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Volume 3
Journal of Reproductive Biology and Endocrinology
WCGO2019
May 13-14 , 2019
Gynecology and Obstetrics
May 13-14 , 2019 Tokyo, Japan
2
nd
World Congress on
Group A streptococcal infection in obstetrics and gynecology
Arthur Zaltz
University of Toronto, Canada
Lancefield Group A Streptococcus is an important global pathogen with the ability to cause significant disease
and has particular implications in Obstetrics and Gynecology. Five to thirty per cent of the population are
asymptomatic carriers. Invasive Group A Strep infection have become a leading cause of maternal mortality
worldwide. The incidence and virulence have been increasing for the past 30 years.
There are estimated to be over 75,000 deaths from puerperal sepsis annually. The highest death rates are in
Asia, Africa and Latin America. The incidence of infection ranges from 3-10 per 100,000 in North America.
There is a twenty-fold increase risk in the risk of invasive infection in pregnancy and post-partum women.
Most post-partum infections arise in the first 24-48 hours after delivery, often when the mother has been
discharged from hospital. Gynecological invasive disease usually manifests as toxic shock or flesh-eating
disease.
This presentation will discuss Invasive Group A streptococcal infections in obstetrics and gynecology. The
objectives are:
1. To understand the magnitude of Invasive Group A Strep infections in Obstetrics and Gynecology
2. To develop a clinical awareness and approach to early diagnosis of puerperal sepsis
3. To review principles in management for post-partum sepsis
Biography
Dr. Zaltz is obstetrician and gynecologist-in-chief at Sunnybrook Health Sciences Centre. He is also the chief of the Women’s and Babies
Program and is associate professor of obstetrics and gynecology at the University of Toronto. He has been on staff at Sunnybrook since
1987. He practices general obstetrics and gynecology, and minimally invasive surgery. He is involved in the gynecological management
of women with hereditary breast cancer in conjunction with the breast centre.
arthur.zaltz@sunnybrook.caJ Reprod Biol Endocrinol, Volume 3