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Group B Streptococcal Infections in Infants: Title and subTitle BreakThe Importance of the Various Serotypes FREE

Carol J. Baker, MD; Fred F. Barrett, MD
[+] Author Affiliations

Read in part before the Southern Society for Pediatric Research, New Orleans, Jan 26, 1974.

Reprint requests to Baylor College of Medicine, 1200 Moursund Ave, Houston, TX 77025 (Dr. Barrett).


JAMA. 1974;230(8):1158-1160. doi:10.1001/jama.1974.03240080040025
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Group B streptococci produce two types of illness in infants, according to age at onset. Serotyping of isolates collected during a 3 1/2-year period was performed to define the relationship between type of illness caused by group B streptococci and specific serotype. Type III isolates were significantly increased among infants with meningitis of either the "early-" (80%) or "late-" (93%) onset types when compared to asymptomatically colonized neonates (36%) and neonates with early-onset septicemia without meningitis (33%). These findings suggest that type III strains may possess invasive properties that allow meningeal penetration, that there are epidemiologic peculiarities in the acquisition of late-onset infections, or both.

(JAMA 230:1158-1160, 1974)

REFERENCES

Franciosi RA, Knostman JD, Zimmerman RA:  Group B streptococcal neonatal and infant infections . J Pediatr 82:707-719, 1973;.
Baker CJ, Barrett FF, Gordon RC, et al:  Suppurative meningitis due to streptococci of Lancefield group B: A study of 33 infants . J Pediatr 82:724-729, 1973;.
Baker CJ, Barrett FF:  Transmission of group B streptococci among parturient women and their neonates . J Pediatr 83:919-925, 1973;.
Hood M, Janney A, Dameron G:  Beta-hemolytic streptococcus group B associated with problems of the perinatal period . Am J Obstet Gynecol 82:809-818, 1961;.
Eickhoff TC, Klein JO, Daly AK, et al:  Neonatal sepsis and other infections due to group B beta-hemolytic streptococci . N Engl J Med 271:1221-1228, 1964;.
Butter MNW, de Moor CE:  Streptococcus agalactiae as a cause of meningitis in the newborn, and of bacteremia in adults: Differentiation of human and animal varieties . Antonie van Leeuwenhoek 33:439-450, 1967;.
Wilkinson HW, Facklam RR, Worthem EC:  Distribution by serologic type of group B streptococci isolated from a variety of clinical material over a five-year period (with special reference to neonatal sepsis and meningitis) . Infect Immun 8:228-235, 1973;.
Nyhan WL, Fousek MD:  Septicemia of the newborn . Pediatrics 22:268-278, 1958;.
Lancefield RC:  Serological differentiation of specific types of bovine hemolytic streptococci (group B) . J Exp Med 61:335-349, 1934;.
McCarty M, Lancefield RC:  Variation in the group-specific carbohydrate of group A streptococci . J Exp Med 102:11-29, 1935;.
Aber RC, Facklam RR, Wilkinson HW, et al:  Nosocomial group B streptococcal infections in neonates . Read before the 13th Interscience Conference on Antimicrobial Agents and Chemotherapy , Washington, DC, (Sept 19) , 1973;.
Barton LL, Feigin RD, Lins R:  Group B beta-hemolytic streptococcal meningitis in infants . J Pediatr 82:719-724, 1973;.
Gotschlich EC, Liu TY, Artenstein MC:  Human immunity to the meningococcus . J Exp Med 129:1349-1365, 1969;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

Franciosi RA, Knostman JD, Zimmerman RA:  Group B streptococcal neonatal and infant infections . J Pediatr 82:707-719, 1973;.
Baker CJ, Barrett FF, Gordon RC, et al:  Suppurative meningitis due to streptococci of Lancefield group B: A study of 33 infants . J Pediatr 82:724-729, 1973;.
Baker CJ, Barrett FF:  Transmission of group B streptococci among parturient women and their neonates . J Pediatr 83:919-925, 1973;.
Hood M, Janney A, Dameron G:  Beta-hemolytic streptococcus group B associated with problems of the perinatal period . Am J Obstet Gynecol 82:809-818, 1961;.
Eickhoff TC, Klein JO, Daly AK, et al:  Neonatal sepsis and other infections due to group B beta-hemolytic streptococci . N Engl J Med 271:1221-1228, 1964;.
Butter MNW, de Moor CE:  Streptococcus agalactiae as a cause of meningitis in the newborn, and of bacteremia in adults: Differentiation of human and animal varieties . Antonie van Leeuwenhoek 33:439-450, 1967;.
Wilkinson HW, Facklam RR, Worthem EC:  Distribution by serologic type of group B streptococci isolated from a variety of clinical material over a five-year period (with special reference to neonatal sepsis and meningitis) . Infect Immun 8:228-235, 1973;.
Nyhan WL, Fousek MD:  Septicemia of the newborn . Pediatrics 22:268-278, 1958;.
Lancefield RC:  Serological differentiation of specific types of bovine hemolytic streptococci (group B) . J Exp Med 61:335-349, 1934;.
McCarty M, Lancefield RC:  Variation in the group-specific carbohydrate of group A streptococci . J Exp Med 102:11-29, 1935;.
Aber RC, Facklam RR, Wilkinson HW, et al:  Nosocomial group B streptococcal infections in neonates . Read before the 13th Interscience Conference on Antimicrobial Agents and Chemotherapy , Washington, DC, (Sept 19) , 1973;.
Barton LL, Feigin RD, Lins R:  Group B beta-hemolytic streptococcal meningitis in infants . J Pediatr 82:719-724, 1973;.
Gotschlich EC, Liu TY, Artenstein MC:  Human immunity to the meningococcus . J Exp Med 129:1349-1365, 1969;.
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