SciELO - Scientific Electronic Library Online

vol.50 issue2Illness behavior in chronic painThe anatomy of patient satisfaction author indexsubject indexarticles search
Home Page  

Services on Demand




Related links


Salud Pública de México

Print version ISSN 0036-3634


REYNA-FIGUEROA, Jesús et al. Maternal chemoprophylaxis against group B Streptococcus colonization: the consequences of not adopting the international recommendation. Salud pública Méx [online]. 2008, vol.50, n.2, pp.155-161. ISSN 0036-3634.

OBJECTIVE: To know the criteria which determine the chemoprophylaxis on pregnant women colonized by Streptococcus agalactiae (GBS) and the impact in our environment. MATERIAL AND 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.

Keywords : Streptococcus agalactiae; newborn; antibiotic prophylaxis; Mexico.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )