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Neurodevelopmental Impairment in Children After Group B Streptococcal Disease Worldwide: Systematic Review and Meta-analyses.

Identifieur interne : 000420 ( Main/Exploration ); précédent : 000419; suivant : 000421

Neurodevelopmental Impairment in Children After Group B Streptococcal Disease Worldwide: Systematic Review and Meta-analyses.

Auteurs : Maya Kohli-Lynch [Royaume-Uni] ; Neal J. Russell [Royaume-Uni] ; Anna C. Seale [Royaume-Uni, Éthiopie] ; Ziyaad Dangor [Afrique du Sud] ; Cally J. Tann [Royaume-Uni] ; Carol J. Baker [États-Unis] ; Linda Bartlett [États-Unis] ; Clare Cutland ; Michael G. Gravett [États-Unis] ; Paul T. Heath [Royaume-Uni] ; Margaret Ip [Hong Kong] ; Kirsty Le Doare [Royaume-Uni] ; Shabir A. Madhi [Afrique du Sud] ; Craig E. Rubens [Royaume-Uni, États-Unis] ; Samir K. Saha ; Stephanie Schrag [Géorgie (pays)] ; Ajoke Sobanjo-Ter Meulen [États-Unis] ; Johan Vekemans [Suisse] ; Catherine O'Sullivan [Royaume-Uni] ; Firdose Nakwa [Afrique du Sud] ; Hechmi Ben Hamouda [Tunisie] ; Habib Soua [Tunisie] ; Kyriaki Giorgakoudi [Royaume-Uni] ; Shamez Ladhani [Royaume-Uni] ; Theresa Lamagni [Royaume-Uni] ; Hilary Rattue [Royaume-Uni] ; Caroline Trotter [Royaume-Uni] ; Joy E. Lawn [Royaume-Uni]

Source :

RBID : pubmed:29117331

Descripteurs français

English descriptors

Abstract

Background

Survivors of infant group B streptococcal (GBS) disease are at risk of neurodevelopmental impairment (NDI), a burden not previously systematically quantified. This is the 10th of 11 articles estimating the burden of GBS disease. Here we aimed to estimate NDI in survivors of infant GBS disease.

Methods

We conducted systematic literature reviews (PubMed/Medline, Embase, Latin American and Caribbean Health Sciences Literature [LILACS], World Health Organization Library Information System [WHOLIS], and Scopus) and sought unpublished data on the risk of NDI after invasive GBS disease in infants <90 days of age. We did meta-analyses to derive pooled estimates of the percentage of infants with NDI following GBS meningitis.

Results

We identified 6127 studies, of which 18 met eligibility criteria, all from middle- or high-income contexts. All 18 studies followed up survivors of GBS meningitis; only 5 of these studies also followed up survivors of GBS sepsis and were too few to pool in a meta-analysis. Of meningitis survivors, 32% (95% CI, 25%-38%) had NDI at 18 months of follow-up, including 18% (95% CI, 13%-22%) with moderate to severe NDI.

Conclusions

GBS meningitis is an important risk factor for moderate to severe NDI, affecting around 1 in 5 survivors. However, data are limited, and we were unable to estimate NDI after GBS sepsis. Comparability of studies is difficult due to methodological differences including variability in timing of clinical reviews and assessment tools. Follow-up of clinical cases and standardization of methods are essential to fully quantify the total burden of NDI associated with GBS disease, and inform program priorities.


