[Colonization rates by Streptococcus agalactiae in Spanish and foreign pregnant women in the Fuenlabrada University Hospital]

Rev Esp Quimioter. 2018 Jun;31(3):274-277. Epub 2018 May 28.
[Article in Spanish]

Abstract

Objective: In pregnant women, the rectovaginal colonization by Streptococcus agalactiae (GBS) is related with geographic area of origin (6.5% to 36%). It was analysed GBS carriage in pregnant women in 2012-2014 in our hospital.

Methods: Observational retrospective study about GBS isolates from rectovaginal samples (RVS) and urine cultures of Spanish and immigrant pregnant women in 2012-2014. It was considered only a single isolation for patient. There were excluded women with GBS in urine samples of RVS study.

Results: A total of 4,648 Spanish and 1,405 immigrant women were analysed. GBS was detected in urine samples in 231 Spanish (5%) and 106 immigrant (7.6%). A total of 5,716 RVS were analysed, GBS was detected in 10.5% of Spanish women and in 18.9% of immigrant women.

Conclusions: The overall colonization in immigrant women is higher than in Spanish with the exception of Asian women. Cases of GBS detected in urine samples might serve as a possible explanation for the high rate of GBS carriage.

Objetivos: La colonización vagino-rectal por Streptococcus agalactiae (EGB) en embarazadas varía ampliamente según las áreas geográficas de procedencia, del 6,5% al 36%. Se ha estudiado la colonización en las gestantes atendidas en nuestro hospital durante los años 2012 a 2014.

Material y métodos: Estudio retrospectivo de los aislamientos de EGB en exudados vagino-rectales (EVR) y urocultivos de gestantes españolas y extranjeras en 2012-2014. Sólo se consideró un único aislado por paciente. Cuando se aisló EGB en urocultivo no se realizó estudio de EVR.

Resultados: Se estudiaron 4.648 gestantes españolas y 1.405 extranjeras. Se aisló EGB en orina en 231 españolas (5%) y 106 extranjeras (7,6%). En los 5.716 EVR realizados, fueron positivas un 10,5% de las españolas y un 18,9% de las extranjeras.

Conclusiones: La colonización global de las gestantes extranjeras es más elevada que la de las españolas, excepto en las procedentes de Asia. La elevada tasa puede deberse en parte a que se han contabilizado los EGB aislados en urocultivos.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Carrier State
  • Emigrants and Immigrants
  • Female
  • Hospitals, University
  • Humans
  • Pregnancy
  • Pregnancy Complications, Infectious / epidemiology*
  • Pregnancy Complications, Infectious / microbiology*
  • Pregnancy Complications, Infectious / urine
  • Rectum / microbiology
  • Retrospective Studies
  • Spain / epidemiology
  • Streptococcal Infections / epidemiology*
  • Streptococcal Infections / microbiology*
  • Streptococcal Infections / urine
  • Streptococcus agalactiae*
  • Vagina / microbiology