[Risk factors and screening strategy for group B streptococcal colonization in pregnant XXXX : results of a prospective study].

@entity1 @entity1892 @entity295
OBJECTIVES: @entity1892 ( @entity1892 ) continues to be the most important bacterial cause of @entity295 , meningitidis in newborns. American consensus guidelines have been published. They recommended the use of either risk-based strategy or screening-based approach for @entity1892 colonization in pregnant @entity1 to identify candidates for intrapartum prophylaxis. Screening consists of obtaining vaginal and anorectal specimens for culture at 35 to 37 weeks' gestation. The aim of this prospective study was to assess the usefulness of systematic and concomitant @entity1892 screening by rectal and vaginal swab in pregnant @entity1 . A questionnaire designed to determine the risk factors for colonization by @entity1892 was completed. MATERIALS AND METHODS: We have screened 370 pregnant @entity1 with rectal and vaginal swab. RESULTS: Fifty seven (15.4%) @entity1 had positive @entity1892 cultures. Of those @entity1 , the rectum and the vagina were the only site of colonization in 16 (4.3%) and 8 (2.2%) @entity1 respectively. None of the factors studied was significantly associated with @entity1892 colonization. CONCLUSION: Detection of @entity1892 is enhanced by 40% by using vaginal and anorectal swabs compared to a vaginal swab alone. No studied factor appeared to predict @entity1892 colonization, which incited us to screen all pregnant @entity1 .
