Document Detail


Vaginal microbiota in healthy pregnant women and prenatal screening of group B streptococci (GBS).
MedLine Citation:
PMID:  12180785     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The microbiota of the lower female genital tract was evaluated from vaginal swabs obtained from 623 healthy pregnant women at gestation periods of 35-40 weeks. Isolated and identified microorganisms were expressed as percentages of total samples. As expected, lactobacilli made up the dominant vaginal microbiota (70%). Enterobacteriaceae, mainly Escherichia coli, Klebsiella spp. and Proteus, were present in 38% of the samples, which might reflect the possible contamination of vaginal tract with rectal microorganisms. Candida albicans was present in 10% of healthy pregnant woman assayed. Streptoccocci (Streptococcus sp. and Enterococcus faecalis with 3% and 4%, respectively) and other gram-positive cocci (Staphylococcus sp., 5%), along with other microorgansisms such as Gardnerella vaginalis (5%) and Pseudomonas aeruginosa (2%) may represent a potential infection risk. Streptococcus agalactiae (group B streptococci beta-hemolytic, GBS) was detected in 7% of the samples. GBS infection is a leading cause of neonatal morbidity and mortality in the developed world. Furthermore, GBS was often co-isolated with C. albicans (54.5%) in the samples. A complete and detailed evaluation of the vaginal biota swab, with particular attention to the presence of potential pathogens such as GBS, is a preventive strategy that can provide useful information to obstetricians and gynecologist in managing the last days of pregnancy and delivery.
Authors:
M Bayó; M Berlanga; M Agut
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International microbiology : the official journal of the Spanish Society for Microbiology     Volume:  5     ISSN:  1139-6709     ISO Abbreviation:  Int. Microbiol.     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-08-15     Completed Date:  2003-04-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9816585     Medline TA:  Int Microbiol     Country:  Spain    
Other Details:
Languages:  eng     Pagination:  87-90     Citation Subset:  IM    
Affiliation:
Laboratori d'análisis M. Bayó Boada, Terrassa, Spain.
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MeSH Terms
Descriptor/Qualifier:
Adult
Candida / isolation & purification*
Female
Humans
Mass Screening / methods
Pregnancy
Prevalence
Streptococcal Infections / diagnosis,  microbiology*
Streptococcus agalactiae / isolation & purification*
Vagina / microbiology*
Vaginosis, Bacterial / microbiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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