Incidence and outcomes of neonatal group B streptococcal sepsis in Qatar-a multicentre study

Abstract Background Group B Streptococcus (GBS) is the most common cause of neonatal early onset sepsis in term infants and a major cause of late onset sepsis in both term and preterm infants. Aim To estimate the incidence of GBSS among neonates born in Qatar between July 2015 and June 2020 (5 years...

Full description

Saved in:
Bibliographic Details
Main Authors: Sajid Salim Thyvilayil, Anvar Paraparambil Vellamgot, Khalil Salameh, Sudheer Babu Kurunthattilthazhe, Abdurahiman Elikkottil, Liliana Llerena Dominguez, Dhanya Banarjee
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-025-05398-x
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832594442950803456
author Sajid Salim Thyvilayil
Anvar Paraparambil Vellamgot
Khalil Salameh
Sudheer Babu Kurunthattilthazhe
Abdurahiman Elikkottil
Liliana Llerena Dominguez
Dhanya Banarjee
author_facet Sajid Salim Thyvilayil
Anvar Paraparambil Vellamgot
Khalil Salameh
Sudheer Babu Kurunthattilthazhe
Abdurahiman Elikkottil
Liliana Llerena Dominguez
Dhanya Banarjee
author_sort Sajid Salim Thyvilayil
collection DOAJ
description Abstract Background Group B Streptococcus (GBS) is the most common cause of neonatal early onset sepsis in term infants and a major cause of late onset sepsis in both term and preterm infants. Aim To estimate the incidence of GBSS among neonates born in Qatar between July 2015 and June 2020 (5 years). A secondary aim was to describe the outcomes of the affected babies. Materials and Methods A retrospective chart review of all neonates born during the study period was performed with the help of medical records departments of the four main maternity hospitals in Qatar, where > 90% of the births occurred. Results From 123,878 live births, 113 babies grew GBS in blood culture, during the first 90 days. 72 cases of early-onset GBS sepsis (EOGBSS) and 41 cases of late-onset GBS sepsis (LOGBSS) were identified. The estimated incidence of EOGBSS and LOGBSS were 0.58/1000 live births (95% CI 0.46- 0.73) and 0.33/1000 live births (95% CI 0.24- 0.45) respectively. The overall mortality was 7%, and the chart review identified severe neurodisability among at least 11% of survivors. Conclusion The incidences of EOGBSS and LOGBSS in Qatar are 0.58/1000 live births (LB) and 0.33/1000 LB, respectively. The relatively high incidence of EOGBSS probably reflects the high rate of carrier state among pregnant mothers. We did not observe any significant change in incidence after introducing the universal maternal screening for GBS. The overall mortality was similar to previously published data. Further prospective studies are recommended.
format Article
id doaj-art-d6484127ef564540ae0713a8c1ef1fde
institution Kabale University
issn 1471-2431
language English
publishDate 2025-01-01
publisher BMC
record_format Article
series BMC Pediatrics
spelling doaj-art-d6484127ef564540ae0713a8c1ef1fde2025-01-19T12:38:59ZengBMCBMC Pediatrics1471-24312025-01-0125111310.1186/s12887-025-05398-xIncidence and outcomes of neonatal group B streptococcal sepsis in Qatar-a multicentre studySajid Salim Thyvilayil0Anvar Paraparambil Vellamgot1Khalil Salameh2Sudheer Babu Kurunthattilthazhe3Abdurahiman Elikkottil4Liliana Llerena Dominguez5Dhanya Banarjee6Department of Neonatology, Al Wakra Hospital, Hamad Medical CorporationDepartment of Neonatology, Al Wakra Hospital, Hamad Medical CorporationDepartment of Neonatology, Al Wakra Hospital, Hamad Medical CorporationDepartment of Neonatology, Women’s Wellness and Research Centre, Hamad Medical CorporationDepartment of Neonatology, Al Khor Hospital, Hamad Medical