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ARTCULO DE REVISIN
RESUMEN
SUMMARY
Streptococcus beta hemolytic group B (EGB) ha s grea t impa ct in newborn morbi-morta lity,
considered the most common etiologic agent in early newborn sepsis. Vertical transmission is the most
common transmission mechanism in early EGB infection. Usually, the passing through a colonized
birth canal is where the contact between newborns and EGB occur. The most important risk factors to
develop EGB infection are chorioamnionitis, labor fever and history of a previously affected brother.
The ACOG, AAP and CDC have developed clinical guidelines for prevention and treatment of EGB
infection due to the severity a nd the importa nce of its sequels in newborns. According to this
intervention, the incidence of early infection by EGB has experimented a significant decrease. In
relation to this matter, during 2002 year, CDC updated and published their recommendations.
Key words: Newborn, Streptococcus beta hemolytic group B, Ea rly infection.
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REV. OBSTET. GINECOL. - HOSP. SANTIAGO ORIENTE DR. LUIS TISN B ROUSSE. 2007; VOL 2 (1): 67-70
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INFECCIN TEMPRANA POR ESTREPTOCOCO BETA HEMOLTICO GRUPO B (EGB)
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REV. OBSTET. GINECOL. - HOSP. SANTIAGO ORIENTE DR. LUIS TISN B ROUSSE. 2007; VOL 2 (1): 67-70
Antibiograma resistente a clindamicina o eritro- nacido ser observar clnicamente durante 48 horas
micina: y se le practicar recuento y frmula leucocitaria y
Vancomicina 1 g intravenoso cada 12 horas, hasta protena C reactiva (PCR) en las primeras 12 horas
el trmino del parto. de vida. En caso de existir algn signo clnico o
analtico que indique posibilidad de infeccin se
En caso de que la madre haya recibido trata- realizar hemocultivos y se iniciar tratamiento
miento incompleto, la conducta frente al recin antibitico.
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