Group B Strep and Pregnancy
Introduction

By Shawn Ruiz
Group B Strep (GBS), also known as Streptococcus agalactiae, is a Gram-positive, beta-hemolytic, catalase-negative, facultative anaerobe that is a normal component of the gastrointestinal and genitourinary tracts[1]. In fact, GBS colonizes the gastrointestinal and genitourinary tracts of up to 50% of healthy adults[2]. Most healthy adults who are colonized by GBS will not experience any symptoms or GBS-related infections. While the bacteria is usually harmless in healthy adults, it is a major cause of meningitis, pneumonia, and and sepsis in neonates[3]. Moreover, GBS is the leading infectious cause of mortality in neonates in the United States[4]. GBS causes both early onset and late onset infections in neonates, which occur during and after the first week of the neonate's life, respectively[4]. While early and late onset of GBS infections in neonates are possible, current intervention are only effective in preventing early-onste GBS infections[4]. The main risk factor for an early-onset GBS infection in a neonate is colonization of a birthing person's genital tract with Group B during labor[4].
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Authored for BIOL 238 Microbiology, taught by Joan Slonczewski, 2021, Kenyon College.