{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T06:01:55Z","timestamp":1775541715998,"version":"3.50.1"},"reference-count":40,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2015,1,2]],"date-time":"2015-01-02T00:00:00Z","timestamp":1420156800000},"content-version":"unspecified","delay-in-days":2467,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infect. Control Hosp. Epidemiol."],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:sec id=\"S0195941700026606_abs1\"><jats:title>Objective.<\/jats:title><jats:p>To establish whether antibiotic prophylaxis against group B streptococcal infection may be a confounding factor in comparisons of rates of endometritis and urinary tract infection after vaginal delivery.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026606_abs2\"><jats:title>Design.<\/jats:title><jats:p>Prospective study.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026606_abs3\"><jats:title>Setting.<\/jats:title><jats:p>Maternity units at 48 hospitals in a regional surveillance network in France during 2001-2004.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026606_abs4\"><jats:title>Methods.<\/jats:title><jats:p>The maternity units used a common protocol to establish whether antibiotic prophylaxis was indicated. Risk factors for endometritis and urinary tract infections were evaluated using multiple logistic regression.<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026606_abs5\"><jats:title>Results.<\/jats:title><jats:p>We analyzed 49,786 vaginal deliveries. The percentage of women receiving antibiotic prophylaxis varied widely and significantly among the maternity units (range, 4.4%-26.0%; median, 15.8%; 25th percentile, 12.1%; 75th percentile, 19.0%) (<jats:italic>P<\/jats:italic> &lt; .001, by Mantel-Haenszel \u03c7<jats:sup>2<\/jats:sup> test). The incidence rate of endometritis was significantly reduced from 0.25% to 0.11% by antibiotic prophylaxis (<jats:italic>P<\/jats:italic> = .001). There was a decrease in the incidence of urinary tract infection from 0.37% to 0.32%, but it was not statistically significant (<jats:italic>P<\/jats:italic> = .251).<\/jats:p><\/jats:sec><jats:sec id=\"S0195941700026606_abs6\"><jats:title>Conclusions.<\/jats:title><jats:p>A reduction in the incidence of endometritis was observed when intrapartum antibiotic prophylaxis against group B streptococcal infection was used. However, the proportion of women considered to be at risk of infection varied widely among institutions. Comparisons of rates of endometritis among maternity units, but not urinary tract infection rates, should take into account antibiotic prophylaxis as a significant confounding factor.<\/jats:p><\/jats:sec>","DOI":"10.1086\/529210","type":"journal-article","created":{"date-parts":[[2008,3,3]],"date-time":"2008-03-03T18:24:14Z","timestamp":1204568654000},"page":"327-332","source":"Crossref","is-referenced-by-count":9,"title":["Effect of Intrapartum Antibiotic Prophylaxis Against Group B Streptococcal Infection on Comparisons of Rates of Endometritis and Urinary Tract Infection in Multicenter Surveillance"],"prefix":"10.1017","volume":"29","author":[{"given":"Anne-Marie","family":"Dumas","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rapha\u00eblle","family":"Girard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis","family":"Ayzac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Genevi\u00e8ve","family":"Beaumont","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmanuelle","family":"Caillat-Vallet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Depaix","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chantal","family":"Gignoux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Haond","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noelle","family":"Pral","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacqueline","family":"Robert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fran\u00e7oise","family":"Tissot-Guerraz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agn\u00e8s","family":"Vincent-Bouletreau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel","family":"Berland","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Fabry","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2015,1,2]]},"reference":[{"key":"S0195941700026606_ref018","first-page":"1","article-title":"Prevention of perinatal group B streptococcal disease: revised guidelines from CDC","volume":"51","author":"Schrag","year":"2002","journal-title":"MMWR Recomm Rep"},{"key":"S0195941700026606_ref009","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(96)00174-7"},{"key":"S0195941700026606_ref028","first-page":"121","volume-title":"Herne Journ\u00e9e Nationale de la Soci\u00e9t\u00e9 Fran\u013caise de M\u00e9decine P\u00e9rinatale","author":"Tissot-Guerraz","year":"1993"},{"key":"S0195941700026606_ref021","doi-asserted-by":"publisher","DOI":"10.1542\/peds.103.6.e76"},{"key":"S0195941700026606_ref034","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70219-9"},{"key":"S0195941700026606_ref031","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(88)90053-3"},{"key":"S0195941700026606_ref033","volume-title":"Pr\u00e9vention Ant\u00e9natale du Risque Infectieux Bact\u00e9rien N\u00e9onatal Pr\u00e9coce: Recommandations pour la Pratique Clinique","year":"2001"},{"key":"S0195941700026606_ref012","first-page":"VIL432","article-title":"Qu'est ce qui favorise l'infection urinaire de la femme accouchant par voie basse sous analg\u00e9sie p\u00e9ridurale?","author":"Queuille","year":"1999","journal-title":"Hygi\u00e8ne S"},{"key":"S0195941700026606_ref001","doi-asserted-by":"publisher","DOI":"10.1016\/0195-6701(95)90047-0"},{"key":"S0195941700026606_ref027","first-page":"121","volume-title":"Secr\u00e9tariat d\u2019Etat \u00e0 la Sant\u00e9 et \u00e0 l'action sociale, Comit\u00e9 Technique National des Infections Nosocomiales. 100 recommandations pour la surveillance et la pr\u00e9vention des infections nosocomiales","year":"1999"},{"key":"S0195941700026606_ref029","unstructured":"Centre de Coordination de la Lutte Contre les Infections Nosocomiales Sud-Est. 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