Vaginal‐rectal colonization with group A streptococci in late pregnancy

PB Mead, WC Winn - Infectious Diseases in Obstetrics and …, 2000 - Wiley Online Library
PB Mead, WC Winn
Infectious Diseases in Obstetrics and Gynecology, 2000Wiley Online Library
Objective To determine the vaginal‐rectal colonization rate with group A streptococci in late
pregnancy. Methods All patients delivering at a northern New England hospital over a 38
month period had 35–37 week vaginal‐rectal swabs cultured for group A and group B
streptococci, using selective media and slide agglutination. Results Six thousand nine
hundred forty‐four screening cultures were obtained. Among these 1,393 were positive for
group B streptococci and 2 for group A streptococci, yielding colonization rates of 20.1% and …
Objective
To determine the vaginal‐rectal colonization rate with group A streptococci in late pregnancy.
Methods
All patients delivering at a northern New England hospital over a 38 month period had 35–37 week vaginal‐rectal swabs cultured for group A and group B streptococci, using selective media and slide agglutination.
Results
Six thousand nine hundred forty‐four screening cultures were obtained. Among these 1,393 were positive for group B streptococci and 2 for group A streptococci, yielding colonization rates of 20.1% and 0.03%, respectively.
Conclusions
Vaginal‐rectal colonization with group A streptococci is rare, arguing against the need for establishing group A streptococcal screening programs in pregnancy. An approach for managing this uncommon finding is presented. Infect. Dis. Obstet. Gynecol. 8:217–219, 2000. © 2000 Wiley‐Liss, Inc.
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