Observational Study
Colonization By Group B Streptococcus And Antimicrobial Resistance Patterns In Kuwait: An Observational Study In 2014 And 2016
Fatemah Al Mutairi, Mohammad Sedeqi, Retaj Mohammad, Ellen Stobberingh, Jan Hendrik Richardus
Background: We determined the colonization rate of Group B streptococcus (GBS) and the antibiotic resistance profiles among pregnant women in Kuwait, and established the association between the colonization rate and age group and clinical status. Methods: The study was in Farwaniya Hospital in Kuwait in 2014 and 2016. Included were pregnant women 35 weeks of gestation, of whom vaginal specimens were tested. Data were also collected on neonatal infections. Results: We included 2,830 women and 1,525 neonates. The GBS colonization rate in women was approximately 20% in both years. In all women with GBS, 6% were positive for vaginitis and 25% for Candida. All GBS isolates were susceptible for penicillin G, cefotaxime and vancomycin, while approximately 20% were resistant to clindamycin and erythromycin. GBS infection in neonates was around 4%. Conclusion: GBS colonization rates were higher in women of non-Kuwaiti origin, coming mainly from India, Pakistan, Philippines, and Bangladesh.
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