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Infection ; 31(4): 244-6, 2003 Aug.
Article in English | MEDLINE | ID: mdl-14562949

ABSTRACT

BACKGROUND: The aim of this study was to determine the prevalence of group B Streptococcus (GBS) colonization and to evaluate the antimicrobial resistance profile in women in the third trimester of pregnancy. MATERIALS AND METHODS: A total of 310 pregnant women, referred in weeks 35 to 37 of gestation, were screened for GBS colonization during a 10-month period. Samples were collected from the vagina and the rectum. RESULTS: The colonization rate was 10.6% and 22 women (66.7%) had both positive vaginal and rectal cultures. Rates of GBS colonization were significantly lower in patients aged 24 years or older and in those with a third or later pregnancy. None of the isolates were resistant to penicillin and ampicillin, whereas 21.2% and 9.1% showed resistance to erythromycin and clindamycin, respectively. CONCLUSION: Screening and antimicrobial susceptibility testing of GBS during pregnancy are important to guide appropriate therapy.


Subject(s)
Anti-Bacterial Agents/pharmacology , Carrier State , Pregnancy Complications, Infectious/diagnosis , Streptococcal Infections/diagnosis , Streptococcus agalactiae/drug effects , Adult , Anti-Bacterial Agents/therapeutic use , Drug Resistance, Bacterial , Female , Humans , Incidence , Infectious Disease Transmission, Vertical/prevention & control , Mass Screening , Microbial Sensitivity Tests , Pregnancy , Pregnancy Complications, Infectious/drug therapy , Pregnancy Outcome , Pregnancy Trimester, Third , Probability , Prospective Studies , Risk Assessment , Streptococcal Infections/drug therapy , Streptococcal Infections/epidemiology , Streptococcus agalactiae/isolation & purification , Turkey/epidemiology
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