Screening for Staphylococcus aureus carriage in pregnancy: usefulness of novel sampling and culture strategies - 13/08/11
Résumé |
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.
Study Design |
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.
Le texte complet de cet article est disponible en PDF.Key words : methicillin-resistant Staphylococcus aureus, pregnancy
Plan
| Authorship and contribution to the article is limited to the 5 authors indicated. There was no outside funding or technical assistance with the production of this article. |
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| Reprints not available from the authors. |
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| Cite this article as: Andrews JI, Fleener DK, Messer SA, et al. Screening for Staphylococcus aureus carriage in pregnancy: usefulness of novel sampling and culture strategies. Am J Obstet Gynecol 2009;201:396.e1-5. |
Vol 201 - N° 4
P. 396.e1-396.e5 - octobre 2009 Retour au numéro
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