Invasive Group B Streptococcal Disease Among Infants, and Pregnant and Postpartum Women, United States, 2007¨C2022

What to know

  • Presentation Day/Time: Friday, April 25, 10:55 am–12:20 pm
  • Presenter: Sylvia Tangney, PhD, MPH, EIS officer assigned to the National Center for Immunization and Respiratory Diseases, Division of Bacterial Diseases
Sylvia Tangney, PhD, MPH

What did we do?

  • To describe Group B Streptococcus (GBS) epidemiology in infants and pregnant and postpartum women, we analyzed active, population-based surveillance for invasive GBS disease across 10 U.S. sites during 2007–2022.

What did we find?

  • We identified 2,005 early-onset disease (EOD) and 2,409 late-onset disease (LOD) infant cases and 526, 542, and 2,056 cases among pregnant, postpartum, and nonpregnant women, respectively.
  • EOD incidence declined from 0.37 in 2007 to 0.22 in 2015 and stabilized during 2016–2022 (mean = 0.22).
  • LOD incidence was stable during 2007–2015 (mean = 0.32) but declined to 0.23 during 2016–2022.
  • In 2022, an estimated 630 EOD and 830 LOD cases occurred nationally.
  • During 2007–2022, incidence among pregnant and postpartum women remained stable (mean: pregnant = 0.09; postpartum = 0.90). Compared with nonpregnant women, incidence among pregnant and postpartum women was 5-fold and 50-fold higher, respectively.

Why does it matter?

  • Despite initial declines in EOD incidence and small declines in LOD incidence, infant GBS disease persists.
  • Pregnant and postpartum women have elevated risk for GBS disease, compared with nonpregnant women.
  • Maternal vaccines have potential as a GBS prevention strategy.

***This presentation has updated data that will be shared at the EIS Conference.