evaluation of culture and pcr methods for diagnosis of group b streptococcus carriage in iranian pregnant women

نویسندگان

r bakhtiari

mm soltan dallal

jf mehrabadi

s heidarzadeh

چکیده

background: group  b  streptococcus   (gbs)  is  one  of  the  most  important  cause  of  morbidity  and  mortality  among  newborns  especially  in  developing  countries.  it  has  been  shown  that  the  screening  approach  rather  than  the  identification  of  maternal  clinical  risk  factors  for  early-onset  neonatal  gbs  disease  is  more  effective  in  preventing  early-onset  gbs  neonatal  disease.  the  objective  of  this  study  was  to  detect  gbs  among  clinical  samples  of  women  using  pcr  and  standard  microbiological  culture. methods: samples  were  taken  from  375  women  at  28-38  weeks  of  gestation  during  six month  from  january  15  till  june  15,  2011  from  a  hospital  in  tehran,  iran.  samples  were  tested  by  standard  culture  using  todd-hewitt  broth,  blood  agar  and  by  pcr  targeting  the  cfb   gene. results: among  the  375  women,  35  (9.3%)  were  identified  as  carriers  of  group  b  streptococci   on  the  basis  of  the  results  of  the  cultures  of  specimens,  compared  to  42  (11.2 %)  on  the  basis  of  pcr  assay. conclusion: we  found  that  gbs  can  be  detected  rapidly  and  reliably  by  a  pcr  assay  in  vaginal  secretions  from  women  at  the  time  of  delivery.  this  study  also  showed  that  the  rate  of  incidence  of  gbs  is  high  in  iranian  women.

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عنوان ژورنال:
iranian journal of public health

جلد ۴۱، شماره ۳، صفحات ۶۵-۷۰

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