Re: Universal screening versus risk-based protocols for antibiotic prophylaxis during childbirth to prevent early-onset group B streptococcal disease: a systematic review and meta-analysis.

I Sir, i We commend the study by Hasperhoven et al.,1 which demonstrates a lower incidence of early-onset group B streptococcal (GBS) disease (EOGBSD) using screening-based, compared with risk-based protocols, albeit that the usage of intrapartum antibiotic prophylaxis (IAP) under both policies was similar. Group B streptococcal immunisation of pregnant women for the prevention of early and late onset group B streptococcal infection of the neonate as well as adult disease. [Extracted from the article]