RESUMO
The aim of our study was to evaluate maternal colonization with Group B Streptococci (GBS) which may predispose to adverse neonatal outcome. The study was carried out in a tertiary care hospital in Mangalore for a duration of one year. Duplicate sterile swabs of all samples from vagina of antenatal cases (35 to 37 wks gestation) who visited the Gynaecology OPD and wards were collected. Samples were transported without delay and cultured and identified by biochemical and agglutination tests. The antibiogram for the isolates were performed as per CLSI guidelines. Of the 349 antenatal cases screened during the third trimester for GBS colonization, 29 (8.31%) were found to harbour Group B Streptococcus. The different rates of colonization of GBS in the population has led to the conclusion of potential hazards to neonates among pregnant women warranting mandatory screening of not only vaginal but also urine and rectal samples to get a more reliable result leading to better early intrapartum treatment and safer neonatal outcomes.
RESUMO
The present study is conducted to demonstrate the value of direct smear examinations ( Gram stain and wet mount ) of vaginal discharge from infected female patients. The diagnosis of bacterial vaginosis and other infections were carried out by direct gram stained smear and wet mount preparations of vaginal discharge in 1004 cases of various infections affecting these patients. Gram stain was a useful tool to pick up various infections of the genital tract and wet mount was helpful in detecting Trichomonas vaginalis. In short , direct smear examination will facilitate clinician in the diagnosis of female genital tract infections with minimum requirements.