Price, C.AGreen-Thompson, LMammen, V.GMadhi, S.ALala, S.GDangor, Z2024-12-292024-12-292018-10-05Price CA, Green-Thompson L, Mammen VG, Madhi SA, Lala SG, Dangor Z. Knowledge gaps among South African healthcare providers regarding the prevention of neonatal group B streptococcal disease. PLoS One. 2018 Oct 5;13(10):e0205157. doi: 10.1371/journal.pone.0205157.https://pubmed.ncbi.nlm.nih.gov/30289900/https://doi.org/10.1371/journal.pone.0205157https://hdl.handle.net/11288/597952Objective: To evaluate obstetric healthcare provider knowledge regarding the prevention of group B streptococcal disease in South African infants. Methods: Questionnaires exploring knowledge, attitudes and beliefs around group B streptococcal prevention were administered to consenting doctors and maternity nurses in a tertiary academic hospital. Qualitative assessments (focus groups) were undertaken with junior doctors and nurses. Results: 238 participants completed the questionnaire: 150 (63.0%) doctors and 88 (37.0%) nurses. Overall, 22.7% of participants correctly identified the risk-based prevention protocol recommended at this hospital. Most doctors (68.0%) and nurses (94.3%) could not correctly list a single risk factor. A third of doctors did not know the correct antibiotic protocols, and most (80.0%) did not know the recommended timing of antibiotics in relation to delivery. Focus group discussions highlighted the lack of knowledge, awareness and effective implementation of protocols regarding disease prevention. Conclusions: Our study highlighted knowledge gaps on the risk-based prevention strategy in a setting which has consistently reported among the highest incidence of invasive group B streptococcal disease globally. In these settings, education and prioritization of the risk-based intrapartum antibiotic strategy is warranted, but an alternative vaccine-based strategy may prove more effective in preventing invasive group B streptococcal disease in the long-term.enArticle