| چکیده انگلیسی مقاله |
Background: Microorganisms that cause early neonatal sepsis are usually already colonized rectovaginal area in mothers. The most common of these organisms is group B streptococci (GBS) and intestinal gram-negative bacteria mostly Escherichia coli (E.coli). The use of prophylactic antibiotics against GBS has increased in recent years. This study aimed to determine the current situation and frequency of E.coli and GBS colonization in mothers and their infant. Methods: All pregnant women with gestational age≥26 weeks, progressive labor pain and no history of using antibiotic were entered into the current study. A sterile cotton swab culturing from distal third of vaginal and rectum of mothers, and six hours after delivery from external ear canal, nose, groin and umbilicus of infant has been taken. All samples were transferred to the laboratory in Stuart's media, and then cultured to standard media within 24 hours and the main two organisms in neonatal sepsis (E.coli and GBS) were isolated from mothers' and infants' cultures. Results: E.coli and GBS were 56.3% and 11.2% respectively in rectovaginal culture, and 29.8% and 8.8% in infants' body surface culture. There was a significant difference in rectovaginal GBS colonization between term (13.6%) and preterm (3.2%) (P=0.005), while the frequency of positive E.coli culture was 52.8% in term deliveries and 68.1% in preterm ones, showing a significant difference (P=0.009). Conclusions: Since E.coli is more common in preterm delivery in this geographical region, in cases of amniotic membrane rupture, mothers should be adequately protected with prophylactic antibiotics against neonatal sepsis. |
| نویسندگان مقاله |
زهرا اکبریان راد | zahra akbarian rad
non-communicable pediatric diseases research center, assistant of neonatology department, babol university of medical sciences, babol, iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی بابل (Babol university of medical sciences)
محسن حق شناس مجاوری | mohsen haghshenas mojaveri
non-communicable pediatric diseases research center, assistant of neonatology department, babol university of medical sciences, babol, iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی بابل (Babol university of medical sciences)
صدیقه اسماعیل زاده | seddigheh esmaeilzadeh
fateme zahra fertility amp; infertility research health center, obstetrics amp; gynecology department, babol of university of medical science, babol, iran
علیرضا فیروزجاهی | alireza firouzjahi
the development clinical research development unit of rouhani hospital, department of pathology, babol university of medical sciences, iran, babol
سازمان اصلی تایید شده: دانشگاه علوم پزشکی بابل (Babol university of medical sciences)
مهسا laegh | mahsa laegh
student committee research, babol university of medical sciences, babol, iran
سازمان اصلی تایید شده: دانشگاه علوم پزشکی بابل (Babol university of medical sciences)
ثریا خفری | soraya khafri
department of statistic and epidmiology, babol university of medical sciences, babol, iran.
سازمان اصلی تایید شده: دانشگاه علوم پزشکی بابل (Babol university of medical sciences)
مژگان نعیمی راد نعیمی راد | mojgan naeimi rad naeimi rad
the development clinical research development unit of rouhani hospital, master of midwifery, babol university of medical sciences, iran, babol
سازمان اصلی تایید شده: دانشگاه علوم پزشکی بابل (Babol university of medical sciences)
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