[Group B streptococcus screening: a retrospective study in 1,674 pregnancies].
OBJECTIVE
To evaluate our clinical practice for Group B streptococcus (GBS) screening during pregnancy and antibiotic therapy during delivery.


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. Intra partum 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.


CONCLUSIONS
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.
Chhuy
T
T
Service de Gynécologie-Obstétrique, Centre Hospitalier, 46, avenue du Général-de-Gaulle, 02200 Soissons.
Mansour
G
G
Zejli
A
A
Bouquigny
C
C
Bock
S
S
Abboud
P
P
D000328:Adult; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D036861:Delivery, Obstetric; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D011247:Pregnancy; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000517:prevention & control; D013292:Streptococcus agalactiae / Q000302:isolation & purification*; D014621:Vagina / Q000382:microbiology
D000900:Anti-Bacterial Agents