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Prevalence of colonisation by group B streptococcus in pregnant patients in Taguatinga, Federal District, Brazil: a cross-sectional study

  • Maternal- Fetal Medicine
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Propose

Group B streptococcus is responsible for severe infections in neonates resulting from vertical transmission from pregnant women colonized in the anal, perineal or vaginal regions. The identification of colonized patients and use of intrapartum prophylaxis may reduce the risk of neonatal infection.

Methods

A cross-sectional study of pregnant women of gestational age between 35 and 37 weeks was conducted. Material was collected from patients for laboratory identification of group B streptococcus. Epidemiological data, including weight, height, body mass index, antibiotic use during pregnancy, pathologies during pregnancy (diabetes, hypertensive diseases, and hypothyroidism), twinning, and others, were also collected from patients.

Results

The sample consisted of 501 pregnant women, and the prevalence of group B streptococcus was 14%. The mean age was 29 years, and the mean BMI was 30.7. During pregnancy, 204 patients had some type of infection, and 201 used antibiotics. Ninety-five patients were diagnosed with gestational diabetes mellitus and 74 with some type of hypertensive disease.

Conclusions

The prevalence of group B streptococcus observed did not differ from that observed in other studies. None of the factors studied can be considered as risk or protective factors for maternal colonization by group B streptococcus.

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Acknowledgements

This study is funded by Fundação de Ensino e Pesquisa em Ciências da Saúde-FEPECS (BR) (Grant no. 064.000.052/2012)

Funding

Health Sciences Education and Research Foundation (Fundação de Ensino e Pesquisa em Ciências da Saúde—FEPECS) of the Federal District. Thanks to Dra Riane Floriano, Gynecologist and Obstetrician, for their help in the collection of samples.

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Authors and Affiliations

  1. Federal District State Secretariat of Health (Secretaria de Estado de Saúde do Distrito Federal), Brasilia, Distrito Federal, Brasil

    Fábio Siqueira & Eli Mendes Ferreira

  2. Graduate Program in Obstetrics Gynaecology and Mastology, Paulista State University (Universidade Estadual Paulista, UNESP), Campus de Botucatu, Botucatu, Brazil

    Iracema de Matos Calderon

  3. Graduate Program in Collective (Public) Health, Paulista State University (Universidade Estadual Paulista, UNESP), Campus de Botucatu, Botucatu, Brazil

    Adriano Dias

  4. Hospital Regional de Taguatinga, Farmácia Hospitalar, Área Especial 24 do Setor C Norte, Taguatinga, DF, 72120-910, Brazil

    Fábio Siqueira

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  1. Fábio Siqueira
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  2. Eli Mendes Ferreira
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  4. Adriano Dias
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Contributions

FS: project development, data collection, data analysis, and manuscript writing. AD: project development, data analysis, and manuscript editing. EMF: data collection and manuscript editing. IMC: data analysis and manuscript editing.

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Correspondence to Fábio Siqueira.

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The authors declare that there are no conflicts of interest in this study.

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Siqueira, F., Ferreira, E.M., de Matos Calderon, I. et al. Prevalence of colonisation by group B streptococcus in pregnant patients in Taguatinga, Federal District, Brazil: a cross-sectional study. Arch Gynecol Obstet 299, 703–711 (2019). https://doi.org/10.1007/s00404-019-05040-z

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