{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T19:51:59Z","timestamp":1774554719099,"version":"3.50.1"},"reference-count":25,"publisher":"Federacion Colombiana de Obstetricia y Ginecologia","issue":"3","license":[{"start":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T00:00:00Z","timestamp":1664496000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["revista.fecolsog.org"],"crossmark-restriction":false},"short-container-title":["Rev. Colomb. Obstet. Ginecol."],"abstract":"<jats:p>Objetivos: evaluar la adherencia a las recomendaciones de tamizaci\u00f3n para la prevenci\u00f3n de la sepsis neonatal, describir la prevalencia de colonizaci\u00f3n por estreptococo del grupo B y los desenlaces perinatales asociados a la colonizaci\u00f3n por esta bacteria.Materiales y m\u00e9todos: estudio de cohorte retrospectiva que incluy\u00f3 gestantes a t\u00e9rmino y sus reci\u00e9n nacidos, en una cl\u00ednica universitaria privada de alta complejidad en Bogot\u00e1, entre el 1 de julio y el 31 de diciembre de 2019. Se evalu\u00f3 la adherencia a la tamizaci\u00f3n y a la profilaxis antibi\u00f3tica intraparto para las gestantes colonizadas con EGB, la prevalencia de colonizaci\u00f3n y los desenlaces perinatales adversos tempranos.Resultados: se incluyeron 1.928 mujeres. La adherencia a la tamizaci\u00f3n fue de 68,0 % (IC 95%: 66-70,1), a la administraci\u00f3n de antibi\u00f3ticos intraparto de 87,9 % (IC 95 %: 87,8 -88), pero hubo uso no indicado de antibi\u00f3ticos en 14,7 % de mujeres para una adherencia final a profilaxis antibi\u00f3tica de 86,3 %. La prevalencia de colonizaci\u00f3n por EGB fue 12,5 % (IC 95 %: 10,7-14,3), la incidencia de hospitalizaci\u00f3n neonatal fue de 27,5 % (IC 95 %: 16,3-33,7); no hubo casos de mortalidad ni sepsis neonatal temprana atribuibles al estado de tamizaci\u00f3n, colonizaci\u00f3n o profilaxis antibi\u00f3tica para EGB.Conclusiones: se requieren nuevos estudios en otras instituciones para determinar la adherencia a esta gu\u00eda, en especial en aquellas regiones que atienden usuarias adscritas al r\u00e9gimen subsidiado, con cobertura a la poblaci\u00f3n m\u00e1s vulnerable, as\u00ed como nuevos estudios poblacionales de prevalencia de EGB y costo-efectividad de la estrategia de tamizaci\u00f3n universal en comparaci\u00f3n con la profilaxis antibi\u00f3tica basada en factores de riesgo.<\/jats:p>","DOI":"10.18597\/rcog.3917","type":"journal-article","created":{"date-parts":[[2022,10,10]],"date-time":"2022-10-10T22:12:17Z","timestamp":1665439937000},"page":"265-273","update-policy":"https:\/\/doi.org\/10.18597\/crossmark","source":"Crossref","is-referenced-by-count":2,"title":["Adherencia a las recomendaciones de prevenci\u00f3n de la sepsis neonatal temprana asociada a la colonizaci\u00f3n por Streptococcus agalactiae en una instituci\u00f3n de referencia en Bogot\u00e1, Colombia, 2019"],"prefix":"10.18597","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6478-2847","authenticated-orcid":false,"given":"Ana Mar\u00eda","family":"Ospino-Mu\u00f1oz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6583-0756","authenticated-orcid":false,"given":"Edna Alejandra","family":"Bonza-Gonz\u00e1lez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3952-5907","authenticated-orcid":false,"given":"Cristian David","family":"Ar\u00e9valo-Mojica","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1004-6331","authenticated-orcid":false,"given":"Jorge Andr\u00e9s","family":"Rubio-Romero","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7913","published-online":{"date-parts":[[2022,9,30]]},"reference":[{"key":"90939","doi-asserted-by":"crossref","unstructured":"Raabe VN, Shane AL. 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Biom\u00e9dica. 2019;39:689-98. https:\/\/doi.org\/10.7705\/biomedica.4514","DOI":"10.7705\/biomedica.4514"},{"key":"90944","doi-asserted-by":"crossref","unstructured":"Prevention of Group B Streptococcal Early-Onset Disease in Newborns: ACOG Committee Opinion, Number 797. Obstet Gynecol. 2020;135(2):e51-e72. https:\/\/doi.org\/10.1097\/AOG.0000000000003668 Erratum in: Obstet Gynecol. 2020;135(4):978-9","DOI":"10.1097\/AOG.0000000000003824"},{"key":"90945","doi-asserted-by":"crossref","unstructured":"Russell NJ, Seale AC, O'Sullivan C, Le Doare K, Heath PT, Lawn JE, Bartlett L, et al. Risk of early-onset neonatal Group B Streptococcal disease with maternal colonization worldwide: Systematic review and meta-analyses. Clin Infect Dis. 2017;65(suppl_2):S152-S159. https:\/\/doi.org\/10.1093\/cid\/cix655","DOI":"10.1093\/cid\/cix655"},{"key":"90946","doi-asserted-by":"crossref","unstructured":"Nanduri SA, Petit S, Smelser C, Apostol M, Alden NB, Harrison LH. Epidemiology of invasive earlyonset and late-onset Group B streptococcal disease in the United States, 2006 to 2015: Multistate laboratory and population-based surveillance. JAMA Pediatr. 2019;173(3):224-33. https:\/\/doi.org\/10.1001\/jamapediatrics.2018.4826","DOI":"10.1001\/jamapediatrics.2018.4826"},{"key":"90947","unstructured":"Ministerio de Salud y Protecci\u00f3n Social - Colciencias. Gu\u00eda de pr\u00e1ctica cl\u00ednica para la prevenci\u00f3n, detecci\u00f3n temprana y tratamiento de las complicaciones del embarazo, parto o puerperio 2013 - Gu\u00edas No. 11-15. Disponible en: https:\/\/www.minsalud.gov.co\/sites\/rid\/Lists\/BibliotecaDigital\/RIDE\/INEC\/IETS\/Gu%C3%ADa.completa.Embarazo.Parto.2013.pdf"},{"key":"90948","unstructured":"Rep\u00fablica de Colombia, Ministerio de Salud y Protecci\u00f3n Social. Resoluci\u00f3n N\u00famero 3280 de 2018. 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