DOI: 10.1093/cid/cix663
PubMed: 29117331
PubMed Central: PMC5848372


Affiliations:


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<name sortKey="Giorgakoudi, Kyriaki" sort="Giorgakoudi, Kyriaki" uniqKey="Giorgakoudi K" first="Kyriaki" last="Giorgakoudi">Kyriaki Giorgakoudi</name>
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<name sortKey="Ladhani, Shamez" sort="Ladhani, Shamez" uniqKey="Ladhani S" first="Shamez" last="Ladhani">Shamez Ladhani</name>
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<name sortKey="Lamagni, Theresa" sort="Lamagni, Theresa" uniqKey="Lamagni T" first="Theresa" last="Lamagni">Theresa Lamagni</name>
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<name sortKey="Trotter, Caroline" sort="Trotter, Caroline" uniqKey="Trotter C" first="Caroline" last="Trotter">Caroline Trotter</name>
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<name sortKey="Lawn, Joy E" sort="Lawn, Joy E" uniqKey="Lawn J" first="Joy E" last="Lawn">Joy E. Lawn</name>
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<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine</wicri:regionArea>
<wicri:noRegion>London School of Hygiene & Tropical Medicine</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Centre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol</wicri:regionArea>
<placeName>
<settlement type="city">Bristol (Royaume-Uni)</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Angleterre du Sud-Ouest</region>
</placeName>
<orgName type="university">Université de Bristol</orgName>
</affiliation>
</author>
<author>
<name sortKey="Russell, Neal J" sort="Russell, Neal J" uniqKey="Russell N" first="Neal J" last="Russell">Neal J. Russell</name>
<affiliation wicri:level="1">
<nlm:affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine</wicri:regionArea>
<wicri:noRegion>London School of Hygiene & Tropical Medicine</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>King's College London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>King's College London</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Seale, Anna C" sort="Seale, Anna C" uniqKey="Seale A" first="Anna C" last="Seale">Anna C. Seale</name>
<affiliation wicri:level="1">
<nlm:affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine</wicri:regionArea>
<wicri:noRegion>London School of Hygiene & Tropical Medicine</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>College of Health and Medical Sciences, Haramaya University, Dire Dawa, Ethiopia.</nlm:affiliation>
<country xml:lang="fr">Éthiopie</country>
<wicri:regionArea>College of Health and Medical Sciences, Haramaya University, Dire Dawa</wicri:regionArea>
<wicri:noRegion>Dire Dawa</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Dangor, Ziyaad" sort="Dangor, Ziyaad" uniqKey="Dangor Z" first="Ziyaad" last="Dangor">Ziyaad Dangor</name>
<affiliation>
<nlm:affiliation>Medical Research Council, Respiratory and Meningeal Pathogens Research Unit.</nlm:affiliation>
<wicri:noCountry code="subField">Respiratory and Meningeal Pathogens Research Unit</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:affiliation>Department of Science and Technology/National Research Foundation, Vaccine Preventable Diseases.</nlm:affiliation>
<wicri:noCountry code="subField">Vaccine Preventable Diseases</wicri:noCountry>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg</wicri:regionArea>
<orgName type="university">Université du Witwatersrand</orgName>
<placeName>
<settlement type="city">Johannesbourg</settlement>
<region type="region" nuts="2">Gauteng</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Tann, Cally J" sort="Tann, Cally J" uniqKey="Tann C" first="Cally J" last="Tann">Cally J. Tann</name>
<affiliation wicri:level="1">
<nlm:affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine</wicri:regionArea>
<wicri:noRegion>London School of Hygiene & Tropical Medicine</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>Neonatal Medicine, University College London Hospitals NHS Foundation Trust, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Neonatal Medicine, University College London Hospitals NHS Foundation Trust</wicri:regionArea>
<wicri:noRegion>University College London Hospitals NHS Foundation Trust</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Baker, Carol J" sort="Baker, Carol J" uniqKey="Baker C" first="Carol J" last="Baker">Carol J. Baker</name>
<affiliation wicri:level="2">
<nlm:affiliation>Departments of Pediatrics and Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Texas</region>
