Systematic Review and Meta-Analyses of Incidence for Group B Streptococcus Disease in Infants and Antimicrobial Resistance, China

被引：40
作者：
Ding, Yijun [1 ]
Wang, Yajuan [1 ]
Hsia, Yingfen [2 ,3 ,4 ]
Russell, Neal [2 ,3 ]
Heath, Paul T. [2 ,3 ]
机构：
[1] Capital Med Univ, Natl Ctr Childrens Hlth, Beijing Childrens Hosp, Dept Neonatol, 56 Nan Lishi Rd, Beijing, Peoples R China
[2] St Georges Univ London, Paediat Infect Dis Res Grp, London, England
[3] St Georges Univ London, Vaccine Inst, London, England
[4] Queens Univ Belfast, Belfast, Antrim, North Ireland
来源：
EMERGING INFECTIOUS DISEASES | 2020年 / 26卷 / 11期
关键词：
PREGNANT-WOMEN; SEROTYPE DISTRIBUTION; WORLDWIDE; EPIDEMIOLOGY; MULTICENTER; PREVALENCE; MECHANISMS; BURDEN;
D O I：
10.3201/eid2611.181414
中图分类号：
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号：
100102 ;
摘要：
We performed a systematic review and meta-analysis of the incidence, case-fatality rate (CFR), isolate antimicrobial resistance patterns, and serotype and sequence type distributions for invasive group B Streptococcus (GBS) disease in infants <1-89 days of age in China. We searched the PubMed/Medline, Embase, Wanfang, and China National Knowledge Infrastructure databases for research published during January 1, 2000-March 16, 2018, and identified 64 studies. Quality of included studies was assessed by using Cochrane tools. Incidence and CFR were estimated by using random-effects meta-analyses. Overall incidence was 0.55 (95% CI 0.35-0.74) cases/1,000 live births, and the CFR was 5% (95% CI 3%-6%). Incidence of GBS in young infants in China was higher than the estimated global incidence (0.49 cases/1,000 live births) and higher than previous estimates for Asia (0.3 cases/1,000 live births). Our findings suggest that implementation of additional GBS prevention efforts in China, including maternal vaccination, could be beneficial.
引用
收藏
页码：2651 / 2659
页数：9
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