Journal
EMERGING INFECTIOUS DISEASES
Volume 25, Issue 11, Pages 2021-2030Publisher
CENTERS DISEASE CONTROL & PREVENTION
DOI: 10.3201/eid2511.181647
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Funding
- Young Talent Support Plan of Xi'an Jiaotong University
- Central University Basic Research Fund [2015qngz05]
- Guangzhou Science Technology and Innovation Commission [201804010447]
- High Achiever Plan of Health Science Center, Xi'an Jiaotong University
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Invasive group B Streptococcus (GBS) remains a leading cause of illness and death among infants globally. We conducted prospective and retrospective laboratory-based surveillance of GBS-positive cultures from infants <= 3 months of age in 18 hospitals across China during January 1, 2015-December 31, 2017. The overall incidence of GBS was 0.31 (95% CI 0.27-0.36) cases/1,000 live births; incidence was 0-0.76 cases/1,000 live births across participating hospitals. The case-fatality rate was 2.3%. We estimated 13,604 cases of GBS and 1,142 GBS-associated deaths in infants <= 90 days of age annually in China. GBS isolates were most commonly serotype III (61.5%) and clonal complex 17 (40.6%). Enhanced active surveillance and implementation of preventive strategies, such as maternal GBS vaccination, warrants further investigation in China to help prevent these infections.
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