Evolving a national preventive protocol for vertical transmission of group B streptococcus in a low-resource country: The culture-based approach

Mariam Abdulbaki; Munirdeen Ijaiya; Abayomi Fadeyi; Omotayo Adesiyun; Abiodun Adeniran; Onozare Aliyu; Abdulgafar Jimoh

doi:10.4103/LIUJ.LIUJ_17_19

Libyan International Medical University Journal, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Libyan International Medical University Journal 2019; 04(02): 62-68
DOI: 10.4103/LIUJ.LIUJ_17_19

Original Article

Evolving a national preventive protocol for vertical transmission of group B streptococcus in a low-resource country: The culture-based approach

Mariam Abdulbaki

Department of Obstetrics and Gynaecology, General Hospital, Ilorin, Nigeria

,

Munirdeen Ijaiya

¹Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, University of Ilorin Teaching Hospital, University of Ilorin, Ilorin, Nigeria

,

Abayomi Fadeyi

²Department of Medical Microbiology and Parasitology, Faculty of Basic Medical Sciences, University of Ilorin Teaching Hospital, University of Ilorin, Ilorin, Nigeria

,

Omotayo Adesiyun

³Department of Paediatrics, Faculty of Clinical Sciences, University of Ilorin Teaching Hospital, University of Ilorin, Ilorin, Nigeria

,

Abiodun Adeniran

¹Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, University of Ilorin Teaching Hospital, University of Ilorin, Ilorin, Nigeria

,

Onozare Aliyu

⁴Department of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmaceutical Sciences, University of Ilorin, Ilorin, Nigeria

,

Abdulgafar Jimoh

¹Department of Obstetrics and Gynaecology, Faculty of Clinical Sciences, University of Ilorin Teaching Hospital, University of Ilorin, Ilorin, Nigeria

› Institutsangaben

Abstract

Objective: The study objective was to determine the role and applicability of the culture-based approach to Group B Streptococcus(GBS) screening and the effect on pregnancy outcome. Materials and Methods: This is a prospective cross-sectional study involving 166 consenting antenatal clinic attendees at 35–37 weeks' gestation using purposive sampling. All participants had vaginal and rectal swabs collected and cultured with the availability of culture results at the time of presentation in labor. All GBS-colonized mothers received intrapartum prophylaxis with parenteral antibiotics based on antibiotic sensitivity from the onset of labor or the rupture of membrane until delivery. Statistical analysis was conducted using SPSS software version 21.0, while P < 0.05 was considered statistically significant. Results: The GBS maternal prevalence was 7.8%, and culture-positive women had both vaginal and rectal colonization. Marital status (P = 0.002), multiple sexual partners (P =0.001), previous sexually transmitted infections (P = 0.013), and low socioeconomic status (P = 0.012) were significantly associated with GBS colonization. GBS isolates were 100% sensitive to ampicillin, all participants had a minimum of two doses of intrapartum prophylaxis with parenteral ampicillin, there was no maternal morbidity, and the vertical transmission of GBS was 0%. Conclusions: The culture-based approach and the culture-based maternal intrapartum prophylaxis prevented both maternal and neonatal complications from GBS. Establishing regional- and national-level preventive protocols will be a central strategy for the prevention.

Key-words:

Group B Streptococcus - maternal sepsis - national protocol - neonatal sepsis - screening protocol - vertical transmission of infections

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Referenzen

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