BMC Research Notes | |
Isolation and anti-microbial susceptibility pattern of group B Streptococcus among pregnant women attending antenatal clinics in Ayder Referral Hospital and Mekelle Health Center, Mekelle, Northern Ethiopia | |
Tsehaye Asmelash1  Muthupandian Saravanan1  Mehamud Abdulkadir1  Haftamu Hailekiros1  Selam Niguse1  Gebreselassie Alemseged2  | |
[1] Department of Medical Microbiology and Immunology, Institute of Biomedical Science, College of Health Sciences, Mekelle University, Mekelle, 1871, Ethiopia;Microbiology Department, Lemlem Karl Hospital, Maichew, Ethiopia | |
关键词: Antibiotic resistance; Antimicrobial susceptibility; Group B Streptococcus; Vaginal swab; Antenatal clinic; Pregnant women; | |
Others : 1229546 DOI : 10.1186/s13104-015-1475-3 |
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received in 2015-07-07, accepted in 2015-09-21, 发布年份 2015 | |
【 摘 要 】
Background
Vaginal colonization with group B Streptococcus (GBS) is the predominant risk factor for the development of invasive neonatal GBS diseases and puts newborns at increased risk for morbidity and mortality. This study is aimed to determine the colonization rate and antimicrobial susceptibility pattern of group B Streptococcus among pregnant women.
Methods
Hospital based cross-sectional study was conducted from August to December 2014 at selected health facilities. A total of 139 antenatal clinics attendees, proportionally allocated, were recruited consecutively. Socio-demographic and clinical factors were collected using a structured questionnaire. Vaginal swabs were collected and cultured on Todd Hewitt broth and in 5 % sheep blood agar. Antimicrobial susceptibility test was done using Kirby-Bauer disk diffusion test. Statistical analysis was performed using Pearson’s Chi square test.
Results
Among the 139, 19 (13.7 %) were positive for GBS. All the GBS isolates were susceptible (100 %) to penicillin G, vancomycin, ampicillin, erythromycin and gentamicin. Two of the GBS isolates showed multidrug resistance against norfloxacin and ciprofloxacin. No statistically significant difference was observed for GBS colonization with any independent variables.
Conclusion
Vaginal colonization of GBS for the present study put emphasis on further investigation and accomplishment of routine GBS screening practices. The recovery of resistant strains to antimicrobial agents recommended in cases of penicillin allergic mothers indicates the importance of susceptibility test.
【 授权许可】
2015 Alemseged et al.
【 预 览 】
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【 参考文献 】
- [1]Huber CA, Odimba FM, Pflueger V, Claudia A, Daubenberger CA, Revathi G: Characterization of Invasive and Colonizing Isolates of Streptococcus agalactiae in East African Adults’. J Clin Microbiol. 2011, 49(10):3652-3655.
- [2]Shirazi M, Abbariki E, Hafizi A, Shahbazi F, Bandari M, Dastgerdy E: The prevalence of group B Streptococcus colonization in Iranian pregnant women and its subsequent outcome. Int J Fertil Steril. 2014, 7(4):267-270.
- [3]Borchardt SM, DeBusscher JH, Tallman PA, Manning SD, Marrs CF, Kurzynski TA, et al.: Frequency of antimicrobial resistance among invasive and colonizing group B Streptococcal isolates. BMC Infect Dis 2006, 6:57. BioMed Central Full Text
- [4]Gray K, Bennett SL, French N, Phiri AJ, Graham SM: Invasive group B Streptococcal infection in infants, Malawi. Emerg Infect Dis. 2007, 13(2):223-229.
- [5]Fatemi F, Pakzad P, Zeraati H, Talebi S, Asgari S, Akhondi M, et al.: Comparative molecular and microbiologic diagnosis of vaginal colonization by S. agalactiae in pregnant women during labor. Iran J Basic. Med Sci. 2010, 13(4):183-188.
- [6]Gupta C, Briski LE: Comparison of two culture media and three sampling techniques for sensitive and rapid screening of vaginal colonization by group B Streptococcus in pregnant women. J Clin Microbiol. 2004, 42(9):3975-3977.
- [7]Brimil N, Barthell E, Heindrichs U, Kuhn M, Lütticken R, Spellerberg B: Epidemiology of Streptococcus agalactiae colonization in Germany. Int J Med Microbiol 2006, 296(1):39-44.
- [8]Doran KS, Nizet V: Molecular pathogenesis of neonatal group B streptococcal infection: no longer in its infancy. Mol Microbiol. 2004, 54(1):23-31.
- [9]Hamedi A, Akhlaghi F, SeyedJavadSeyedi SJ, Kharazmi A: Evaluation of group B Streptococci colonization rate in pregnant women and their new born. Acta Med Iran 2012, 50(12):805-808.