CorporationDepartment of Neonatology, The Cuban Hospital, Hamad Medical CorporationDepartment of Neonatology, Al Wakra Hospital, Hamad Medical CorporationAbstract Background Group B Streptococcus (GBS) is the most common cause of neonatal early onset sepsis in term infants and a major cause of late onset sepsis in both term and preterm infants. Aim To estimate the incidence of GBSS among neonates born in Qatar between July 2015 and June 2020 (5 years). A secondary aim was to describe the outcomes of the affected babies. Materials and Methods A retrospective chart review of all neonates born during the study period was performed with the help of medical records departments of the four main maternity hospitals in Qatar, where > 90% of the births occurred. Results From 123,878 live births, 113 babies grew GBS in blood culture, during the first 90 days. 72 cases of early-onset GBS sepsis (EOGBSS) and 41 cases of late-onset GBS sepsis (LOGBSS) were identified. The estimated incidence of EOGBSS and LOGBSS were 0.58/1000 live births (95% CI 0.46- 0.73) and 0.33/1000 live births (95% CI 0.24- 0.45) respectively. The overall mortality was 7%, and the chart review identified severe neurodisability among at least 11% of survivors. Conclusion The incidences of EOGBSS and LOGBSS in Qatar are 0.58/1000 live births (LB) and 0.33/1000 LB, respectively. The relatively high incidence of EOGBSS probably reflects the high rate of carrier state among pregnant mothers. We did not observe any significant change in incidence after introducing the universal maternal screening for GBS. The overall mortality was similar to previously published data. Further prospective studies are recommended.https://doi.org/10.1186/s12887-025-05398-xGroup B streptococcusNewbornEarly-onset sepsisLate-onset sepsisIncidenceQatar
spellingShingle Sajid Salim Thyvilayil
Anvar Paraparambil Vellamgot
Khalil Salameh
Sudheer Babu Kurunthattilthazhe
Abdurahiman Elikkottil
Liliana Llerena Dominguez
Dhanya Banarjee
Incidence and outcomes of neonatal group B streptococcal sepsis in Qatar-a multicentre study
BMC Pediatrics
Group B streptococcus
Newborn
Early-onset sepsis
Late-onset sepsis
Incidence
Qatar
title Incidence and outcomes of neonatal group B streptococcal sepsis in Qatar-a multicentre study
title_full Incidence and outcomes of neonatal group B streptococcal sepsis in Qatar-a multicentre study
title_fullStr Incidence and outcomes of neonatal group B streptococcal sepsis in Qatar-a multicentre study
title_full_unstemmed Incidence and outcomes of neonatal group B streptococcal sepsis in Qatar-a multicentre study
title_short Incidence and outcomes of neonatal group B streptococcal sepsis in Qatar-a multicentre study
title_sort incidence and outcomes of neonatal group b streptococcal sepsis in qatar a multicentre study
topic Group B streptococcus
Newborn
Early-onset sepsis
Late-onset sepsis
Incidence
Qatar
url https://doi.org/10.1186/s12887-025-05398-x
work_keys_str_mv AT sajidsalimthyvilayil incidenceandoutcomesofneonatalgroupbstreptococcalsepsisinqataramulticentrestudy
AT anvarparaparambilvellamgot incidenceandoutcomesofneonatalgroupbstreptococcalsepsisinqataramulticentrestudy
AT khalilsalameh incidenceandoutcomesofneonatalgroupbstreptococcalsepsisinqataramulticentrestudy
AT sudheerbabukurunthattilthazhe incidenceandoutcomesofneonatalgroupbstreptococcalsepsisinqataramulticentrestudy
AT abdurahimanelikkottil incidenceandoutcomesofneonatalgroupbstreptococcalsepsisinqataramulticentrestudy
AT lilianallerenadominguez incidenceandoutcomesofneonatalgroupbstreptococcalsepsisinqataramulticentrestudy
AT dhanyabanarjee incidenceandoutcomesofneonatalgroupbstreptococcalsepsisinqataramulticentrestudy