Screening for Staphylococcus aureus carriage in pregnancy: usefulness of novel sampling and culture strategies.
Am J Obstet Gynecol
; 201(4): 396.e1-5, 2009 Oct.
Article
en En
| MEDLINE
| ID: mdl-19716114
ABSTRACT
OBJECTIVE:
The purpose of this study was to determine the most sensitive strategy for the detection of Staphylococcus aureus among pregnant women and newborn infants. STUDYDESIGN:
We obtained cultures for S aureus from 5 body sites of women at 35-37 weeks' gestation. We obtained cultures from their newborn infants before hospital discharge.RESULTS:
Of 209 women who were screened, 29% of the women had at least 1 culture that was positive for S aureus; 5% of infants were S aureus carriers. The sensitivities of each site for S aureus detection were 52% nares, 50% throat, 13% rectum, 8% vagina, and 10% skin. The most sensitive combination of 2 sites was nares and throat (88%). Perinatal transmission of S aureus occurred in 4 women. Maternal methicillin-resistant S aureus carriage rate was 1%. Two infants carried the USA300 methicillin-resistant S aureus.CONCLUSION:
Screening single body sites is insensitive for the detection of S aureus carriage in pregnancy. Sampling nares and throat is essential to the identification of S aureus carriers.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Complicaciones Infecciosas del Embarazo
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Infecciones Estafilocócicas
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Portador Sano
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
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Screening_studies
Idioma:
En
Revista:
Am J Obstet Gynecol
Año:
2009
Tipo del documento:
Article