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1.
Mar Biotechnol (NY) ; 9(3): 293-304, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17195087

RESUMEN

The Antarctic marine environment is characterized by challenging conditions for the survival of native microorganisms. Indeed, next to the temperature effect represented by the Arrhenius law, the viscosity of the medium, which is also significantly enhanced by low temperatures, contributes to slow down reaction rates. This review analyses the different challenges and focuses on a key element of life at low temperatures: cold-adapted enzymes. The molecular characteristics of these enzymes are discussed as well as the adaptation strategies which can be inferred from the comparison of their properties and three-dimensional structures with those of their mesophilic counterparts. As these enzymes display a high specific activity at low and moderate temperatures associated with a relatively high thermosensitivity, the interest in these properties is discussed with regard to their current and possible applications in biotechnology.


Asunto(s)
Adaptación Fisiológica , Bacterias/enzimología , Frío , Regiones Antárticas , Océanos y Mares
2.
J Mol Biol ; 354(2): 425-35, 2005 Nov 25.
Artículo en Inglés | MEDLINE | ID: mdl-16246370

RESUMEN

Site-directed mutagenesis and a comparative characterisation of the kinetic parameters, pH dependency of activity and thermal stability of mutant and wild-type enzymes have been used in association with crystallographic analysis to delineate the functions of several active site residues in a novel glycoside hydrolase family 8 xylanase. Each of the residues investigated plays an essential role in this enzyme: E78 as the general acid, D281 as the general base and in orientating the nucleophilic water molecule, Y203 in maintaining the position of the nucleophilic water molecule and in structural integrity and D144 in sugar ring distortion and transition state stabilization. Interestingly, although crystal structure analyses and the pH-activity profiles clearly identify the functions of E78 and D281, substitution of these residues with their amide derivatives results in only a 250-fold and 700-fold reduction in their apparent k(cat) values, respectively. This, in addition to the observation that the proposed general base is not conserved in all glycoside hydrolase family 8 enzymes, indicates that the mechanistic architecture in this family of inverting enzymes is more complex than is conventionally believed and points to a diversity in the identity of the mechanistically important residues as well as in the arrangement of the intricate microenvironment of the active site among members of this family.


Asunto(s)
Endo-1,4-beta Xilanasas/química , Mutación/genética , Sitios de Unión , Catálisis , Cristalización , Cristalografía por Rayos X , Endo-1,4-beta Xilanasas/genética , Endo-1,4-beta Xilanasas/metabolismo , Estabilidad de Enzimas , Calor , Concentración de Iones de Hidrógeno , Cinética , Modelos Moleculares , Mutagénesis Sitio-Dirigida , Unión Proteica , Conformación Proteica
3.
Structure ; 6(12): 1503-16, 1998 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-9862804

RESUMEN

BACKGROUND: . Enzymes from psychrophilic (cold-adapted) microorganisms operate at temperatures close to 0 degreesC, where the activity of their mesophilic and thermophilic counterparts is drastically reduced. It has generally been assumed that thermophily is associated with rigid proteins, whereas psychrophilic enzymes have a tendency to be more flexible. RESULTS: . Insights into the cold adaptation of proteins are gained on the basis of a psychrophilic protein's molecular structure. To this end, we have determined the structure of the recombinant form of a psychrophilic alpha-amylase from Alteromonas haloplanctis at 2.4 A resolution. We have compared this with the structure of the wild-type enzyme, recently solved at 2.0 A resolution, and with available structures of their mesophilic counterparts. These comparative studies have enabled us to identify possible determinants of cold adaptation. CONCLUSIONS: . We propose that an increased resilience of the molecular surface and a less rigid protein core, with less interdomain interactions, are determining factors of the conformational flexibility that allows efficient enzyme catalysis in cold environments.