</placeName>
<wicri:cityArea>Departments of Pediatrics and Molecular Virology and Microbiology, Baylor College of Medicine, Houston</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Bartlett, Linda" sort="Bartlett, Linda" uniqKey="Bartlett L" first="Linda" last="Bartlett">Linda Bartlett</name>
<affiliation wicri:level="2">
<nlm:affiliation>Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Maryland</region>
</placeName>
<wicri:cityArea>Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Cutland, Clare" sort="Cutland, Clare" uniqKey="Cutland C" first="Clare" last="Cutland">Clare Cutland</name>
<affiliation>
<nlm:affiliation>Medical Research Council, Respiratory and Meningeal Pathogens Research Unit.</nlm:affiliation>
<wicri:noCountry code="subField">Respiratory and Meningeal Pathogens Research Unit</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:affiliation>Department of Science and Technology/National Research Foundation, Vaccine Preventable Diseases.</nlm:affiliation>
<wicri:noCountry code="subField">Vaccine Preventable Diseases</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Gravett, Michael G" sort="Gravett, Michael G" uniqKey="Gravett M" first="Michael G" last="Gravett">Michael G. Gravett</name>
<affiliation wicri:level="2">
<nlm:affiliation>Global Alliance to Prevent Prematurity and Stillbirth, Seattle, Washington.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Global Alliance to Prevent Prematurity and Stillbirth, Seattle</wicri:cityArea>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Obstetrics and Gynecology, University of Washington, Seattle.</nlm:affiliation>
<orgName type="university">Université de Washington</orgName>
<country>États-Unis</country>
<placeName>
<settlement type="city">Seattle</settlement>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Heath, Paul T" sort="Heath, Paul T" uniqKey="Heath P" first="Paul T" last="Heath">Paul T. Heath</name>
<affiliation wicri:level="1">
<nlm:affiliation>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust</wicri:regionArea>
<wicri:noRegion>University of London and St George's University Hospitals NHS Foundation Trust</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Ip, Margaret" sort="Ip, Margaret" uniqKey="Ip M" first="Margaret" last="Ip">Margaret Ip</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Microbiology, Faculty of Medicine, Chinese University of Hong Kong.</nlm:affiliation>
<country>Hong Kong</country>
<placeName>
<settlement type="city">Sha Tin</settlement>
</placeName>
<orgName type="university">Université chinoise de Hong Kong</orgName>
</affiliation>
</author>
<author>
<name sortKey="Le Doare, Kirsty" sort="Le Doare, Kirsty" uniqKey="Le Doare K" first="Kirsty" last="Le Doare">Kirsty Le Doare</name>
<affiliation wicri:level="1">
<nlm:affiliation>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust</wicri:regionArea>
<wicri:noRegion>University of London and St George's University Hospitals NHS Foundation Trust</wicri:noRegion>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>Centre for International Child Health, Imperial College London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Centre for International Child Health, Imperial College London</wicri:regionArea>
<wicri:noRegion>Imperial College London</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Madhi, Shabir A" sort="Madhi, Shabir A" uniqKey="Madhi S" first="Shabir A" last="Madhi">Shabir A. Madhi</name>
<affiliation>
<nlm:affiliation>Medical Research Council, Respiratory and Meningeal Pathogens Research Unit.</nlm:affiliation>
<wicri:noCountry code="subField">Respiratory and Meningeal Pathogens Research Unit</wicri:noCountry>
</affiliation>
<affiliation>
<nlm:affiliation>Department of Science and Technology/National Research Foundation, Vaccine Preventable Diseases.</nlm:affiliation>
<wicri:noCountry code="subField">Vaccine Preventable Diseases</wicri:noCountry>
</affiliation>
<affiliation wicri:level="1">
<nlm:affiliation>National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg</wicri:regionArea>
<wicri:noRegion>Johannesburg</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Rubens, Craig E" sort="Rubens, Craig E" uniqKey="Rubens C" first="Craig E" last="Rubens">Craig E. Rubens</name>
<affiliation wicri:level="1">
<nlm:affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine</wicri:regionArea>
<wicri:noRegion>London School of Hygiene & Tropical Medicine</wicri:noRegion>
