Russell, N.J., Seale, A.C., O’Sullivan, C., et al. (2017) Risk of Early-Onset Neonatal Group B Streptococcal Disease with Maternal Colonization Worldwide: Systematic Review and Meta-Analyses. Clinical Infectious Diseases, 65, S152-S159.
https://doi.org/10.1093/cid/cix655

has been cited by the following article:

• TITLE: Are Mikvehs Responsible for GBS Carriers among Orthodox Jewish Women?—A Prospective Observational Study

  AUTHORS: Jacky Herzlich, Daniel Lubin, Yehudit Schindler, Osnat Wittmann, Ronella Marom

  KEYWORDS: Group B Streptococcus Carrier, Mikveh, Colonization, Religiosity, Early on Set Sepsis

  JOURNAL NAME: Open Journal of Obstetrics and Gynecology, Vol.10 No.7, July 20, 2020

  ABSTRACT: Background: Maternal colonization with group B streptococcus (GBS) is an important risk factor for neonatal sepsis. A “mikveh” is a pool of water for ritual immersion by Jewish women. It had been reported to be a risk factor for GBS colonization. Objective: To determine whether there is an association between ritual immersion in the mikveh pools and GBS carriership. Methods: Water samples and bacterial swabs were taken from eight mikveh pools centers at two separate occasions and tested for GBS growth. For determination of the total number of live, aerobic bacteria, each sample was grown on strep selective agar for 48 hours at 37°C and CO2 5%. Results: All the samples were tested. No trace of GBS was found in any of the samples. Conclusions: The findings of this study refute earlier findings and suggest that there is no association between ritual immersion in mikvehs and GBS carriership.