Asunto(s)
Adaptación Fisiológica , Frío , Bacterias Aerobias Gramnegativas/enzimología , alfa-Amilasas/química , Secuencia de Aminoácidos , Aminoácidos/química , Sitios de Unión , Calcio/metabolismo , Cloruros/metabolismo , Cristalografía por Rayos X , Disulfuros/química , Bacterias Aerobias Gramnegativas/fisiología , Enlace de Hidrógeno , Modelos Moleculares , Datos de Secuencia Molecular , Estructura Secundaria de Proteína , Proteínas Recombinantes/química , Homología de Secuencia de Aminoácido , Propiedades de Superficie , alfa-Amilasas/metabolismo
4.
FEMS Microbiol Rev ; 28(1): 25-42, 2004 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-14975528

RESUMEN

In the last few years, increased attention has been focused on a class of organisms called psychrophiles. These organisms, hosts of permanently cold habitats, often display metabolic fluxes more or less comparable to those exhibited by mesophilic organisms at moderate temperatures. Psychrophiles have evolved by producing, among other peculiarities, "cold-adapted" enzymes which have the properties to cope with the reduction of chemical reaction rates induced by low temperatures. Thermal compensation in these enzymes is reached, in most cases, through a high catalytic efficiency associated, however, with a low thermal stability. Thanks to recent advances provided by X-ray crystallography, structure modelling, protein engineering and biophysical studies, the adaptation strategies are beginning to be understood. The emerging picture suggests that psychrophilic enzymes are characterized by an improved flexibility of the structural components involved in the catalytic cycle, whereas other protein regions, if not implicated in catalysis, may be even more rigid than their mesophilic counterparts. Due to their attractive properties, i.e., a high specific activity and a low thermal stability, these enzymes constitute a tremendous potential for fundamental research and biotechnological applications.


Asunto(s)
Adaptación Fisiológica , Fenómenos Fisiológicos Bacterianos , Proteínas Bacterianas/metabolismo , Frío , Enzimas/metabolismo , Proteínas Bacterianas/química , Enzimas/química
5.
Biochim Biophys Acta ; 405(2): 228-35, 1975 Oct 20.
Artículo en Inglés | MEDLINE | ID: mdl-241410

RESUMEN

Structural variations of two parvalbumins, Whiting III and Pike III, in various denaturing conditions, have been studied by circular dichroism. CD signals are depressed from 4 urea. For Pike III, acidic pH, sodium dodecyl sulfate or complete removal of Ca2+ show little effect in the far ultraviolet region but rather strong effects in the near ultraviolet. For Whiting III similar results are obtained at acidic pH. Carboxymethylated Whiting III (0.15 Ca2+/mol) shows, on the contrary, decreased CD signals in the far and in the near ultraviolet spectra. Addition of Ca2+ fully restores the native CD spectra in both proteins. Ca2+ binding produces structural modifications which are found to vary according to parvalbumin and which seem in any case different from those described for troponin C.


Asunto(s)
Proteínas Musculares , Animales , Sitios de Unión , Calcio , Dicroismo Circular , Ácido Egtácico , Peces , Concentración de Iones de Hidrógeno , Proteínas Musculares/análisis , Unión Proteica , Conformación Proteica , Dodecil Sulfato de Sodio , Espectrofotometría Ultravioleta , Urea
6.
Biochim Biophys Acta ; 1088(2): 323-4, 1991 Feb 16.
Artículo en Inglés | MEDLINE | ID: mdl-2001407

RESUMEN

A lipase gene (lip3) from the psychotrophic strain Moraxella TA144 has been cloned and sequenced. The deduced primary structure of the lipase preprotein is composed of 315 amino acids with a predicted Mr of 34,772. This enzyme contains two consensus peptides showing cluster of glycine residues that may be involved in domain flexibility. The cloned gene product conserves the low temperature activity and the thermolability properties of the wild enzyme.