</affiliation>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Global Health, University of Washington, Seattle.</nlm:affiliation>
<orgName type="university">Université de Washington</orgName>
<country>États-Unis</country>
<placeName>
<settlement type="city">Seattle</settlement>
<region type="state">Washington (État)</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Saha, Samir K" sort="Saha, Samir K" uniqKey="Saha S" first="Samir K" last="Saha">Samir K. Saha</name>
<affiliation>
<nlm:affiliation>Bangladesh Institute of Child Health, Dhaka.</nlm:affiliation>
<wicri:noCountry code="subField">Dhaka</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Schrag, Stephanie" sort="Schrag, Stephanie" uniqKey="Schrag S" first="Stephanie" last="Schrag">Stephanie Schrag</name>
<affiliation wicri:level="1">
<nlm:affiliation>National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, Georgia.</nlm:affiliation>
<country xml:lang="fr">Géorgie (pays)</country>
<wicri:regionArea>National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta</wicri:regionArea>
<wicri:noRegion>Atlanta</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Sobanjo Ter Meulen, Ajoke" sort="Sobanjo Ter Meulen, Ajoke" uniqKey="Sobanjo Ter Meulen A" first="Ajoke" last="Sobanjo-Ter Meulen">Ajoke Sobanjo-Ter Meulen</name>
<affiliation wicri:level="2">
<nlm:affiliation>Bill & Melinda Gates Foundation, Seattle, Washington.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName>
<region type="state">Washington (État)</region>
</placeName>
<wicri:cityArea>Bill & Melinda Gates Foundation, Seattle</wicri:cityArea>
</affiliation>
</author>
<author>
<name sortKey="Vekemans, Johan" sort="Vekemans, Johan" uniqKey="Vekemans J" first="Johan" last="Vekemans">Johan Vekemans</name>
<affiliation wicri:level="1">
<nlm:affiliation>World Health Organization, Geneva, Switzerland.</nlm:affiliation>
<country xml:lang="fr">Suisse</country>
<wicri:regionArea>World Health Organization, Geneva</wicri:regionArea>
<wicri:noRegion>Geneva</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="O Sullivan, Catherine" sort="O Sullivan, Catherine" uniqKey="O Sullivan C" first="Catherine" last="O'Sullivan">Catherine O'Sullivan</name>
<affiliation wicri:level="1">
<nlm:affiliation>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust</wicri:regionArea>
<wicri:noRegion>University of London and St George's University Hospitals NHS Foundation Trust</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Nakwa, Firdose" sort="Nakwa, Firdose" uniqKey="Nakwa F" first="Firdose" last="Nakwa">Firdose Nakwa</name>
<affiliation wicri:level="4">
<nlm:affiliation>Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</nlm:affiliation>
<country xml:lang="fr">Afrique du Sud</country>
<wicri:regionArea>Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg</wicri:regionArea>
<orgName type="university">Université du Witwatersrand</orgName>
<placeName>
<settlement type="city">Johannesbourg</settlement>
<region type="region" nuts="2">Gauteng</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Ben Hamouda, Hechmi" sort="Ben Hamouda, Hechmi" uniqKey="Ben Hamouda H" first="Hechmi" last="Ben Hamouda">Hechmi Ben Hamouda</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Neonatology, University Hospital Tahar Sfar, Mahdia, Tunisia.</nlm:affiliation>
<country xml:lang="fr">Tunisie</country>
<wicri:regionArea>Department of Neonatology, University Hospital Tahar Sfar, Mahdia</wicri:regionArea>
<wicri:noRegion>Mahdia</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Soua, Habib" sort="Soua, Habib" uniqKey="Soua H" first="Habib" last="Soua">Habib Soua</name>
<affiliation wicri:level="1">
<nlm:affiliation>Department of Neonatology, University Hospital Tahar Sfar, Mahdia, Tunisia.</nlm:affiliation>
<country xml:lang="fr">Tunisie</country>
<wicri:regionArea>Department of Neonatology, University Hospital Tahar Sfar, Mahdia</wicri:regionArea>
<wicri:noRegion>Mahdia</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Giorgakoudi, Kyriaki" sort="Giorgakoudi, Kyriaki" uniqKey="Giorgakoudi K" first="Kyriaki" last="Giorgakoudi">Kyriaki Giorgakoudi</name>
<affiliation wicri:level="1">
<nlm:affiliation>City University, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>City University</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Ladhani, Shamez" sort="Ladhani, Shamez" uniqKey="Ladhani S" first="Shamez" last="Ladhani">Shamez Ladhani</name>
<affiliation wicri:level="3">
