Recto-vaginal colonization and urinary tract infection by group B Streptococcus in the pregnant diabetic patient.
The influence of maternal diabetes on Group B Streptococcus (GBS) colonization and GBS urinary infection was investigated. The population under study comprised 1,050 pregnant women (70 of them diabetics, the remaining 980 non-diabetics). A higher prevalence of GBS colonization was found among diabetics (20% versus 10.9%) (p less than 0.05). The rate of colonization was not correlated to the severity of the diabetes condition. Urinary infection was diagnosed on 8.6% of diabetic patients, versus 7.1% of non-diabetics (p greater than 0.05). Urinary infection by GBS occurred with similar frequency in both groups (0% in diabetics and 1% in non-diabetics). The possible etiological implications are commented on, and vaginal and rectal cultures are recommended for GBS screening in the pregnant diabetic patient.
Matorras
R
R
Department of Obstetrics and Gynecology, La Paz Hospital School of Medicine, Autonomous University of Madrid, Spain.
Garcia-Perea
A
A
Usandizaga
J A
JA
Omeñaca
F
F
D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000209:etiology* / Q000382:microbiology; D011254:Pregnancy in Diabetics / Q000150:complications*; D012007:Rectum / Q000382:microbiology*; D012307:Risk Factors; D013292:Streptococcus agalactiae / Q000302:isolation & purification / Q000472:pathogenicity*; D014552:Urinary Tract Infections / Q000209:etiology* / Q000382:microbiology; D014621:Vagina / Q000382:microbiology*