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250043

Diagnostic performance of two chromogenic media for <i>Streptococcus agalactiae</i> screening in pregnant women.

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Medical microbiology

Abstract

Background: Group β Streptococcus (GBS) colonization among pregnant females is common and is regarded as a substantial cause of neonatal diseases if not treated properly. Thus, we aimed to evaluate the diagnostic performance of two chromogenic media (Granada agar and ChromID StreptoB agar) for screening of GBS in pregnant women between 35-37 weeks of gestation. In addition, we determined their susceptibility profile for guiding the antimicrobial prophylaxis for cases of GBS colonized pregnant women. Method: This study included 112 vagino-rectal swabs collected in duplicates from 112 pregnant women between 34-37 weeks of gestation. All swabs were incubated in enrichment broth for 18 hours followed by subculture on blood agar, ChromID strepto B, and Granada agar. Growth of confirmed GBS isolate was subjected to antimicrobial susceptibility testing (AST) to penicillin, vancomycin, clindamycin, erythromycin, and cefotaxime by disc diffusion method. Results: The frequency rate of GBS among Egyptian pregnant females was (25.89%). Granada agar was the most accurate among the tested media (98.21%) versus ChromID (96.4%). We observed a high resistant rate for all the tested antibiotics. Conclusion: The examined chromogenic media showed promising results and proved to have the potential to be implemented as a screening method for GBS in pregnant women. Regarding the antibiotics' resistance pattern, our results can be an indicator that it is no longer suitable to use the antibiotics empirically without testing. As antibiotic treatment failure is likely, it became inevitable to perform AST before starting any antibiotic to identify the most appropriate treatment for colonized pregnant women.

DOI

10.21608/mid.2022.148315.1338

Keywords

Group β Streptococcus, Antimicrobial resistance, chromogenic media, Granada agar, ChromID strepto B

Authors

First Name

Noha

Last Name

Fahim

MiddleName

Alaa Eldin

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Email

dr_nohaalaa@yahoo.com

City

-

Orcid

0000-0001-6388-3857

First Name

Mona

Last Name

Ragay

MiddleName

Byoumee

Affiliation

El-Galaa Hospital, Cairo, Egypt.

Email

drmonmonbayoumee@yahoo.com

City

-

Orcid

-

First Name

Noha

Last Name

Salah El-Deen

MiddleName

Nagi

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Email

noha.salaheldin@med.asu.edu.eg

City

-

Orcid

-

First Name

Sherin

Last Name

ElMasry

MiddleName

Ahmed

Affiliation

Clinical pathology department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Email

sherin.elmasry@med.asu.edu.eg

City

-

Orcid

-

Volume

3

Article Issue

4

Related Issue

37291

Issue Date

2022-10-01

Receive Date

2022-06-30

Publish Date

2022-10-01

Page Start

947

Page End

955

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_250043.html

Detail API

https://mid.journals.ekb.eg/service?article_code=250043

Order

20

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023