<nlm:affiliation>Public Health England, London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Public Health England, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Lamagni, Theresa" sort="Lamagni, Theresa" uniqKey="Lamagni T" first="Theresa" last="Lamagni">Theresa Lamagni</name>
<affiliation wicri:level="3">
<nlm:affiliation>Public Health England, London, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Public Health England, London</wicri:regionArea>
<placeName>
<settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author>
<name sortKey="Rattue, Hilary" sort="Rattue, Hilary" uniqKey="Rattue H" first="Hilary" last="Rattue">Hilary Rattue</name>
<affiliation wicri:level="1">
<nlm:affiliation>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust</wicri:regionArea>
<wicri:noRegion>University of London and St George's University Hospitals NHS Foundation Trust</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Trotter, Caroline" sort="Trotter, Caroline" uniqKey="Trotter C" first="Caroline" last="Trotter">Caroline Trotter</name>
<affiliation wicri:level="1">
<nlm:affiliation>University of Cambridge, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>University of Cambridge</wicri:regionArea>
</affiliation>
</author>
<author>
<name sortKey="Lawn, Joy E" sort="Lawn, Joy E" uniqKey="Lawn J" first="Joy E" last="Lawn">Joy E. Lawn</name>
<affiliation wicri:level="1">
<nlm:affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine</wicri:regionArea>
<wicri:noRegion>London School of Hygiene & Tropical Medicine</wicri:noRegion>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</title>
<idno type="eISSN">1537-6591</idno>
<imprint>
<date when="2017" type="published">2017</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Developmental Disabilities (epidemiology)</term>
<term>Developmental Disabilities (etiology)</term>
<term>Developmental Disabilities (microbiology)</term>
<term>Global Health (statistics & numerical data)</term>
<term>Humans (MeSH)</term>
<term>Infant (MeSH)</term>
<term>Meningitis, Bacterial (complications)</term>
<term>Meningitis, Bacterial (epidemiology)</term>
<term>Risk Factors (MeSH)</term>
<term>Streptococcal Infections (complications)</term>
<term>Streptococcal Infections (epidemiology)</term>
<term>Streptococcus agalactiae (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Facteurs de risque (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Incapacités de développement (microbiologie)</term>
<term>Incapacités de développement (épidémiologie)</term>
<term>Incapacités de développement (étiologie)</term>
<term>Infections à streptocoques (complications)</term>
<term>Infections à streptocoques (épidémiologie)</term>
<term>Méningite bactérienne (complications)</term>
<term>Méningite bactérienne (épidémiologie)</term>
<term>Nourrisson (MeSH)</term>
<term>Santé mondiale (statistiques et données numériques)</term>
<term>Streptococcus agalactiae (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Meningitis, Bacterial</term>
<term>Streptococcal Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Developmental Disabilities</term>
<term>Meningitis, Bacterial</term>
<term>Streptococcal Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Developmental Disabilities</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr">
<term>Incapacités de développement</term>
</keywords>
<keywords scheme="MESH" qualifier="microbiology" xml:lang="en">
<term>Developmental Disabilities</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Global Health</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Santé mondiale</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Incapacités de développement</term>
<term>Infections à streptocoques</term>
<term>Méningite bactérienne</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Incapacités de développement</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Humans</term>
<term>Infant</term>
<term>Risk Factors</term>
<term>Streptococcus agalactiae</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="fr">
<term>Facteurs de risque</term>
<term>Humains</term>
<term>Infections à streptocoques</term>
<term>Méningite bactérienne</term>
<term>Nourrisson</term>
<term>Streptococcus agalactiae</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>Background</b>
</p>
<p>Survivors of infant group B streptococcal (GBS) disease are at risk of neurodevelopmental impairment (NDI), a burden not previously systematically quantified. This is the 10th of 11 articles estimating the burden of GBS disease. Here we aimed to estimate NDI in survivors of infant GBS disease.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Methods</b>