Asunto(s)
Genes Bacterianos , Lipasa/genética , Moraxella/genética , Secuencia de Aminoácidos , Regiones Antárticas , Secuencia de Bases , Clonación Molecular , Frío , Escherichia coli/genética , Lipasa/metabolismo , Datos de Secuencia Molecular , Moraxella/enzimología , Mapeo Restrictivo
7.
Biochim Biophys Acta ; 1543(1): 1-10, 2000 Nov 30.
Artículo en Inglés | MEDLINE | ID: mdl-11087936

RESUMEN

Basic theoretical and practical aspects of activation parameters are briefly reviewed in the context of cold-adaptation. In order to reduce the error impact inherent to the transition state theory on the absolute values of the free energy (DeltaG(#)), enthalpy (DeltaH(#)) and entropy (DeltaS(#)) of activation, it is proposed to compare the variation of these parameters between psychrophilic and mesophilic enzymes, namely Delta(DeltaG(#))(p-m), Delta(DeltaH(#))(p-m) and Delta(DeltaS(#))(p-m). Calculation of these parameters from the available literature shows that the main adaptation of psychrophilic enzymes lies in a significant decrease of DeltaH(#), therefore leading to a higher k(cat), especially at low temperatures. Moreover, in all cases including cold-blooded animals, DeltaS(#) exerts an opposite and negative effect on the gain in k(cat). It is argued that the magnitude of this counter-effect of DeltaS(#) can be reduced by keeping some stable domains, while increasing the flexibility of the structures required to improve catalysis at low temperature, as demonstrated in several cold-active enzymes. This enthalpic-entropic balance provides a new approach explaining the two types of conformational stability detected by recent microcalorimetric experiments on psychrophilic enzymes.


Asunto(s)
Frío , Enzimas/química , Conformación Proteica , Aclimatación , Animales , Regiones Antárticas , Bacillus , Activación Enzimática , Estabilidad de Enzimas , Peces , Fosfoglicerato Quinasa/química , Pliegue de Proteína , Pseudomonas , Termodinámica , alfa-Amilasas/química
8.
Biochim Biophys Acta ; 492(1): 53-63, 1977 May 27.
Artículo en Inglés | MEDLINE | ID: mdl-405049

RESUMEN

Two parvalbumins have been isolated from the skeletal muscle of Rana temporaria L. Amino acid composition, tryptic peptide maps, isoelectric points, calcium content and ultraviolet as well as circular dichroism spectra have been determined. Investigation on antigenic properties revealed no antigenic determinants common to both components. The two protein molecules appear to belong to far related gene lineages. They are also different from the parvalbumins found in Rana esculenta muscle. Modifications of physical parameters, associated with calcium binding and dissociation are described. While antigenicity remained essentially unchanged, conformational changes were revealed by alterations of circular dichroism spectra.


Asunto(s)
Calcio/análisis , Proteínas Musculares , Músculos/análisis , Parvalbúminas , Aminoácidos/análisis , Animales , Anuros , Dicroismo Circular , Inmunodifusión , Proteínas Musculares/aislamiento & purificación , Parvalbúminas/inmunología , Parvalbúminas/aislamiento & purificación , Unión Proteica , Desnaturalización Proteica , Rana temporaria , Espectrofotometría Ultravioleta , Compuestos de Sulfhidrilo/análisis
9.
Biochim Biophys Acta ; 1131(1): 111-3, 1992 May 07.
Artículo en Inglés | MEDLINE | ID: mdl-1581352

RESUMEN

The nucleotide sequence of the subtilisin-encoding gene from the antarctic psychrotroph Bacillus TA39 was determined. The primary structure of the subtilisin precursor is composed of 420 amino acids giving rise to a mature enzyme of 309 amino acids. Asp-145, His-185 and Ser-361 are the proposed catalytic residues of the active site.


