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Accuracy of prenatal culture in predicting intrapartum group B streptococcus colonization status

2014Journal article Restricted access
http://hdl.handle.net/10400.10/1755
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Authors

Florindo, C
Damião, V
Lima, J
Nogueira, I
Rocha, I
Caetano, P
Ribeiro, L
Viegas, S
Gomes, J
Borrego, MJ

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Abstract(s)

OBJECTIVE: To evaluate the positive predictive value (PPV) of group B Streptococcus (GBS) cultures at 35-37 weeks of gestation relative to GBS colonization status at delivery. METHODS: Rectovaginal swabs from 221 women at labor in four Lisbon hospitals were collected for GBS screening according to the CDC guidelines. RESULTS: The PPV was 24.4%. IAP was administered to 100% of prenatally GBS positive women. There was no case of early onset GBS disease (EOD). CONCLUSIONS: Poor accuracy of prenatal cultures in identifying true candidates for IAP highlights the need for Portuguese clinical and laboratory guidelines to prevent EOD and antibiotic overtreatment of pregnant women.

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Keywords

Pregnancy complications Streptococcal infections Infectious diseases Obstetric labor complications Complicações do trabalho de parto Infecções por estreptocócos

URI

http://hdl.handle.net/10400.10/1755

Citation

J Matern Fetal Neonatal Med. 2014 Apr;27(6):640-2

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Publisher

Informa Healthcare

DOI

10.3109/14767058.2013.820700.

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OBS - Artigos publicados em revistas não indexadas

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