</p>
<p>We conducted systematic literature reviews (PubMed/Medline, Embase, Latin American and Caribbean Health Sciences Literature [LILACS], World Health Organization Library Information System [WHOLIS], and Scopus) and sought unpublished data on the risk of NDI after invasive GBS disease in infants <90 days of age. We did meta-analyses to derive pooled estimates of the percentage of infants with NDI following GBS meningitis.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Results</b>
</p>
<p>We identified 6127 studies, of which 18 met eligibility criteria, all from middle- or high-income contexts. All 18 studies followed up survivors of GBS meningitis; only 5 of these studies also followed up survivors of GBS sepsis and were too few to pool in a meta-analysis. Of meningitis survivors, 32% (95% CI, 25%-38%) had NDI at 18 months of follow-up, including 18% (95% CI, 13%-22%) with moderate to severe NDI.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Conclusions</b>
</p>
<p>GBS meningitis is an important risk factor for moderate to severe NDI, affecting around 1 in 5 survivors. However, data are limited, and we were unable to estimate NDI after GBS sepsis. Comparability of studies is difficult due to methodological differences including variability in timing of clinical reviews and assessment tools. Follow-up of clinical cases and standardization of methods are essential to fully quantify the total burden of NDI associated with GBS disease, and inform program priorities.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">29117331</PMID>
<DateCompleted>
<Year>2018</Year>
<Month>05</Month>
<Day>21</Day>
</DateCompleted>
<DateRevised>
<Year>2020</Year>
<Month>01</Month>
<Day>22</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1537-6591</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>65</Volume>
<Issue>suppl_2</Issue>
<PubDate>
<Year>2017</Year>
<Month>Nov</Month>
<Day>06</Day>
</PubDate>
</JournalIssue>
<Title>Clinical infectious diseases : an official publication of the Infectious Diseases Society of America</Title>
<ISOAbbreviation>Clin Infect Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Neurodevelopmental Impairment in Children After Group B Streptococcal Disease Worldwide: Systematic Review and Meta-analyses.</ArticleTitle>
<Pagination>
<MedlinePgn>S190-S199</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1093/cid/cix663</ELocationID>
<Abstract>
<AbstractText Label="Background" NlmCategory="UNASSIGNED">Survivors of infant group B streptococcal (GBS) disease are at risk of neurodevelopmental impairment (NDI), a burden not previously systematically quantified. This is the 10th of 11 articles estimating the burden of GBS disease. Here we aimed to estimate NDI in survivors of infant GBS disease.</AbstractText>
<AbstractText Label="Methods" NlmCategory="UNASSIGNED">We conducted systematic literature reviews (PubMed/Medline, Embase, Latin American and Caribbean Health Sciences Literature [LILACS], World Health Organization Library Information System [WHOLIS], and Scopus) and sought unpublished data on the risk of NDI after invasive GBS disease in infants <90 days of age. We did meta-analyses to derive pooled estimates of the percentage of infants with NDI following GBS meningitis.</AbstractText>
<AbstractText Label="Results" NlmCategory="UNASSIGNED">We identified 6127 studies, of which 18 met eligibility criteria, all from middle- or high-income contexts. All 18 studies followed up survivors of GBS meningitis; only 5 of these studies also followed up survivors of GBS sepsis and were too few to pool in a meta-analysis. Of meningitis survivors, 32% (95% CI, 25%-38%) had NDI at 18 months of follow-up, including 18% (95% CI, 13%-22%) with moderate to severe NDI.</AbstractText>
<AbstractText Label="Conclusions" NlmCategory="UNASSIGNED">GBS meningitis is an important risk factor for moderate to severe NDI, affecting around 1 in 5 survivors. However, data are limited, and we were unable to estimate NDI after GBS sepsis. Comparability of studies is difficult due to methodological differences including variability in timing of clinical reviews and assessment tools. Follow-up of clinical cases and standardization of methods are essential to fully quantify the total burden of NDI associated with GBS disease, and inform program priorities.</AbstractText>
<CopyrightInformation>© The Author 2017. Published by Oxford University Press for the Infectious Diseases Society of America.</CopyrightInformation>
</Abstract>