Asunto(s)
Bacillus/genética , Genes Bacterianos , Subtilisinas/genética , Secuencia de Aminoácidos , Secuencia de Bases , Clonación Molecular , Datos de Secuencia Molecular , Precursores de Proteínas/genética
10.
Biochim Biophys Acta ; 1171(3): 331-3, 1993 Jan 23.
Artículo en Inglés | MEDLINE | ID: mdl-7916627

RESUMEN

A lipase gene (lip1) from the facultative psychrophilic strain Psychrobacter immobilis B10 has been cloned and sequenced. The deduced preprotein sequence is composed of 317 amino acids with a predicted M(r) of 35,288. A primary structure alignment of lipases including lip1 shows conserved elements for which a structural role is proposed in the light of recent crystallographic studies. The analysis of the psychrophilic enzyme sequence suggests characteristics in relation with the adaptation to cold.


Asunto(s)
Frío , Genes Bacterianos , Lipasa/genética , Secuencia de Aminoácidos , Secuencia de Bases , Clonación Molecular , Lipasa/biosíntesis , Lipasa/química , Datos de Secuencia Molecular
11.
Biochim Biophys Acta ; 532(2): 294-304, 1978 Feb 15.
Artículo en Inglés | MEDLINE | ID: mdl-75026

RESUMEN

The component I isolated from carp red muscle has been characterized as a true parvalbumin, fairly different from carp parvalbumins described so far. The protein is antigenically related to the parvalbumin III from pike, which belongs to the so called parvalbumin lineage alpha. Immunological investigations on the location of the various carp parvalbumins reveal genuine variation in the pattern of these proteins according to organ and type of muscular tissue.


Asunto(s)
Carpas/metabolismo , Cyprinidae/metabolismo , Proteínas Musculares/metabolismo , Parvalbúminas/metabolismo , Aminoácidos/análisis , Animales , Epítopos , Peces/metabolismo , Parvalbúminas/inmunología , Distribución Tisular , Tripsina/farmacología
12.
Biochim Biophys Acta ; 952(1): 67-76, 1988 Jan 04.
Artículo en Inglés | MEDLINE | ID: mdl-3334854

RESUMEN

Fluorimetric titrations of parvalbumin II (pI 4.2) of pike (Pike II) with Ca2+ and Tb3+ show the CD and EF binding sites to be non-equivalent. The intrinsic binding constants of the strong and the weak sites obtained for Ca2+ are: KsCa = 1.6.10(8) M-1; KwCa = 6.6.10(5) M-1. Differences of the order of 100% were encountered between the Tb3+ binding constants obtained with four different versions of titration. Their average values are: KsTb = 1.9.10(11) M-1; KwTb = 1.0.10(7) M-1. The distances of the strong and the weak sites from the singular Tyr-48, rs = 9.5 A and r2 = 11.5 A, were derived from Förster-type energy transfer and proved compatible with the X-ray structure of parvalbumin III (pI 4.2) of carp (CarpIII). From the distances, it is suggested that CD is the strong and EF the weak metal-binding site of PikeII. Tb3+ was shown by CD spectroscopy to have the same structural effect on PikeII as Ca2+. Removal of the metal ions from PikeII results in a decrease of helix content as monitored by CD spectroscopy. This decrease is larger than that in CarpIII. A concomitant decrease of the fluorescence quantum yield at nearly constant decay time is indicative of mainly static quenching, probably by the non-coordinating carboxylate groups. The maximum helix content is almost completely reestablished upon binding of the first metal ion. However, small changes of the energy transfer in PikeII with one terbium ion bound to the strong site indicate fine structural rearrangements of the strong binding site when Ca2+ is bound to the weak one.


