Summer.Thunder
Forum Elite
Topics: 71
Posts: 180
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1 day old infant, possible sepsis, blood culture: gram + cocci in pairs, chains agglutinate with group B antiserum
bacterial most likely colonization in mother's vagina
can anyone explain it to me? thanks
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| pr20
Forum Senior
Topics: 18
Posts: 162
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What do you particularly want to know?
Group B Streptococcus(gram positive coccus)is the most common cause of septicemia and meningitis in neonates.It colonizes vagina of 15-20% fo women and can infect the infant during labor or during delivary(increased risk when there is prolonged rupture of membranes).
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| Tiff
Forum Guru
Topics: 50
Posts: 505
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 Group B Strep - Strep Agalactiae (beta-hemolytic, catalase negative, bacitracin resistant) colonizes vagina. At week 36-37 gestation, pregnant mother is screened for this.
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| Interferon18
Forum Newbie
Topics: 1
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Anything and everything(broadlyspeaking) to do with neonates/infants......S.agalactiae
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| sigh
Forum Senior
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and the pregnant mother to be needs to get ABs for safety of her baby...
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| bactitech
Forum Elite
Topics: 25
Posts: 475
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Group B septicemia in a neonate is a tragic occurrence that can be almost eliminated by proper prenatal care and Group B screening at the proper time. Our lab now performs PCR testing on Vaginal/Rectal swabs for Group B instead of plating, and positives are called and faxed to the ordering physician. We also perform the molecular testing STAT on L&D OB's who have not been screened.
We had a case of Group B meningitis fairly recently - unfortunately the baby died. This was a needless tragedy.
___________________
Clinical Microbiology since 1974
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| Summer.Thunder
Forum Elite
Topics: 71
Posts: 180
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wonderful, this is the best response i have ever got so far, i can totally remember it now
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