Group B Streptococcus Colonisation, Prevalence, Associated Risk Factors
and Antimicrobial Susceptibility Pattern Among Pregnant Women Attending
Antenatal Care at Dschang District Hospital, West Region of Cameroun: A
hospital-based Cross Sectional Study
Abstract
Background: Group B streptococcus (GBS), also name as Streptococcus
agalactiae, is a gram-positive bacterium know for it capacity to
colonises the vaginal and rectal areas of the mother and is a leading
cause of neonatal mortality and morbidity. This study aimed at
determining the prevalence, associated risk factors and antimicrobial
susceptibility of GBS colonization among pregnant women attending
antenatal care at Dschang District Hospital. Methods: This hospital-base
cross-sectional study targeted pregnant women population attending
hospitals for routine prenatal testing using a multistage sampling
method. Pregnant women at 23.46 ± 6.44 weeks gestation completed a
questionnaire and vaginal swabs were obtained for GBS analysis. Data
were analysed using chi-squared (χ2) test or the Fisher’s exact test
when appropriate and the multivariable logistic regression models.
Results: The colonisation rate of GBS among pregnant women was 8.69%.
Induce abortion (odds ratio [CI] = 3.09, 95% [1.56-6.21]),
Spontaneaous abortions (OR= 2.82, 95% CI 1.14-7.29), Stillborn (OR
[CI] = 7.75, 95% [2.61-21.71]), Fever (OR [CI] = 0.37, 95%
[0.19-0.71]) and anemia (OR [CI] = 0.22, 95% [0.12-0.43])
were found to be influencing factors associated with GBS colonisation.
Conclusion: Our findings suggest that none of the studied factors were
significantly associated with GBS colonisation. Further longitudinal
research is needed to establish the causal relationship and its
biological mechanisms. Keys words: Group B Streptococcus, Prevalence,
Risk Factors, Antimicrobial Susceptibility, Pregnant Women