Synonyms: Group B beta-haemolytic streptococcus
Related tests: antibiogram
Clinical significance
In Italy, 3 to 30% of pregnant women are colonised by group B streptococcus in the vagina or rectum, usually without symptoms. At birth, 40-70% of babies born to colonised women are infected with the bacterium passed on by the mother, particularly in the womb shortly before delivery through infection ascending across ruptured membranes, or during passage through the birth canal through contact with infected secretions. The harm to the newborn can be serious, including neonatal sepsis and early- or late-onset meningitis. For these reasons, testing for the bacterium is recommended at around the 36th week of pregnancy so that early preventive antibiotic treatment can be given.
Clinical indications
Pre-delivery screening
Sample type
Secretions
Preparation
Stop any treatment with pessaries or suppositories at least 48 hours beforehand, do not use internal vaginal douches in the previous 24 hours and avoid sexual intercourse in the previous 24 hours. Allow at least 7 days after the last dose of antibiotics unless your doctor specifically instructs otherwise. The test cannot be carried out during menstruation.
