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El Aila NA, Tency I, Claeys G, Saerens B, Cool P, Verstraelen H, Temmerman M, Verhelst R, Vaneechoutte M. Comparison of different sampling techniques and of different culture methods for detection of group B streptococcus carriage in pregnant women BMC Infectious Diseases 2010, 10: 285 http://www.biomedcentral.com/1471-2334/10/285.

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Article

Group B Streptococcal Carriage Rate in Vagina of Pregnant Women in Third Trimester in Lomé, Togo

1Service de Microbiologie, CHU Sylvanus Olympio BP 57 Lomé

2Laboratoire de Biologie moléculaire et d’Immunologie (BIOLIM/FSS) Université de lomé BP1515 Lomé

3Service de gynécologie-obstétrique, CHU Sylvanus Olympio BP 57 Lomé


World Journal of Preventive Medicine. 2015, Vol. 3 No. 1, 7-10
DOI: 10.12691/jpm-3-1-2
Copyright © 2015 Science and Education Publishing

Cite this paper:
Salou Mounerou, Dagnra Anoumou Y., Adama – Hondégla Amah Biova, Ekouevi Koumavi, Dossim Sika, Kao Kpatcha, Yehadji Degninou, Nyasenu Y.Tufa, Akpadza Koffi, Prince-David Mireille. Group B Streptococcal Carriage Rate in Vagina of Pregnant Women in Third Trimester in Lomé, Togo. World Journal of Preventive Medicine. 2015; 3(1):7-10. doi: 10.12691/jpm-3-1-2.

Correspondence to: Salou  Mounerou, Service de Microbiologie, CHU Sylvanus Olympio BP 57 Lomé. Email: mounerous@gmail.com

Abstract

Background: Transmission of Group B Streptococci (GBS) to newborns occurs in the perinatal period through direct channels in utero. GBS is one of the main bacteria responsible for neonatal infections. Objective: measure the prevalence of GBS genital carriage among pregnant women in the third trimester at the Sylvanus Olympio University Teaching Hospital. Materials and Methods: Vaginal swabs were obtained from 200 women between 34 and 38 weeks of pregnancy. The samples were seeded on sheep blood agar at 37o C for 16 to 18h. After incubation, suspected GBS colonies were identified by using a Latex Agglutination Test (LAT). Susceptibility test to antibiotics was performed by agar diffusion assay. Results: A total of 200 pregnant women with an average age of 28 years, were screened for GBS infection. The age group of 25-29 year olds was the highest (33.5%). The women as retailers were the majority (36.5%). Regarding the level of education, the percentage was 12.5%, 30.5%, 49% and 8% corresponding to uneducated, primary, secondary and university level respectively. The carriage rate was 2.5% (n = 5/200), 95% CI (0.3-4.7). No risk factors associated with the carriage rate identified. The isolated GBS strains were susceptible to penicillin G, erythromycin, co-amoxiclav and levofloxacin. The five GBS carriers were delivered by cesarean section for various reasons. Conclusion: Although a low carriage (2.5%) rate of GBS found in this study, a policy of systematic screening of pregnant women at least in the third trimester must be promoted.

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