title: [Prevention of neonatal group B streptococcal sepsis in Hungary in 2012. Preliminary data of a nation-wide survey].
abstract: BACKGROUND
  At present, there is no obligatory guideline for the prevention of early-onset neonatal group B streptococcal disease in Hungary.
  
  
  OBJECTIVE
  The aim of the present study was to gain insight into the spontaneously developed preventive strategy of the domestic obstetric divisions and departments in Hungary.
  
  
  METHODS
  Standardized questionnaire was sent out to each of the 71 obstetric divisions and departments in Hungary.
  
  
  RESULTS
  Overall, 20 (27.4%) of the chairpersons replied, and thus, 39.9% of the total number of live births in Hungary were included in the study. Despite missing public health guidelines, each of the divisions and departments developed their own strategy to prevent neonatal group B streptococcal disease. In 95% of cases, bacterial culture of the lower vagina was the method of identifying pregnant women at risk. In 5% of the cases intrapartum antibiotic prophylaxis was based on risk assessment only. Of the departments using culture-based prophylaxis, 58% departments sampled women after completion of 36th gestational weeks. Antibiotic of choice was penicillin or ampicillin in 100% of cases. Of the study participants, 80% reported on multiple administration of colonized pregnant women after onset of labor or rupture of the membranes.
  
  
  CONCLUSIONS
  The authors concluded that the rate of participation in the study was low. However, prevention of early-onset neonatal group B streptococcal infection is a priority of obstetric care in Hungary. Lack of a nation-wide public health policy did not prevent obstetric institutions in this country to develop their own prevention strategy. In the majority of cases and institutions, the policy is consistent with the widely accepted international standards.
authors.affiliation: Szent Imre Egyetemi Oktatókórház Szülészeti és Nőgyógyászati Osztály Budapest Tétényi út 12-16. 1115.
authors.forename: István
authors.initials: I
authors.lastname: Sziller
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar I. Gyermekklinika Budapest.
authors.forename: Miklós
authors.initials: M
authors.lastname: Szabó
authors.affiliation: Országos Csecsemő- és Gyermekegészségügyi Intézet Budapest.
authors.forename: Andrea
authors.initials: A
authors.lastname: Valek
authors.affiliation: Maternity Szülészeti és Nőgyógyászati Magánklinika Budapest.
authors.forename: Barbara
authors.initials: B
authors.lastname: Rigó
authors.affiliation: Semmelweis Egyetem, Általános Orvostudományi Kar II. Szülészeti és Nőgyógyászati Klinika Budapest.
authors.forename: Nándor
authors.initials: N
authors.lastname: Ács
mesh_terms: D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019072:Antibiotic Prophylaxis; D016470:Bacteremia / Q000453:epidemiology / Q000382:microbiology* / Q000517:prevention & control*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D006814:Hungary / Q000453:epidemiology; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000382:microbiology* / Q000517:prevention & control*; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control*; D008297:Male; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000453:epidemiology / Q000382:microbiology; D011263:Pregnancy Trimester, Third; D012307:Risk Factors; D013290:Streptococcal Infections / Q000382:microbiology* / Q000517:prevention & control*; D013292:Streptococcus agalactiae / Q000302:isolation & purification*
chemical_list: D000900:Anti-Bacterial Agents
keywords: B csoportú Streptococcus; antibiotic profilaxis; antibiotikumprofilaxis; connatal sepsis; connatalis szepszis; group B streptococcus; megelőzés; prevention