Journal article
Screening for Staphylococcus aureus carriage in pregnancy: usefulness of novel sampling and culture strategies
American journal of obstetrics and gynecology, Vol.201(4), pp.396.e1-396.e5
2009
DOI: 10.1016/j.ajog.2009.06.062
PMID: 19716114
Abstract
The purpose of this study was to determine the most sensitive strategy for the detection of
Staphylococcus aureus among pregnant women and newborn infants.
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.
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.
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.
Details
- Title: Subtitle
- Screening for Staphylococcus aureus carriage in pregnancy: usefulness of novel sampling and culture strategies
- Creators
- Janet I Andrews - Department of Obstetrics and Gynecology, University of Iowa College of Medicine, Iowa City, IADiedre K Fleener - Department of Obstetrics and Gynecology, University of Iowa College of Medicine, Iowa City, IAShawn A Messer - Department of Pathology, University of Iowa College of Medicine, Iowa City, IAJennifer S Kroeger - Department of Pathology, University of Iowa College of Medicine, Iowa City, IADaniel J Diekema - Department of Pathology, University of Iowa College of Medicine, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- American journal of obstetrics and gynecology, Vol.201(4), pp.396.e1-396.e5
- DOI
- 10.1016/j.ajog.2009.06.062
- PMID
- 19716114
- NLM abbreviation
- Am J Obstet Gynecol
- ISSN
- 0002-9378
- eISSN
- 1097-6868
- Publisher
- Mosby, Inc
- Language
- English
- Date published
- 2009
- Academic Unit
- Infectious Diseases; Pathology; Obstetrics and Gynecology; Internal Medicine
- Record Identifier
- 9983986369802771
Metrics
17 Record Views