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Group B streptococci in blacks.

A F Hallett, P Govender, S S Pillay

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |February 3, 1979
    PubMed
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    Group B streptococci were more prevalent in Black women attending sexually transmitted disease clinics. Most isolates were sensitive to penicillin but resistant to gentamicin, with clinical cases of streptococcal sepsis noted.

    Area of Science:

    • Microbiology
    • Infectious Diseases
    • Public Health

    Background:

    • Group B Streptococcus (GBS) is a significant cause of neonatal infections.
    • Understanding GBS prevalence in different populations is crucial for prevention strategies.

    Purpose of the Study:

    • To determine the prevalence of GBS in Black women attending family planning and sexually transmitted disease (STD) clinics.
    • To assess the antibiotic susceptibility patterns of isolated GBS strains.

    Main Methods:

    • Vaginal swabs were collected from 120 Black women (60 from family planning, 60 from STD clinics).
    • Selective media were used for the isolation of streptococci.
    • Antibiotic susceptibility testing was performed on GBS isolates.

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    Main Results:

    • GBS isolation rate was 26.7% in the family planning group and 40.0% in the STD clinic group.
    • All GBS isolates were uniformly sensitive to penicillin.
    • All GBS isolates were resistant to gentamicin.
    • Seven cases of GBS sepsis were reported.

    Conclusions:

    • Black women attending STD clinics have a higher prevalence of GBS colonization.
    • Penicillin remains a reliable treatment option for GBS infections.
    • Gentamicin is not effective against GBS isolates in this population.