GROUP B STREPTOCOCCUS IN PRETERM PREMATURE RUPTURE OF MEMBRANES FROM 22 TO 34 GESTATIONAL WEEKS AND RELATED FACTORS AT HANOI OBSTETRICS AND GYNECOLOGY HOSPITAL
Main Article Content
Abstract
Objectives: To determine the incidence of group B streptococcus and related factors in preterm premature rupture of membranes from 22 to 34 gestational weeks at Hanoi Obstetrics and Gynecology Hospital between August 2021 and October 2022. Methods: Our cross-sectional study selected 75 cases with preterm premature rupture of membranes (PPROM). Results: 16 percent of patients with PPROM was positive for GBS. The incidence of GBS patients with premature rupture of membranes in group of lower genital tract infection was 21,4%. Among patients with cultures positive for group B Streptococcus, there was a trend for patients from 28 to 34 gestational weeks compared with those from 22 to 27 gestational weeks (20% vs 5%), but the difference was not statistically significant. The rate of patients who remained undelivered 7 days after admission was 58,3% and ≥ 30 days was 0%. Conclusion: Patients with a history of miscarriage/abortion or genital tract infections had a higher rate of positive for GBS.
Article Details
Keywords
Group B streptococcus (GBS), preterm premature rupture of membranes.
References
2. ACOG. Practise Bulletin Premature Rupture of Membranes. 172. 2016;
3. Ahmadzia HK, Heine RP. Diagnosis and management of group B streptococcus in pregnancy. Obstet Gynecol Clin North Am. 2014;41(4):629-647.
4. Hanh TQ. Nghiên cứu thực trạng nhiễm liên cầu khuẩn nhóm B ở phụ nữ có thai và hiệu quả điều trị bằng kháng sinh trong chuyển dạ phòng lây truyền sang con tại bệnh viện Sản nhi Nghệ An 2018-2019, . Luận văn Tiến sĩ Y học, Viện Sốt rét-kí sinh trùng Trung ương.; 2020.
5. Sơn HN, Nhung VT. Tỷ lệ nhiễm Streptococcos nhóm B âm đạo-trực tràng ở phụ nữ mang thai 35-37 tuần tại bệnh viện đa khoa khu vực Nam Bình Thuận. Tạp chí Y học thành phố Hồ Chí Minh. 2017;21(1)
6. Vân NTT, Hương BTT. Tỷ lệ Streptococcos nhóm B âm đạo-trực tràng trên thai kì sinh non và một số yếu tố liên quan. Tạp chí y học thành phố Hồ Chí Minh. 2013;17(3)
7. Jichang chen, et al. Group B streptococcal colonization in mothers and infants in western China: Prevalences and risk factors. BMC Infectious Diseases. 2018;
8. Lucia Matsiane Lekala, et al. Risk Factors Associated with Group B Streptococcus Colonization and Their Effect on Pregnancy Outcome. Journal of Gynecology and Obstetrics. 2015;3(6):121-128.