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CLINICAL CHARACTERISTICS, OUTCOMES AND MOLECULAR EPIDEMIOLOGY OF GROUP B STREPTOCOCCAL DISEASE IN YOUNG INFANTS IN THE NETHERLANDS.

Created on 19 Jul 2026

Authors

Marleen A Groenveld, Douwe H Visser, Matthijs C Brouwer, Dorota Jamrozy, Nina M van Sorge, Linde Snoek, Merel N van Kassel, Diederik van de Beek, Merijn W Bijlsma, NOGBS study group

Published in

The Journal of infection. Pages 106815. Jul 18, 2026. Epub Jul 18, 2026.

Abstract

Group B streptococcus (GBS) disease remains a major cause of morbidity and mortality in young infants. We conducted a prospective multi-centre cohort study to evaluate clinical outcomes, molecular epidemiology, and coverage of potential maternal vaccines candidates in the Netherlands.
Between January 1st, 2018, and December 31st, 2024, infants aged 0-89 days with culture-confirmed GBS sepsis or meningitis were identified through the Netherlands Reference Laboratory of Bacterial Meningitis. Clinical data, including GBS serotype, were collected for all cases.
We included 375 infants; 212 (57%) had early-onset disease (0-6 days) and 163 (43%) late-onset disease (7-89 days). Overall, 205 (55%) infants had sepsis, 78 (21%) definitive meningitis, and 92 (24%) probable meningitis. Complications occurred in 220 (59%) infants; 331 (88%) recovered without abnormalities at discharge. Mortality was 5%. Among mothers eligible for intrapartum antibiotic prophylaxis, 40% received prophylaxis. Serotype III was most common (57%), followed by Ia (17%) and V (8%). Serotype III was associated with meningitis and late-onset disease. Potential coverage was 96% for the GBS6 vaccine and 99% for GBS-AlpN.
GBS disease in young infants remains associated with high morbidity and mortality. Limited adherence to intrapartum antibiotic prophylaxis highlights prevention gaps and supports maternal GBS vaccination.

PMID:
42471216
Bibliographic data and abstract were imported from PubMed on 19 Jul 2026.

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