sterile vaginal wash during labor to prevent neonatal infection.

Authors:  N L Eriksen; K M Sweeten; J D Blanco
Journal:  Infect Dis Obstet Gynecol       Date:  1997

Review 5.  Risk of early-onset neonatal infection with maternal infection or colonization: a global systematic review and meta-analysis.

Authors:  Grace J Chan; Anne C C Lee; Abdullah H Baqui; Jingwen Tan; Robert E Black
Journal:  PLoS Med       Date:  2013-08-20       Impact factor: 11.069

  5 in total

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