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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2006, Number 03

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Ginecol Obstet Mex 2006; 74 (03)

High prevalence of group B Streptococcus colonization in Mexican pregnant women

Hernández TM, Soriano BD
Full text How to cite this article

Language: Spanish
References: 9
Page: 139-143
PDF size: 262.83 Kb.


Key words:

group B Streptococcus, colonization, pregnant, risk.

ABSTRACT

Objective: To determine the prevalence of group B Streptococcus (GBS) colonization in two anatomical sites in Mexican women of childbearing age, as well as the associated risk factors. Patients and method: A retrospective cohort analysis was made with two groups of women between 14 and 44 years old. We formed two groups of 72 women; one had a recent positive group B Streptococcus culture and the other, paired by age and culture date, had a negative culture of the same bacterium. All of them answered a validated questionnaire and two rectal swabs were obtained and cultured for isolation of group B Streptococcus.
Results: Prevalence of GBS colonization was 18% for two anatomical sites (heavy colonization), and 37% for one anatomical site; the overall prevalence was 54.9%. Three or more sexual partners increased by 4-fold the risk of heavy GBS colonization (p ‹ 0.01). In this study 49 (34%) women were pregnant, 26 (53%) of them were colonized by GBS and 7 (14.3%) were heavy colonized.
Conclusions: Prevalence of GBS during pregnancy in Mexican women was higher than the reported previously, even in developed countries. Risk of colonization increased by 4-fold with a history of three or more sexual partners.


REFERENCES

  1. Estrada GG, Reyes TR, Maida CR, Beltrán MJ, Vadillo OF. La interacción de las células inmunológicas coriodeciduales con estreptococo del grupo B condiciona la degradación del tejido conectivo del amnios. Ginecol Obstet Mex 2005;73:198-204.

  2. Regan JA, Klebanoff MA, Nugent RP, Eschenbach DA, et al. Colonization with group B streptococci in pregnancy and adverse outcome. Am J Obstet Gynecol 1996;174:1354-60.

  3. Edwards MS, Baker CJ. Streptococcus agalactiae (Group B Streptococcus). En: Mandell GL, Bennet JE, Dolin R, editors. Principles and practice of infectious diseases. Philadelphia: Churchill Livingstone Inc., 2000;pp:2156-66.

  4. Solórzano SF, Arredondo GJ, Díaz RR, Cazares OM, Echániz AG. Streptococcus group B in the etiology of neonatal infection. Bol Med Hosp Infant Mex 1990;47:146-52.

  5. Solórzano SF, Echániz AG, Conde GC, Calderón JE, et al. Cervicovaginal infection with group B streptococci among pregnant Mexican women. J Infect Dis 1989;159:1003-4.

  6. Ocampo TM, Sánchez PH, Nazar BA, Castro RAE, Cordero OB. Factores asociados a la colonización por Streptococcus del grupo B en mujeres embarazadas en Los Altos, Chiapas. Salud Publica Mex 2000;42:413-21.

  7. Manning SD, Tallman P, Foxman B. Prevalence and co-colonization with group B Streptococcus among heterosexual college couples. Ann Epidemiol 2000;10:472.

  8. Palacios SG, Caltenco SR, Torres LJ, et al. Exposición a estreptococo del grupo B en mujeres mexicanas en edad reproductiva. Salud Publica Mex 2002;44:50-56.

  9. Manning SD, Tallman P, Baker CJ, Gillespie B, et al. Determinants of co-colonization with group B Streptococcus among heterosexual college couples. Epidemiology 2002;13:533-9.




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Ginecol Obstet Mex. 2006;74