Asunto(s)
Calcio/metabolismo , Proteínas Musculares/metabolismo , Parvalbúminas/metabolismo , Salmonidae/metabolismo , Terbio/metabolismo , Animales , Sitios de Unión , Cinética , Ligandos , Modelos Moleculares , Unión Proteica , Conformación Proteica , Espectrometría de Fluorescencia
13.
Biochim Biophys Acta ; 1079(3): 343-7, 1991 Sep 20.
Artículo en Inglés | MEDLINE | ID: mdl-1911860

RESUMEN

Cardiac lactate dehydrogenase from the hemoglobin- and myoglobin-free antarctic icefish has been purified by affinity chromatography. Structural and kinetic properties of the enzyme were found close or identical to those of its skeletal muscle counterpart and other M-type lactate dehydrogenases. A model involving a dual oxidative-anaerobic metabolism of the icefish heart is proposed.


Asunto(s)
Aclimatación , Hipoxia/enzimología , L-Lactato Deshidrogenasa/metabolismo , Miocardio/enzimología , Aminoácidos/análisis , Animales , Regiones Antárticas , Cromatografía de Afinidad , Clima Frío , Peces , Isoenzimas , Cinética , L-Lactato Deshidrogenasa/aislamiento & purificación , Músculos/enzimología , Trucha , Urea/farmacología
14.
Biochim Biophys Acta ; 1545(1-2): 349-56, 2001 Feb 09.
Artículo en Inglés | MEDLINE | ID: mdl-11342059

RESUMEN

Isothermal titration calorimetry has been applied to the determination of the kinetic parameters of chitinases (EC 3.2.1.14) by monitoring the heat released during the hydrolysis of chitin glycosidic bonds. Experiments were carried out using two different macromolecular substrates: a soluble polymer of N-acetylglucosamine and the insoluble chitin from crab shells. Different experimental temperatures were used in order to compare the thermodependence of the activity of two chitinases from the psychrophile Arthrobacter sp. TAD20 and of chitinase A from the mesophile Serratia marcescens. The method allowed to determine unequivocally the catalytic rate constant k(cat), the activation energy (E(a)) and the thermodynamic activation parameters (DeltaG(#), DeltaH(#), DeltaS(#)) of the chitinolytic reaction on the soluble substrate. The catalytic activity has also been determined on insoluble chitin, which displays an effect of substrate saturation by chitinases. On both substrates, the thermodependence of the activity of the psychrophilic chitinases was lower than that observed with the mesophilic counterpart.


Asunto(s)
Proteínas Bacterianas/metabolismo , Calorimetría/métodos , Quitinasas/metabolismo , Enzimas/metabolismo , Arthrobacter/enzimología , Conformación de Carbohidratos , Catálisis , Quitina/metabolismo , Quitinasas/química , Congelación , Sustancias Macromoleculares , Serratia marcescens/enzimología , Solubilidad , Temperatura , Termodinámica
15.
Biochim Biophys Acta ; 1479(1-2): 265-74, 2000 Jun 15.
Artículo en Inglés | MEDLINE | ID: mdl-11004544

RESUMEN

The psychrophilic alkaline metalloprotease (PAP) produced by a Pseudomonas bacterium isolated from Antarctica has been purified and characterized. The gene encoding PAP has been cloned and sequenced and the derived amino acid sequence shows 66% identity with the mesophilic alkaline metalloprotease from Pseudomonas aeruginosa IFO 3455 (AP). Compared to the purified AP, PAP is three times more active at 20 degrees C, is very sensitive to chelating agents and is rapidly inactivated at 45 degrees C. The lower thermostability of PAP can tentatively be explained by a loss of a stabilizing Ca(2+), a decrease in the content of hydrophobic residues and a smaller aliphatic index.


Asunto(s)
Metaloendopeptidasas/aislamiento & purificación , Pseudomonas/enzimología , Secuencia de Aminoácidos , Sitios de Unión , Calcio/metabolismo , Clonación Molecular , Estabilidad de Enzimas , Metaloendopeptidasas/química , Metaloendopeptidasas/genética , Metaloendopeptidasas/metabolismo , Datos de Secuencia Molecular , Pseudomonas/clasificación , Pseudomonas/crecimiento & desarrollo , Proteínas Recombinantes/química , Proteínas Recombinantes/genética , Proteínas Recombinantes/aislamiento & purificación , Proteínas Recombinantes/metabolismo , Homología de Secuencia de Aminoácido
16.
Biochim Biophys Acta ; 1298(1): 45-57, 1996 Nov 14.
Artículo en Inglés | MEDLINE | ID: mdl-8948488

