[Streptococcus agalactiae in pregnant women. Prevalence at the Posadas Hospital]

S Di Bartolomeo1, M Gentile, G Priore

  • 1Seccion Bioquímica Microbiológica, Servicio de Bioquímica, Hospital Nacional Profesor A. Posadas Av. Pte. Illia y Marconi (1684) El Palomar, Pcia. de Buenos Aires, Argentina. sudiba@ciudad.com.ar

Insights

Group B Streptococcus (GBS) carriage in pregnant women was 9.39% at Posadas Hospital. Most GBS isolates were susceptible to penicillin, erythromycin, and clindamycin, with low resistance observed.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Obstetrics & Gynecology

Context:

  • Group B Streptococcus (GBS) is a leading cause of neonatal infections via vertical transmission.
  • GBS also causes infections in pregnant women and immunocompromised adults.
  • Understanding GBS carriage and resistance patterns in pregnant populations is crucial for infection control.

Purpose:

  • To determine the prevalence of GBS carriage among pregnant women attending Posadas Hospital.
  • To analyze the antimicrobial susceptibility patterns of GBS isolates to penicillin, erythromycin, and clindamycin.

Summary:

  • A study of 1203 pregnant women found a GBS carriage prevalence of 9.39% (113 isolates).
  • Antimicrobial susceptibility testing on 87 GBS isolates revealed universal susceptibility to penicillin.
  • Two isolates exhibited resistance to erythromycin and clindamycin, indicating a constitutive MLS mechanism.

Impact:

  • Highlights the importance of GBS screening in pregnant women.
  • Provides data on GBS antimicrobial resistance, particularly relevant for penicillin-allergic individuals.
  • Informs clinical management decisions regarding GBS infections and antibiotic choices during pregnancy.