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<Author ValidYN="Y">
<LastName>Kohli-Lynch</LastName>
<ForeName>Maya</ForeName>
<Initials>M</Initials>
<AffiliationInfo>
<Affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Centre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Russell</LastName>
<ForeName>Neal J</ForeName>
<Initials>NJ</Initials>
<AffiliationInfo>
<Affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>King's College London, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Seale</LastName>
<ForeName>Anna C</ForeName>
<Initials>AC</Initials>
<AffiliationInfo>
<Affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>College of Health and Medical Sciences, Haramaya University, Dire Dawa, Ethiopia.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Dangor</LastName>
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<Initials>Z</Initials>
<AffiliationInfo>
<Affiliation>Medical Research Council, Respiratory and Meningeal Pathogens Research Unit.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Science and Technology/National Research Foundation, Vaccine Preventable Diseases.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Tann</LastName>
<ForeName>Cally J</ForeName>
<Initials>CJ</Initials>
<AffiliationInfo>
<Affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Neonatal Medicine, University College London Hospitals NHS Foundation Trust, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
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<Affiliation>Departments of Pediatrics and Molecular Virology and Microbiology, Baylor College of Medicine, Houston, Texas.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Bartlett</LastName>
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<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Cutland</LastName>
<ForeName>Clare</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Medical Research Council, Respiratory and Meningeal Pathogens Research Unit.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Science and Technology/National Research Foundation, Vaccine Preventable Diseases.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Gravett</LastName>
<ForeName>Michael G</ForeName>
<Initials>MG</Initials>
<AffiliationInfo>
<Affiliation>Global Alliance to Prevent Prematurity and Stillbirth, Seattle, Washington.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Obstetrics and Gynecology, University of Washington, Seattle.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Heath</LastName>
<ForeName>Paul T</ForeName>
<Initials>PT</Initials>
<AffiliationInfo>
<Affiliation>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.</Affiliation>
</AffiliationInfo>
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<LastName>Ip</LastName>
<ForeName>Margaret</ForeName>
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<Affiliation>Department of Microbiology, Faculty of Medicine, Chinese University of Hong Kong.</Affiliation>
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<LastName>Le Doare</LastName>
<ForeName>Kirsty</ForeName>
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<AffiliationInfo>
<Affiliation>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Centre for International Child Health, Imperial College London, United Kingdom.</Affiliation>
</AffiliationInfo>
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<LastName>Madhi</LastName>
<ForeName>Shabir A</ForeName>
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<Affiliation>Medical Research Council, Respiratory and Meningeal Pathogens Research Unit.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Science and Technology/National Research Foundation, Vaccine Preventable Diseases.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>National Institute for Communicable Diseases, National Health Laboratory Service, Johannesburg, South Africa.</Affiliation>
</AffiliationInfo>
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<LastName>Rubens</LastName>
<ForeName>Craig E</ForeName>
<Initials>CE</Initials>
<AffiliationInfo>
<Affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</Affiliation>
</AffiliationInfo>
<AffiliationInfo>
<Affiliation>Department of Global Health, University of Washington, Seattle.</Affiliation>
</AffiliationInfo>
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<LastName>Saha</LastName>
<ForeName>Samir K</ForeName>
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<Affiliation>Bangladesh Institute of Child Health, Dhaka.</Affiliation>
