[Maternal chemoprophylaxis against group B Streptococcus colonization. The consequences of not adopting the international recommendation].
OBJECTIVE
To know the criteria which determine the chemoprophylaxis on pregnant women colonized by Streptococcus agalactiae (GBS) and the impact in our environment.


METHODS
A retrospective analysis, identifying pregnant women with isolation of Streptococcus agalactiae on screening cultures, cervical swabs and urine culture. Two groups were analyzed, group 1 received chemoprophylaxis, and group 2 without chemoprophylaxis. Chi square was used to asses the difference between proportions. Chi square approximation to Poisson distribution was used to compare the means of neonatal infection.


RESULTS
A total of 274 cultures were reported with GBS isolation, on 261 patients; 165 (60.2%) cervical swabs, 109 (39.7%) urine culture and 13 patients from 274 (4.7%) had positive culture on both specimens. Of this 261 patients, 53 (5.6%) received chemoprophylaxis during labor (p<0.05). The CDC criteria were followed accuracy on 29.2%.


CONCLUSIONS
There have not been established criteria for screening colonization by GBS in Mexican pregnant women.
Reyna-Figueroa
Jesús
J
Departamento de Infectología e Inmunología Perinatal, Instituto Nacional de Perinatología Isidro Espinosa de los Reyes, Montes Urales 800, Colonia Lomas Virreyes, 11000 Delegación Miguel Hidalgo, México, DF. jesusreynaf@prodigy.net.mx
Ortiz-Ibarra
Federico Javier
FJ
Pérez-Antonio
Beatriz
B
Navarro-Godínez
Sujey
S
Casanova-Román
Gerardo
G
García-Carrillo
Laura Erika
LE
D000293:Adolescent; D000328:Adult; D005260:Female; D019983:Guideline Adherence; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000517:prevention & control*; D038622:Internationality; D008297:Male; D008875:Middle Aged; D011247:Pregnancy; D012189:Retrospective Studies; D013290:Streptococcal Infections / Q000517:prevention & control*; D013292:Streptococcus agalactiae / Q000302:isolation & purification