Group B streptococcus colonisation and associated risk factors among pregnant women: A hospital‐based study and implications for primary care
Summary Background Group B streptococcus (GBS), which asymptomatically colonises the vaginal and rectal areas of women, is a leading cause of neonatal mortality and morbidity. This study aimed to determine the prevalence and factors associated with GBS colonisation among pregnant women in Shenzhen,...
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| Veröffentlicht in: | International journal of clinical practice (Esher) 2019-05, Vol.73 (5), p.e13276-n/a |
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| container_title | International journal of clinical practice (Esher) |
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| creator | Chen, Zhiyao Wen, Guoming Cao, Xuelian Li, Shunming Wang, Xiaolin Yao, Zhenjiang Wu, Chuan'an Ye, Xiaohua |
| description | Summary
Background
Group B streptococcus (GBS), which asymptomatically colonises the vaginal and rectal areas of women, is a leading cause of neonatal mortality and morbidity. This study aimed to determine the prevalence and factors associated with GBS colonisation among pregnant women in Shenzhen, China.
Methods
A hospital‐based cross‐sectional survey was conducted, using a multistage sampling method. Pregnant women at ≥28 weeks’ gestation completed a questionnaire and vaginal swabs were obtained for GBS analysis. Data were analysed by chi‐squared tests and logistic regression models.
Results
The colonisation rate of GBS among pregnant women was 4.9%. The influencing factors associated with GBS colonisation included body mass index before pregnancy (odds ratio [OR] = 3.79, 95% CI 1.28‐11.26), gestational age (OR = 5.81, 95% CI 1.20‐28.15), induced abortion (OR = 0.63, 95% CI 0.40‐0.98) and lotion use before pregnancy (OR = 1.59, 95% CI 1.04‐2.44).
Conclusions
Our findings suggest that obesity, gestational age, induced abortion and lotion use were significantly associated with GBS colonisation. Further longitudinal research is needed to establish the causal relationship and its biological mechanisms. |
| doi_str_mv | 10.1111/ijcp.13276 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2115755509</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2226337649</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3936-d7eeca919a48daee07bb282625f2f3ac088180ef746a4d7efa323bc4a1bbb99d3</originalsourceid><addsrcrecordid>eNp9kbtuFTEQhi1EREKg4QGQJZoIaYMve6VLjkIuigRFUluzXm_wya698XgVnY43CM_Ik-BzSQoKppkpvvk0o5-QD5wd81Rf7FJPx1yKqnxFDniVi4yLnL9OsyzrrGCS75O3iEvGRFHU7A3Zl0xUsmnyA_J0Hvw80VOKMZgpeu21npFqP3hnEaL1joLrKCB6bSGajgaL97QHHX1ACqN3d3QK5s6Bi_TRj8Z9pSf0p8fJRhj-_PrdAqYtjHO32qjsOA1Wb9RIex_Sth0hrKiGYN6RvR4GNO93_ZDcfju7WVxk19_PLxcn15mWjSyzrjJGQ8MbyOsOjGFV24palKLoRS9Bs7rmNTN9lZeQJ7gHKWSrc-Bt2zZNJw_J0dY7Bf8wG4xqtKjNMIAzfkYlOC-qoihYk9BP_6BLPweXrlNCiFLKqszX1OctpYNHDKZXu7cUZ2odk1rHpDYxJfjjTjm3o-le0OdcEsC3wKMdzOo_KnV5tfixlf4F4XmhYw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2226337649</pqid></control><display><type>article</type><title>Group B streptococcus colonisation and associated risk factors among pregnant women: A hospital‐based study and implications for primary care</title><source>Wiley Online Library Journals Frontfile Complete</source><creator>Chen, Zhiyao ; Wen, Guoming ; Cao, Xuelian ; Li, Shunming ; Wang, Xiaolin ; Yao, Zhenjiang ; Wu, Chuan'an ; Ye, Xiaohua</creator><creatorcontrib>Chen, Zhiyao ; Wen, Guoming ; Cao, Xuelian ; Li, Shunming ; Wang, Xiaolin ; Yao, Zhenjiang ; Wu, Chuan'an ; Ye, Xiaohua</creatorcontrib><description>Summary
Background
Group B streptococcus (GBS), which asymptomatically colonises the vaginal and rectal areas of women, is a leading cause of neonatal mortality and morbidity. This study aimed to determine the prevalence and factors associated with GBS colonisation among pregnant women in Shenzhen, China.
Methods
A hospital‐based cross‐sectional survey was conducted, using a multistage sampling method. Pregnant women at ≥28 weeks’ gestation completed a questionnaire and vaginal swabs were obtained for GBS analysis. Data were analysed by chi‐squared tests and logistic regression models.
