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Master Thesis

L’évolution du portage vaginal du streptocoque B en fin de grossesse : étude descriptive transversale au sein de la maternité de la Clinique des Cèdres

Abstract : Objectives: Assess a difference in vaginal carriage of GBS in pregnant women between a first screening by culture carried out between 34-37 weeks of gestation and a second by culture and rapid test carried out at the start of labour on admission to maternity. Methods: This descriptive transverse monocentric study included 162 patients in labor after 34 weeks of gestation at the Clinique des Cèdres from January to June 2019. Each received culture screening between 34 and 37 weeks of gestation, then another on admission to maternity with a culture analysis and a real-time PCR analysis. Results: The prevalence of vaginal carriage of GBS increased from 4,9% to 3,7% between antenatal and perpartum cultures. The rapid test identified fixe patients who would have missed antibiotic prophylaxis without its use and three for whom antibiotic treatment was ultimately not necessary. Conclusion: The prevalence of vaginal carriage of GBS differs between prenatal screening and culture screening during labor. The use of a rapid test for GBS screening would allow more targeted use of perpartum antibiotic prophylaxis for the prevention of EONS.
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https://dumas.ccsd.cnrs.fr/dumas-03033270
Contributor : Jean-Hugues Morneau <>
Submitted on : Tuesday, December 1, 2020 - 11:58:20 AM
Last modification on : Thursday, December 3, 2020 - 3:18:38 AM

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  • HAL Id : dumas-03033270, version 1

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Chloé Dampne. L’évolution du portage vaginal du streptocoque B en fin de grossesse : étude descriptive transversale au sein de la maternité de la Clinique des Cèdres. Gynécologie et obstétrique. 2020. ⟨dumas-03033270⟩

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