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Mutant Strep Strains Linked to Newborn Infections
Researchers discover antibiotic-resistant GBS strains that can still infect babies after childbirth
Mar. 20, 2026 at 4:29am
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A new study from Michigan State University has found that certain mutant strains of Group B Streptococcus (GBS) bacteria can survive antibiotic treatment and still infect newborns, leading to serious illnesses like pneumonia, meningitis, and sepsis. The researchers discovered that these "mutator" strains have defects in their DNA repair machinery, allowing them to rapidly evolve and evade treatment, even after the mother receives antibiotics during labor.
Why it matters
GBS is a leading cause of illness and death in newborns, but the introduction of intrapartum antibiotic prophylaxis (IAP) in the 1990s has reduced early-onset GBS infections by over 80%. However, late-onset GBS disease in infants between 1 week and 3 months old has remained a persistent problem, and this new research provides insights into how the bacteria are adapting to avoid being eliminated by antibiotics.
The details
The researchers collected GBS samples from 212 pregnant women before and after childbirth, and found that nearly 60% of the women still tested positive for GBS 6 weeks after giving birth, even though they had received IAP. By comparing the genomes of the pre- and post-partum GBS strains, the team identified over 500 mutations that may be helping the bacteria survive antibiotic treatment and continue to infect newborns.
- The study was published in March 2026 in the journal mBio.
- The researchers collected GBS samples from pregnant women in their late-stage pregnancy and again 6 weeks after childbirth.
The players
Shannon Manning
Senior author of the study and professor of microbiology, genetics and immunology at Michigan State University.
Macy Pell
Former graduate student of Shannon Manning who compared the genomes of the pre- and post-partum GBS strains.
Group B Streptococcus (GBS)
A bacterium commonly found in the microbiota of healthy people that can be transmitted to newborns during childbirth, leading to serious infections.
What they’re saying
“These bacteria are savvy, and they've adapted strategies to avoid getting killed by antibiotics — not in the ways we expected, but through other mechanisms.”
— Shannon Manning, Senior author and professor of microbiology, genetics and immunology
What’s next
Future work will focus on determining how the identified mutations affect the bacteria's survival and ability to evade antibiotics, with the goal of finding new drug targets to prevent or treat late-onset GBS infections in babies.
The takeaway
This study highlights the ability of GBS bacteria to rapidly evolve and adapt to antibiotic treatments, leading to the persistence of late-onset GBS infections in newborns despite the success of intrapartum antibiotic prophylaxis in reducing early-onset cases. Continued research is needed to stay ahead of these mutating strains and develop new strategies to protect vulnerable infants.
