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Int. J. Clin. Pract. · Oct 2021
Group B Streptococcus Colonisation, Prevalence, Associated Risk Factors and Antimicrobial Susceptibility Pattern Among Pregnant Women Attending Antenatal Care at Dschang District Hospital, West Region of Cameroon: A hospital-based Cross-Sectional Study.
- Leonard Fonkeng Sama, Michel Noubom, Christelle Kenne, TchouangueuThibau FlaurantTFFaculty of Medical and Pharmaceutical Sciences, Department of Microbiology, Hematology and Immunology, University of Dschang, Dschang, Cameroon., NgouateuOmer BebeOBFaculty of Science, Department of Animal Biology and Physiology, University of Yaoundé I, Yaounde, Cameroon., Albert Donatien Atsamo, Ousenu Karimo, and Christopher Bonglavnyuy Tume.
- Research Unit of Microbiology and Antimicrobial Substances, Department of Biochemistry, University of Dschang, Dschang, Cameroon.
- Int. J. Clin. Pract. 2021 Oct 1; 75 (10): e14683.
BackgroundGroup B Streptococcus (GBS), also known as Streptococcus agalactiae, is a Gram-positive bacterium known for its ability to colonise the vaginal and rectal areas of the mother and is a leading cause of neonatal mortality and morbidity. This study aimed at determining the prevalence, associated risk factors and antimicrobial susceptibility of GBS colonisation among pregnant women attending antenatal care (ANC) at Dschang District Hospital.MethodsThis hospital-based cross-sectional study used a multistage sampling method to recruit a total of 621 consented pregnant women who attended ANC in Dchang District Hospital. The 621 Participants at 23.5 ± 6.4 weeks gestation each completed a questionnaire and vaginal swabs were collected for GBS analysis.ResultsAmong the 621 pregnant women that were included in this study, the colonisation rate of GBS was found to be 8.69%. Induced abortion (odds ratio [CI] = 3.09, 95% [1.56-6.21]), Spontaneous abortions (OR = 2.82, 95% CI 1.14-7.29), Stillbirth (OR [CI] = 7.75, 95% [2.61-21.71]), Fever (OR [CI] = 0.37, 95% [0.19-0.71]) and anaemia (OR [CI] = 0.22, 95% [0.12-0.43]) were found to be factors associated with GBS colonisation.ConclusionOur findings suggest that we found that, induce abortion, spontaneous abortions and stillbirths were highly associated rates of GBS colonisation, while fever and anaemia were associated with lower rates of GBS colonisation. Further longitudinal research is needed to establish the causal relationship and its biological mechanisms.© 2021 John Wiley & Sons Ltd.
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