一项1674例妊娠期B族链球菌感染筛查的回顾性研究(法国)

作     者：Chhuy T. Mansour G. Zejli A. P. Abboud 刘亦恒 

作者机构：Service de Gynécologie-ObstétriqueCentre Hospitalier46avenue du General-de-Gaulle02200 SoissonsFrance 

出 版 物：《世界核心医学期刊文摘（妇产科学分册）》 (Core Journal in Obstetrics/Gynecology)

年 卷 期：2005年第1卷第11期

页      面：45-46页

学科分类：1002[医学-临床医学] 100211[医学-妇产科学] 10[医学] 

主　　题：B族链球菌 链球菌感染 阴道拭子 新生儿感染 无症状患者 选择性应用 

摘      要：Objective. To evaluate our clinical practice for Group B streptococcus (GBS) screening during pregnancy and antibiotic therapy during delivery, Material and methods. We performed a retrospective evaluation of our SBS screening protocol, by vaginal swab, for a period of two years, including 1,674 asymptotic patients. Intrapartum antibiotic prophylaxis was administrated for GBS-positive women. Results. The rate of GBS carriage was 6.9% . Antibiotics were administrated for 79,3% patients with GBS-positive culture. Of these women only 39% had an interval greater than four hours between antibiotic injection and delivery. In the group of patients with positive GBS culture, no newborn was infected and only 5% were colonised. In the GBS-negative group with 1.3% of the newborns were GBS positive. Conclusion. We were surprised by our low rate of GBS carriage and the non optimal application of antibiotics during labor. We reviewed our results with all our team and a prospective evaluation has been initiated.