Comparison of introduction of three different strategies to prevent neonatal group B haemolytic streptococcal disease in The Netherlands
report
Early onset Group B- haemolytic streptococcus infection (EOGBS) is an important cause of neonatal morbidity and mortality within the first week of life. Maternal colonization rates during pregnancy are estimated to be around 20% in the Netherlands. Around half of the children born from these mothers will become colonized and 1% will develop EOGBS. Primary prevention is possible by administrating antibiotics during labour (IAP). Different strategies are used to identify women in need of IAP. A cost effectiveness study showed a strategy with IAP treatment based on five risk factors (risk based strategy) or based on a positive screening test in combination with one or more risk factors (combination strategy) to be the most cost-effective in the Netherlands. Despite the activities undertaken to improve implementation, adherence to EOGBS preventive strategies remains poor when treatment is required (so-called under treatment). This VIMP study aimed to provide more insight into the factors related to the diversity in (non-) adherence to preventive EOGBS strategies, an overview of existing knowledge on current and possible future preventive strategies as well as to identify knowledge gaps. An online focus group was undertaken in three regions in the Netherlands inviting all care professionals involved. This showed that the reasons for the diversity in (poor) adherence per strategy and target population can be explained by lack of knowledge, and care professionals who find it difficult to translate a sense of urgency into action and to shed old routines & habits when policy doesn’t necessarily improve outcomes in their view.
TNO Identifier
844036
Publisher
TNO
Collation
50 p.
Place of publication
Leiden