- [10]Hung JKO, Ling TKW, Chu Tam DCC: The prevalence of group B Streptococcus colonization in pregnant women in Hong Kong. J Hong Kong Inst Med Lab Sci 2011, 13(1):1-6.
- [11]Musa M, Daniel A, Yimtubezinash W, Demissie A: Prevalence of group B Streptococcus colonization among pregnant women attending antenatal clinic of Hawassa Health Center, Hawassa, Ethiopia. Ethiop J. Health Dev. 2010, 26(1):36-42.
- [12]Schmidt J, Halle E, Halle H, Mohammed T, Gunther E: Colonization of pregnant women and their Newborn infants with S.agalactiae in Gondar College of medical sciences. Ethiop Med J 1989, 27:115-119.
- [13]Association of Clinical Microbiologists: Processing swabs for group B Streptococcal carriage Health Prot Agency 2006, 58(2):1-12.
- [14]Fraile MR, Muñoz EC, Granger JR, Martos CL: Specimen storage in transport medium and detection of group B Streptococci by culture. J Clin Microbiol. 2005, 43(2):928-930.
- [15]Rahbar M, Hajia M, Mohammadzadeh M: Urinary Tract infections caused by GBS in adult women: survey of 11,800 urine culture results. Iran J Pathol 2012, 7(1):32-37.
- [16]Wayne PA: Performance standards for antimicrobial susceptibility testing. CLSI approved standard M100–S23. Clin Lab Stand Inst. 2013, 33:118-156.
- [17]Wloch MB, Mach JW, EwaHelwich E, Heczko PB: Incidence of maternal GBS colonization and neonatal GBS disease among very low birth weight polish neonates. Med Sci Monit. 2013, 19:34-39.
- [18]Aila NBE, Tency I, Claeys G, Saerens B, Backer ED, Temmerman M, et al.: Genotyping of Streptococcus agalactiae (group B streptococci) isolated from vaginal and rectal swabs of women at 35–37 weeks of pregnancy. BMC Infect Dis 2009, 9:153. BioMed Central Full Text
- [19]McKenna DS, Matson S, Northern I: Maternal group B Streptococcal (GBS) genital tract colonization at term in women who have asymptomatic GBS bacteriuria. Infect Dis Obstet Gynecol. 2003, 11(4):203-207.
- [20]Talat EK, Neyazi SM, Al-sheikh YA, Niazy AA: Phenotypic traits and comparative detection methods of vaginal carriage of GBS and its associated micro-biota in term pregnant Saudi women. AJMR. 2012, 6(2):403-413.
- [21]Tor-Udom S, Tor-Udom P, Hiriote W: The prevalence of streptococcus agalactiae (group B) colonization in pregnant women at Thammasat Hospital. J Med Assoc Thai 2006, 89(4):411-414.
- [22]Rubinl UU, Praveen S, Madhavan R: Prevalence of group B Streptococcal infection in antenatal women. Int J Pharm Bio Sci. 2013, 4(3):612-617.
- [23]Makhoul IR, Sprecher H, Sawaid R, Jakobi P, Smolkin T, Sujov P, et al.: Early-onset GBS sepsis in high risk neonates born after prolonged rupture of membranes. IMAJ 2009, 11:34-38.
- [24]Shabayek SAAE, Abdalla SM, Abouzeid AMH: Vaginal carriage and antibiotic susceptibility profile of group B Streptococcus during late pregnancy in Ismailia, Egypt. J Infect Public Health. 2009, 2(2):86-90.
- [25]Joachim A, Matee MI, Massawe FA, Lyamuya EF: Maternal and neonatal colonization of GBS at Muhimbili National Hospital in Dar es Salaam, Tanzania: prevalence, risk factors and antimicrobial resistance. BMC Public Health. 2009, 9:437. BioMed Central Full Text
- [26]Okon K, Usman H, Umar Z, Balogun ST: Prevalence of group B Streptococcus Colonization among pregnant women attending antenatal clinic of a Tertiary Hospital in Northeastern, Nigeria. AJRC. 2013, 1(6):54-66.
- [27]NamavarJahromi B, Poorarian S, Poorbarfehee S: The prevalence and adverse effects of group B Streptococcal colonization during pregnancy. Arch Iran Med. 2008, 11(6):654-657.
- [28]Simoes JA, Aroutcheva AA, Heimler I, Faro S: Antibiotic resistance patterns of group B Streptococcal clinical isolates. Infect Dis Obstet Gynecol. 2004, 12:1-8.
- [29]Orji FA, Nwachukwu NC, Iheukwumere I, Emeana U: Group B Streptococcal (GBS) infections among infants in Port Harcourt City, Nigeria. Aust J Basic Appl Sci. 2011, 5(7):1114-1118.