RESUMEN

Trypsin from Antarctic fish Paranotothenia magellanica displays molecular and kinetic properties typical of enzymes produced by psychrophilic organisms. The enzyme has a high catalytic efficiency at low and moderate temperatures and is rapidly inactivated at temperatures higher than 30 degrees C. The nucleotide sequence was determined after mRNA extraction and cDNA synthesis. The cDNA encodes a pretrypsinogen which includes a seven residue activation peptide containing only three acidic residues preceeding the 222 amino-acid mature enzyme. A three-dimensional model of the enzyme was built. Structural parameters possibly involved in the adaptation to cold have been derived from comparison with the three-dimensional structure of the bovine enzyme. Among them are the lack of Tyr-151 in the substrate binding pocket, an overall decrease in the number of salt bridges and hydrophobicity and the increase in the surface hydrophilicity.


Asunto(s)
Adaptación Fisiológica , Frío , Tripsina/química , Tripsinógeno/química , Secuencia de Aminoácidos , Animales , Secuencia de Bases , Clonación Molecular , Clima Frío , Cartilla de ADN , Activación Enzimática , Estabilidad de Enzimas , Peces , Modelos Moleculares , Datos de Secuencia Molecular , Péptidos/química , Reacción en Cadena de la Polimerasa , Conformación Proteica , Estructura Terciaria de Proteína , Alineación de Secuencia , Análisis de Secuencia , Homología de Secuencia de Aminoácido , Temperatura
17.
Biochim Biophys Acta ; 749(2): 185-91, 1983 Dec 12.
Artículo en Inglés | MEDLINE | ID: mdl-6652098

RESUMEN

The binding of Na+ and K+ to whiting parvalbumin (pI 4.4) and pike parvalbumins (pI 4.2 and 5.0) results in a shift of the tryptophan fluorescence spectrum towards shorter wavelengths by 2-4 nm for the whiting protein and in a rise of the tyrosine and phenylalanine fluorescence quantum yield for the pike proteins. The effective binding constants of Na+ and K+ to parvalbumins are within the range of 10 M-1 to 100 M-1. Physiological concentrations of Na+ and K+ lower the affinity of whiting parvalbumin for Ca2+ and Mg2+ by almost an order of magnitude.


Asunto(s)
Proteínas Musculares/metabolismo , Parvalbúminas/metabolismo , Potasio/metabolismo , Sodio/metabolismo , Animales , Calcio/metabolismo , Peces , Magnesio/metabolismo , Unión Proteica , Espectrometría de Fluorescencia
18.
Biochim Biophys Acta ; 1342(2): 119-31, 1997 Oct 17.
Artículo en Inglés | MEDLINE | ID: mdl-9392521

RESUMEN

Psychrophilic microorganisms, hosts of permanently cold habitats, produce enzymes which are adapted to work at low temperatures. When compared to their mesophilic counterparts, these enzymes display a higher catalytic efficiency over a temperature range of roughly 0-30 degrees C and a high thermosensitivity. The molecular characteristics of cold enzymes originating from Antarctic bacteria have been approached through protein modelling and X-ray crystallography. The deduced three-dimensional structures of cold alpha-amylase, beta-lactamase, lipase and subtilisin have been compared to their mesophilic homologs. It appears that the molecular adaptation resides in a weakening of the intramolecular interactions, and in some cases in an increase of the interaction with the solvent, leading to more flexible molecular edifices capable of performing catalysis at a lower energy cost.


