Evidence map›Paper›PMID 42690541›Full record

ArticleInfection2026

A retrospective study of alternative antibiotics for prophylaxis of the Group B Streptococcus maternal-fetal disease.

Hongxia Guo, Wanqiu Huang, Cheng Chen, Bo Sun

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Article in Infection, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Hongxia GuoDepartment of Obstetrics, Shenzhen Baoan Women's and Children's Hospital, Obstetric and Paediatric Centre [Shenzhen] Under Hong Kong Hub of Paediatric Excellence (HOPE), The Chinese University of Hong Kong, Shenzhen, Guangdong, China. doctorghx@163.com.
Wanqiu HuangDepartment of Obstetrics, Shenzhen Futian Women's and Children's Hospital, Shenzhen, Guangdong, China.
Cheng ChenDepartment of Obstetrics, Shenzhen Baoan Women's and Children's Hospital, Obstetric and Paediatric Centre [Shenzhen] Under Hong Kong Hub of Paediatric Excellence (HOPE), The Chinese University of Hong Kong, Shenzhen, Guangdong, China.
Bo SunDepartment of Obstetrics, Shenzhen Baoan Women's and Children's Hospital, Obstetric and Paediatric Centre [Shenzhen] Under Hong Kong Hub of Paediatric Excellence (HOPE), The Chinese University of Hong Kong, Shenzhen, Guangdong, China. purple_2002@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate the effectiveness and safety of cefazolin prophylactic regimen versus standard penicillin treatment in pregnant women colonized with GBS(Group B Streptococcus), and further analyzed the timing of intrapartum antibiotic prophylaxis.

methodWe retrospectively analyzed the singleton pregnant women with GBS colonization at 35-37 weeks of gestation in Shenzhen Baoan Women's and Children's Hospital between September 2018 and January 2024. 2653 pregnant women received standardized penicillin prophylaxis and 2418 pregnant women received alternative cefazolin prophylaxis in labor. Maternal and neonatal outcomes were compared between the two different intrapartum antibiotic prophylaxis (IAP) groups.

resultsNo significant differences were found in postpartum hemorrhage, amniotic fluid fecal contamination, delivery assistance, neonatal sepsis, neonatal asphyxia and Apgar score between Penicillin group and Cefazolin group (P > 0.05). In terms of chorioamnionitis, neonatal pneumonia, cesarean section, neonatal jaundice and NICU admission, the cefazolin group showed significantly lower rates than that of penicillin group(P < 0.05). The incidence of chorioamnionitis, transfer to cesarean section and NICU admission in both penicillin and cefazolin IAP subgroup of more than 4 h were lower than that of less than or equal 4 h, however with no significantly difference when using cefazolin about chorioamnionitis.

conclusionOur study shows that cefazolin is effective and safe as penicillin in preventing maternal-fetal GBS infection and may be used as an alternative antibiotics. In addition, it is supposed that IAP should be administered during labor for at least 4h prior to delivery.

Indexed as

Group B StreptococcusIntrapartum antibiotic prophylaxisMaternal and neonatal outcomes

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.