Communicable Diseases in the Breastfeeding Period: B-Streptococci

With breast milk, pathogens can be transmitted and cause the corresponding disease in the children, with different manifestations of the course of the disease. Important pathogens in this context are group B streptococci (GBS).

B-streptococci can be detected in the breast milk of approx. 1-3.5% of GBS-positive breastfeeding mothers. GBS sepsis has been observed only in rare cases within the first three months of life. In 50% of cases, this is accompanied by meningitis (meningitis), which can be lethal or lead to severe neurological sequelae.

Both infection and an unfavorable course can be easily prevented. An infected mother is treated with antibiotics (penicillin, erythromycin or roxithromycin). In addition, the mother should ensure appropriate hand hygiene.

Breastfeeding should not be done within the first 24 to 48 hours after the start of therapy. During this time, the mother may pump and discard the milk. The baby should be monitored closely and treated as well, if necessary.