Results
The colonisation rate of GBS among pregnant women was 4.9%. The influencing factors associated with GBS colonisation included body mass index before pregnancy (odds ratio [OR] = 3.79, 95% CI 1.28‐11.26), gestational age (OR = 5.81, 95% CI 1.20‐28.15), induced abortion (OR = 0.63, 95% CI 0.40‐0.98) and lotion use before pregnancy (OR = 1.59, 95% CI 1.04‐2.44).
Conclusions
Our findings suggest that obesity, gestational age, induced abortion and lotion use were significantly associated with GBS colonisation. Further longitudinal research is needed to establish the causal relationship and its biological mechanisms.</description><identifier>ISSN: 1368-5031</identifier><identifier>EISSN: 1742-1241</identifier><identifier>DOI: 10.1111/ijcp.13276</identifier><identifier>PMID: 30273994</identifier><language>eng</language><publisher>England: Hindawi Limited</publisher><subject>Abortion ; Body mass ; Body mass index ; Colonization ; Gestation ; Gestational age ; Health risk assessment ; Morbidity ; Neonates ; Pregnancy ; Rectum ; Regression analysis ; Risk factors ; Streptococcus ; Streptococcus infections ; Vagina</subject><ispartof>International journal of clinical practice (Esher), 2019-05, Vol.73 (5), p.e13276-n/a</ispartof><rights>2018 John Wiley & Sons Ltd</rights><rights>2018 John Wiley & Sons Ltd.</rights><rights>Copyright © 2019 John Wiley & Sons Ltd</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3936-d7eeca919a48daee07bb282625f2f3ac088180ef746a4d7efa323bc4a1bbb99d3</citedby><cites>FETCH-LOGICAL-c3936-d7eeca919a48daee07bb282625f2f3ac088180ef746a4d7efa323bc4a1bbb99d3</cites><orcidid>0000-0003-4378-7600</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fijcp.13276$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fijcp.13276$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30273994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Zhiyao</creatorcontrib><creatorcontrib>Wen, Guoming</creatorcontrib><creatorcontrib>Cao, Xuelian</creatorcontrib><creatorcontrib>Li, Shunming</creatorcontrib><creatorcontrib>Wang, Xiaolin</creatorcontrib><creatorcontrib>Yao, Zhenjiang</creatorcontrib><creatorcontrib>Wu, Chuan'an</creatorcontrib><creatorcontrib>Ye, Xiaohua</creatorcontrib><title>Group B streptococcus colonisation and associated risk factors among pregnant women: A hospital‐based study and implications for primary care</title><title>International journal of clinical practice (Esher)</title><addtitle>Int J Clin Pract</addtitle><description>Summary
Background
Group B streptococcus (GBS), which asymptomatically colonises the vaginal and rectal areas of women, is a leading cause of neonatal mortality and morbidity. This study aimed to determine the prevalence and factors associated with GBS colonisation among pregnant women in Shenzhen, China.
Methods
A hospital‐based cross‐sectional survey was conducted, using a multistage sampling method. Pregnant women at ≥28 weeks’ gestation completed a questionnaire and vaginal swabs were obtained for GBS analysis. Data were analysed by chi‐squared tests and logistic regression models.
Results
The colonisation rate of GBS among pregnant women was 4.9%. The influencing factors associated with GBS colonisation included body mass index before pregnancy (odds ratio [OR] = 3.79, 95% CI 1.28‐11.26), gestational age (OR = 5.81, 95% CI 1.20‐28.15), induced abortion (OR = 0.63, 95% CI 0.40‐0.98) and lotion use before pregnancy (OR = 1.59, 95% CI 1.04‐2.44).
Conclusions
Our findings suggest that obesity, gestational age, induced abortion and lotion use were significantly associated with GBS colonisation. Further longitudinal research is needed to establish the causal relationship and its biological mechanisms.</description><subject>Abortion</subject><subject>Body mass</subject><subject>Body mass index</subject><subject>Colonization</subject><subject>Gestation</subject><subject>Gestational age</subject><subject>Health risk assessment</subject><subject>Morbidity</subject><subject>Neonates</subject><subject>Pregnancy</subject><subject>Rectum</subject><subject>Regression analysis</subject><subject>Risk factors</subject><subject>Streptococcus</subject><subject>Streptococcus