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Invasive Group B Streptococcal disease in newborns at Groote Schuur Hospital

Background. Group B Streptococcal disease is an important cause of morbidity and mortality in newborns globally, and is more common in Sub-Saharan Africa and South Africa. There are few studies reporting on the burden of invasive Group B Streptococcus disease (iGBS) in newborns in South Africa, espe...

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Main Author: Browne, Bradley
Other Authors: Tooke, Lloyd
Format: Thesis
Language:English
Published: Department of Paediatrics and Child Health 2024
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access_status_str Open Access
author Browne, Bradley
author2 Tooke, Lloyd
author_browse Browne, Bradley
Tooke, Lloyd
author_facet Tooke, Lloyd
Browne, Bradley
author_sort Browne, Bradley
collection Thesis
description Background. Group B Streptococcal disease is an important cause of morbidity and mortality in newborns globally, and is more common in Sub-Saharan Africa and South Africa. There are few studies reporting on the burden of invasive Group B Streptococcus disease (iGBS) in newborns in South Africa, especially in the Western Cape. Objective. This study aims to describe a case series of newborns with iGBS in a tertiary hospital in the Western Cape. Methods. A retrospective folder review was conducted between January 2015 and December 2020. Results. Thirty five cases of invasive GBS disease were included in the study, 51% with earlyonset disease (EoD) and 49% with late-onset disease (LoD). The median gestational age at birth was 27 and 31.5 weeks in the LoD and EoD groups respectively. The median birth weight was 900 g and 1812 g in the LoD and EoD group respectively. Meningits was more common in the LoD group, and pneumonia more common in the EoD group. The overall mortality rate was 23%, and GBS disease accounted for a cumulative 274 days in the intensive care unit. Conclusion. Invasive GBS disease in newborns at GSH carries a high mortality rate with a similar burden of LoD and EoD. More studies of newborn iGBS are needed in the Western Cape and South Africa to better understand the burden of disease.
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license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2024
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publishDateSort 2024
publisher Department of Paediatrics and Child Health
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spelling oai:open.uct.ac.za:11427/39301 Invasive Group B Streptococcal disease in newborns at Groote Schuur Hospital Browne, Bradley Tooke, Lloyd Paediatrics Background. Group B Streptococcal disease is an important cause of morbidity and mortality in newborns globally, and is more common in Sub-Saharan Africa and South Africa. There are few studies reporting on the burden of invasive Group B Streptococcus disease (iGBS) in newborns in South Africa, especially in the Western Cape. Objective. This study aims to describe a case series of newborns with iGBS in a tertiary hospital in the Western Cape. Methods. A retrospective folder review was conducted between January 2015 and December 2020. Results. Thirty five cases of invasive GBS disease were included in the study, 51% with earlyonset disease (EoD) and 49% with late-onset disease (LoD). The median gestational age at birth was 27 and 31.5 weeks in the LoD and EoD groups respectively. The median birth weight was 900 g and 1812 g in the LoD and EoD group respectively. Meningits was more common in the LoD group, and pneumonia more common in the EoD group. The overall mortality rate was 23%, and GBS disease accounted for a cumulative 274 days in the intensive care unit. Conclusion. Invasive GBS disease in newborns at GSH carries a high mortality rate with a similar burden of LoD and EoD. More studies of newborn iGBS are needed in the Western Cape and South Africa to better understand the burden of disease. 2024-04-04T08:15:03Z 2024-04-04T08:15:03Z 2023 2024-04-04T06:48:57Z Thesis / Dissertation Masters MMed http://hdl.handle.net/11427/39301 eng application/pdf Department of Paediatrics and Child Health Faculty of Health Sciences
spellingShingle Paediatrics
Browne, Bradley
Invasive Group B Streptococcal disease in newborns at Groote Schuur Hospital
thesis_degree_str Master's
title Invasive Group B Streptococcal disease in newborns at Groote Schuur Hospital
title_full Invasive Group B Streptococcal disease in newborns at Groote Schuur Hospital
title_fullStr Invasive Group B Streptococcal disease in newborns at Groote Schuur Hospital
title_full_unstemmed Invasive Group B Streptococcal disease in newborns at Groote Schuur Hospital
title_short Invasive Group B Streptococcal disease in newborns at Groote Schuur Hospital
title_sort invasive group b streptococcal disease in newborns at groote schuur hospital
topic Paediatrics
url http://hdl.handle.net/11427/39301
work_keys_str_mv AT brownebradley invasivegroupbstreptococcaldiseaseinnewbornsatgrooteschuurhospital