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<LastName>Schrag</LastName>
<ForeName>Stephanie</ForeName>
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</AffiliationInfo>
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<LastName>Sobanjo-Ter Meulen</LastName>
<ForeName>Ajoke</ForeName>
<Initials>A</Initials>
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<Affiliation>Bill & Melinda Gates Foundation, Seattle, Washington.</Affiliation>
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<LastName>Vekemans</LastName>
<ForeName>Johan</ForeName>
<Initials>J</Initials>
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</Author>
<Author ValidYN="Y">
<LastName>O'Sullivan</LastName>
<ForeName>Catherine</ForeName>
<Initials>C</Initials>
<AffiliationInfo>
<Affiliation>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Nakwa</LastName>
<ForeName>Firdose</ForeName>
<Initials>F</Initials>
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<Affiliation>Department of Paediatrics, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.</Affiliation>
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</Author>
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<LastName>Ben Hamouda</LastName>
<ForeName>Hechmi</ForeName>
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</Author>
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<LastName>Soua</LastName>
<ForeName>Habib</ForeName>
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<Affiliation>Department of Neonatology, University Hospital Tahar Sfar, Mahdia, Tunisia.</Affiliation>
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</Author>
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<LastName>Giorgakoudi</LastName>
<ForeName>Kyriaki</ForeName>
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<LastName>Ladhani</LastName>
<ForeName>Shamez</ForeName>
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</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Lamagni</LastName>
<ForeName>Theresa</ForeName>
<Initials>T</Initials>
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<Author ValidYN="Y">
<LastName>Rattue</LastName>
<ForeName>Hilary</ForeName>
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<AffiliationInfo>
<Affiliation>Vaccine Institute, Institute for Infection and Immunity, St George's Hospital, University of London and St George's University Hospitals NHS Foundation Trust, United Kingdom.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Trotter</LastName>
<ForeName>Caroline</ForeName>
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<AffiliationInfo>
<Affiliation>University of Cambridge, United Kingdom.</Affiliation>
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</Author>
<Author ValidYN="Y">
<LastName>Lawn</LastName>
<ForeName>Joy E</ForeName>
<Initials>JE</Initials>
<AffiliationInfo>
<Affiliation>Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene & Tropical Medicine, United Kingdom.</Affiliation>
</AffiliationInfo>
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<Language>eng</Language>
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<GrantID>001</GrantID>
<Agency>World Health Organization</Agency>
<Country>International</Country>
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<Grant>
<GrantID>205184/Z/16/Z</GrantID>
<Agency>Wellcome Trust</Agency>
<Country>United Kingdom</Country>
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<DescriptorName UI="D002658" MajorTopicYN="N">Developmental Disabilities</DescriptorName>
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<QualifierName UI="Q000209" MajorTopicYN="Y">etiology</QualifierName>
<QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName>
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<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<DescriptorName UI="D007223" MajorTopicYN="N">Infant</DescriptorName>
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<DescriptorName UI="D016920" MajorTopicYN="N">Meningitis, Bacterial</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
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<DescriptorName UI="D013290" MajorTopicYN="N">Streptococcal Infections</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D013292" MajorTopicYN="Y">Streptococcus agalactiae</DescriptorName>
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<Keyword MajorTopicYN="N">Group B Streptococcus</Keyword>
<Keyword MajorTopicYN="N">disability</Keyword>
<Keyword MajorTopicYN="N">estimate</Keyword>
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