Asunto(s)
Bacterias/enzimología , Frío , Termodinámica , Regiones Antárticas , Cryptococcus/enzimología
19.
J Mol Biol ; 310(2): 291-7, 2001 Jul 06.
Artículo en Inglés | MEDLINE | ID: mdl-11428890

RESUMEN

The gene archb encoding for the cell-bound chitobiase from the Antarctic Gram-positive bacterium Arthrobacter sp. TAD20 was cloned and expressed in Escherichia coli in a soluble form. The mature chitobiase ArChb possesses four functionally independent domains: a catalytic domain stabilized by Ca(2+), a galactose-binding domain and an immunoglobulin-like domain followed by a cell-wall anchorage signal, typical of cell-surface proteins from Gram-positive bacteria. Binding of saccharides was analyzed by differential scanning calorimetry, allowing to distinguish unequivocally the catalytic domain from the galactose-binding domain and to study binding specificities. The results suggest that ArChb could play a role in bacterium attachment to natural hosts. Kinetic parameters of ArChb demonstrate perfect adaptation to catalysis at low temperatures, as shown by a low activation energy associated with unusually low K(m) and high k(cat) values. Thermodependence of these parameters indicates that discrete amino acid substitutions in the catalytic center have optimized the thermodynamic properties of weak interactions involved in substrate binding at low temperatures. Microcalorimetry also reveals that heat-lability, a general trait of psychrophilic enzymes, only affects the active site domain of ArChb.


Asunto(s)
Acetilglucosaminidasa/química , Acetilglucosaminidasa/metabolismo , Arthrobacter/enzimología , Frío , Acetilglucosaminidasa/genética , Adaptación Fisiológica , Regiones Antárticas , Arthrobacter/genética , Sitios de Unión , Calcio/metabolismo , Rastreo Diferencial de Calorimetría , Dominio Catalítico , Activación Enzimática , Galactosa/metabolismo , Cinética , Docilidad , Estructura Terciaria de Proteína , Proteínas Recombinantes/química , Proteínas Recombinantes/metabolismo , Termodinámica
20.
J Gynecol Obstet Biol Reprod (Paris) ; 34(2): 115-27, 2005 Apr.
Artículo en Francés | MEDLINE | ID: mdl-16108108

RESUMEN

OBJECTIVES: We wanted to evaluate the compliance to the local recommendations, similar to the CDC (Centers for Disease Control and prevention) recommendations launched in 1996, for the prevention of perinatal group B streptococcal (GBS) disease in the clinical practice of a academic maternity and to identify the causes of missed screening and antibiotic prophylaxis. MATERIALS AND METHODS: Retrospective study of 1249 consecutive pregnancies between 1st January and 31th August 2002. The screening methods for GBS colonisation were the culture of rectovaginal swabs collected between 35 and 37 weeks and/or a rapid antigenic screening performed on a vaginal swab collected at the patient's admission for labor. RESULTS: Rate of global screening was very high (97.8%): 28.8% of antenatal screening versus 90.3% during labor. An appropriate antibiotic prophylaxis was administered to only one-third of positive women when the screening was performed at admission to the labor room, whereas two-thirds of GBS-positive women screened between 35 and 37 weeks received their antibiotic prophylaxis. 2.4%o of the newborns were infected and 2.9% were colonized. Among the different risk factors, intrapartum fever was more often associated with maternal GBS colonisation. The observed sensitivity of the rapide antigenic test was 20.4%. CONCLUSION: Compliance to guidelines is sometimes difficult in the clinical practice of an academic maternity. In our hands the rapid test for GBS screening had low sensitivity. The analysis of these data led to introducing a computerized algorithm in our maternity to improve the prevention of perinatal group B streptococcal disease.


Asunto(s)
Adhesión a Directriz , Enfermedades del Recién Nacido/prevención & control , Infecciones Estreptocócicas/prevención & control , Streptococcus agalactiae , Algoritmos , Profilaxis Antibiótica , Salas de Parto , Femenino , Humanos , Recién Nacido , Atención Prenatal , Factores de Riesgo
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