Interest of the Detection of Hyper-virulent Clone ST17 of Group B Strep (GBS) for the Prevention of Neonatal GBS Meningitis
NCT01719510 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 949
Last updated 2025-09-05
Summary
The main objective of this study : Demonstrate that GBS (group B streptococci) "ST-17" colonize and persist to 60 days twice in the digestive tract of newborns that strains of GBS non-ST-17.
Secondary objectives:Determine:
* The frequency of colonization with GBS ST-17 and GBS non-ST-17 of at risk pregnant women.
* The frequency of colonization of neonates by GBS ST-17 at birth.
* The preferential site of colonization in the mother (rectum, vagina, breast milk).
* The kinetics of colonization after birth in the newborn.
* The sensitivity and specificity of different GBS detection methods (conventional phenotypic versus molecular) in the different types of samples from the mother and the newborn.
Conditions
- Neonatal Infections Colonize With Group B Streptococci
Interventions
- OTHER
-
Samples
At time of delivery we will performed vaginal swabs in two groups: women tested positive for GBS at 35-37 weeks and women with risk of neonatal infection. For both groups: * one swab for GBS detection by real-time PCR * the second swab for GBS detection by conventional bacteriological techniques and sent to the bacteriology laboratory. For all women included will be achieved in the delivery room: 1. To the mother: A blood sample of 5 ml at the time of the implementation of the IV line. 2. A sampling of umbilical cord blood. Newborns of mothers included (group 1 and 2) will have a search for GBS (standard culture) in the stools and the pharynx prior to return home. For mothers, the collection of 3-5 ml of milk when breastfeeding.
Sponsors & Collaborators
-
URC-CIC Paris Descartes Necker Cochin
collaborator OTHER -
Assistance Publique - Hôpitaux de Paris
lead OTHER
Principal Investigators
-
Claire POYART, MD, PhD · Cochin Hospital
Study Design
- Allocation
- NA
- Purpose
- SCREENING
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2012-11-12
- Primary Completion
- 2015-06-03
- Completion
- 2015-06-03
Countries
- France
Study Locations
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