infections</subject><subject>Vagina</subject><issn>1368-5031</issn><issn>1742-1241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNp9kbtuFTEQhi1EREKg4QGQJZoIaYMve6VLjkIuigRFUluzXm_wya698XgVnY43CM_Ik-BzSQoKppkpvvk0o5-QD5wd81Rf7FJPx1yKqnxFDniVi4yLnL9OsyzrrGCS75O3iEvGRFHU7A3Zl0xUsmnyA_J0Hvw80VOKMZgpeu21npFqP3hnEaL1joLrKCB6bSGajgaL97QHHX1ACqN3d3QK5s6Bi_TRj8Z9pSf0p8fJRhj-_PrdAqYtjHO32qjsOA1Wb9RIex_Sth0hrKiGYN6RvR4GNO93_ZDcfju7WVxk19_PLxcn15mWjSyzrjJGQ8MbyOsOjGFV24palKLoRS9Bs7rmNTN9lZeQJ7gHKWSrc-Bt2zZNJw_J0dY7Bf8wG4xqtKjNMIAzfkYlOC-qoihYk9BP_6BLPweXrlNCiFLKqszX1OctpYNHDKZXu7cUZ2odk1rHpDYxJfjjTjm3o-le0OdcEsC3wKMdzOo_KnV5tfixlf4F4XmhYw</recordid><startdate>201905</startdate><enddate>201905</enddate><creator>Chen, Zhiyao</creator><creator>Wen, Guoming</creator><creator>Cao, Xuelian</creator><creator>Li, Shunming</creator><creator>Wang, Xiaolin</creator><creator>Yao, Zhenjiang</creator><creator>Wu, Chuan'an</creator><creator>Ye, Xiaohua</creator><general>Hindawi Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T5</scope><scope>7TK</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4378-7600</orcidid></search><sort><creationdate>201905</creationdate><title>Group B streptococcus colonisation and associated risk factors among pregnant women: A hospital‐based study and implications for primary care</title><author>Chen, Zhiyao ; Wen, Guoming ; Cao, Xuelian ; Li, Shunming ; Wang, Xiaolin ; Yao, Zhenjiang ; Wu, Chuan'an ; Ye, Xiaohua</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3936-d7eeca919a48daee07bb282625f2f3ac088180ef746a4d7efa323bc4a1bbb99d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Abortion</topic><topic>Body mass</topic><topic>Body mass index</topic><topic>Colonization</topic><topic>Gestation</topic><topic>Gestational age</topic><topic>Health risk assessment</topic><topic>Morbidity</topic><topic>Neonates</topic><topic>Pregnancy</topic><topic>Rectum</topic><topic>Regression analysis</topic><topic>Risk factors</topic><topic>Streptococcus</topic><topic>Streptococcus infections</topic><topic>Vagina</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Zhiyao</creatorcontrib><creatorcontrib>Wen, Guoming</creatorcontrib><creatorcontrib>Cao, Xuelian</creatorcontrib><creatorcontrib>Li, Shunming</creatorcontrib><creatorcontrib>Wang, Xiaolin</creatorcontrib><creatorcontrib>Yao, Zhenjiang</creatorcontrib><creatorcontrib>Wu, Chuan'an</creatorcontrib><creatorcontrib>Ye, Xiaohua</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of clinical practice (Esher)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Zhiyao</au><au>Wen, Guoming</au><au>Cao, Xuelian</au><au>Li, Shunming</au><au>Wang, Xiaolin</au><au>Yao, Zhenjiang</au><au>Wu, Chuan'an</au><au>Ye, Xiaohua</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Group B streptococcus colonisation and associated risk factors among pregnant women: A hospital‐based study and implications for primary care</atitle><jtitle>International journal of clinical practice (Esher)</jtitle><addtitle>Int J Clin Pract</addtitle><date>2019-05</date><risdate>2019</risdate><volume>73</volume><issue>5</issue><spage>e13276</spage><epage>n/a</epage><pages>e13276-n/a</pages><issn>1368-5031</issn><eissn>1742-1241</eissn><abstract>Summary
Background
Group B streptococcus (GBS), which asymptomatically colonises the vaginal and rectal areas of women, is a leading cause of neonatal mortality and morbidity. This study aimed to determine the prevalence and factors associated with GBS colonisation among pregnant women in Shenzhen, China.
Methods
A hospital‐based cross‐sectional survey was conducted, using a multistage sampling method. Pregnant women at ≥28 weeks’ gestation completed a questionnaire and vaginal swabs were obtained for GBS analysis. Data were analysed by chi‐squared tests and logistic regression models.
Results
The colonisation rate of GBS among pregnant women was 4.9%. The influencing factors associated with GBS colonisation included body mass index before pregnancy (odds ratio [OR] = 3.79, 95% CI 1.28‐11.26), gestational age (OR = 5.81, 95% CI 1.20‐28.15), induced abortion (OR = 0.63, 95% CI 0.40‐0.98) and lotion use before pregnancy (OR = 1.59, 95% CI 1.04‐2.44).
Conclusions
Our findings suggest that obesity, gestational age, induced abortion and lotion use were significantly associated with GBS colonisation. Further longitudinal research is needed to establish the causal relationship and its biological mechanisms.</abstract><cop>England</cop><pub>Hindawi Limited</pub><pmid>30273994</pmid><doi>10.1111/ijcp.13276</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-4378-7600</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Wiley Online Library Journals Frontfile Complete |
| subjects | Abortion Body mass Body mass index Colonization Gestation Gestational age Health risk assessment Morbidity Neonates Pregnancy Rectum Regression analysis Risk factors Streptococcus Streptococcus infections Vagina |
| title | Group B streptococcus colonisation and associated risk factors among pregnant women: A hospital‐based study and implications for primary care |
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