Screening of streptococcus agalactiae (group B) in the perinatal period

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dc.contributor.author Mokhbat, J.
dc.contributor.author Chaaya, A.
dc.contributor.author Chacar, H. R.
dc.contributor.author Daoud, M.
dc.contributor.author Bitar, F.
dc.contributor.author Haddad, N.
dc.contributor.author Anastabiades, E.
dc.date.accessioned 2017-02-15T14:44:31Z
dc.date.available 2017-02-15T14:44:31Z
dc.date.copyright 1996 en_US
dc.date.issued 2017-02-15
dc.identifier.issn 0023-9852 en_US
dc.identifier.uri http://hdl.handle.net/10725/5234
dc.description.abstract OBJECTIVE: To determine the carriage rate of Streptococcus agalactiae in a group of pregnant women and evaluate its role in a neonatal infections. DESIGN: Prospective study between December 1992 and May 1993. SETTING: University hospital. PARTICIPANTS: 166 patients aged 17 to 41 years (m = 28 yrs) with a gestational age of 32 to 42 wks (m = 39.99 +/- 1.73) were admitted to the delivery suite. All patients had a vaginal swab on admission before any lavage. RESULTS: The recovery rate of Streptococcus agalactiae (group B) was found to be 7.8% (13/166) in our population. Twelve of the thirteen newborn to colonized mothers (92%) were term newborn as compared to 141 of 153 (92.1%) newborn to non-colonized mothers (p = 0.72). Three of thirteen (23%) colonized mothers had premature rupture of membranes and 23% (3/13) had prolonged labor > 12 h as compared to of 38 (25.1%) and 8 (5.1%) non-colonized mothers (respectively p = 0.58; NS; p = 0.035). No intra-partum fever was reported. All neonates born to colonized mothers had a birth weight > 2,800 g, an average Apgar score of 8.6 while neonates of non-colonized women had a weight > 2,800 g in 89.4% of cases and an average Apgar of 8.8 (p = 0.9). Two (15.4%) newborn infants born to colonized mothers had an early neonatal infection: one had a pneumonia and had a favorable outcome, the other one developed sepsis and meningitis and died on day 3. CONCLUSION: Despite the low rate of Streptococcus agalactiae (group B) colonization (found in our population), regular identification of the organism is recommended because of the high risk of neonatal infection with a high mortality. Further studies on a larger group are needed to confirm such an approach. en_US
dc.language.iso en en_US
dc.title Screening of streptococcus agalactiae (group B) in the perinatal period en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 200902719 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Lebanese Medical Journal en_US
dc.journal.volume 44 en_US
dc.journal.issue 4 en_US
dc.article.pages 203-208
dc.identifier.ctation Chaaya, A., Chacar, H. R., Daoud, M., Bitar, F., Haddad, N., Anastabiades, E., ... & Mokhbat, J. (1995). Screening of Streptococcus agalactiae (group B) in the perinatal period. Le Journal medical libanais. The Lebanese medical journal, 44(4), 203-208. en_US
dc.author.email jacques.mokhbat@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://europepmc.org/abstract/med/9289496 en_US
dc.author.affiliation Lebanese American University en_US

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