Accuracy of prenatal culture in predicting intrapartum group B streptococcus colonization status

Autor: Isilda Rocha, I.D. Nogueira, Silvia Viegas, Maria José Borrego, João Paulo Gomes, Lurdes Ribeiro, Vera Damião, Carlos Florindo, Jorge Lima, Paula Caetano
Jazyk: angličtina
Rok vydání: 2014
Předmět:
Antibiotics
Disease
medicine.disease_cause
Group B
0302 clinical medicine
Pregnancy
030212 general & internal medicine
Pregnancy Complications
Infectious

reproductive and urinary physiology
Transmissão Vertical de Doença Infecciosa
0303 health sciences
Streptococcus
Obstetrics
Obstetrics and Gynecology
Middle Aged
3. Good health
Obstetric labor complication
Vagina
Complicações Infecciosas na Gravidez
Gestation
Female
Intrapartum Antibiotic Prophylaxis
Adult
medicine.medical_specialty
Adolescent
medicine.drug_class
Intrapartum Screening
Streptococcus agalactiae
03 medical and health sciences
Young Adult
Early Onset Disease
Predictive Value of Tests
Streptococcal Infections
medicine
Humans
Infecções Sexualmente Transmissíveis
Bacteriological Techniques
030306 microbiology
business.industry
Parturition
Rectum
medicine.disease
Colonization status
bacterial infections and mycoses
Infecções por Estafilocócos
Infectious Disease Transmission
Vertical

Obstetric Labor Complications
Pediatrics
Perinatology and Child Health

Immunology
business
Zdroj: BASE-Bielefeld Academic Search Engine
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Agência para a Sociedade do Conhecimento (UMIC)-FCT-Sociedade da Informação
instacron:RCAAP
Popis: Objective: To evaluate the positive predictive value (PPV) of group B Streptococcus (GBS) cultures at 35–37 weeks of gestation relative to GBS colonization status at delivery.Methods: Rectovaginal swabs from 221 women at labor in four Lisbon hospitals were collected for GBS screening according to the CDC guidelines.Results: The PPV was 24.4%. IAP was administered to 100% of prenatally GBS positive women. There was no case of early onset GBS disease (EOD).Conclusions: Poor accuracy of prenatal cultures in identifying true candidates for IAP highlights the need for Portuguese clinical and laboratory guidelines to prevent EOD and antibiotic overtreatment of pregnant women.
Databáze: OpenAIRE