[Neonatal streptococcus group B infection in Yaoundé (Cameroon). Epidemiologic and clinical aspects].
This study was designed to investigate epidemiologic and clinical features of neonatal group B streptococcal infections. Sixty cases seen over a 60-month period were reviewed. Incidence was 0.8% of admissions. Most affected infants were from low-income families (86.7% of mothers were unemployed and 73.5% of homes were without running water). Neonatal infection was delayed in most instances (76.67%). Fetid vaginal discharge (60%) and premature rupture of the membranes (35%) were the main findings upon history taking. Abnormal body temperature regulation (76.7%) was the most prominent clinical manifestation. Respiratory distress developed in 25% of patients. Meningeal involvement occurred in 73.3% of patients. Serotype B III was recovered in 31 of the 34 cases (91%) in which serotype was determined. Mortality rate was 21.7% and permanent sequelae occurred in 8.3% of patients.
Kago
I
I
Unité de Pédiatrie, Centre Universitaire des Sciences de la Santé (CUSS), Hôpital Central, Yaoundé, Cameroun.
Ndayo-Wouafo
M
M
Tchokoteu
P F
PF
Tetanye
E
E
Tietche
F
F
Doumbe
P
P
Mbonda
E
E
N'Koulou
H
H
Mbede
J
J
D000328:Adult; D000367:Age Factors; D002163:Cameroon / Q000453:epidemiology; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009035:Mothers; D013290:Streptococcal Infections / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology; D013292:Streptococcus agalactiae / Q000145:classification / Q000302:isolation & purification
Infection néonatale à streptocoque du groupe B à Yaoundé (Cameroun). Aspects épidémiologiques et cliniques.