Title Streptococcus agalactiae - uzročnik infekcija trudnica i novorođenčadi
Title (english) Streptococcus agalactiae AS CAUSATIVE AGENT IN PREGNANT WOMEN AND NEONATAL INFECTIONS
Author Petra Jukić
Mentor Vanja Kaliterna (mentor)
Committee member Rahela Orlandini (predsjednik povjerenstva)
Committee member Diana Aranza (član povjerenstva)
Committee member Vanja Kaliterna (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2019-10-31, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences
Abstract Cilj rada. Retrospektivnom analizom podataka Laboratorija za dijagnostiku infekcija spolnog sustava procijeniti učestalost infekcija uzrokovanih BHSB-om u ženskom spolnom sustavu trudnica i žena koje nisu trudne u SDŽ te prikazati značajke, učestalost, kliničku sliku, mikrobiološke pretrage i liječenje infekcije koje u žena i u novorođenčadi može uzrokovati β-hemolitički streptokok skupine B i ukazati na moguće načine prevencije infekcije, sprječavanja prijenosa bakterije s rodilje na novorođenče te na zadaće primalje o edukaciji i skrbi rodilje i novorođenčeta koji su kolonizirani BHSB-om.
Ispitanici i medote. Tijekom 2017. godine u laboratoriju je rutinskom obradom uzeto 12 858 obrisaka iz ženskog spolnog sustava. Uzorak za probir na BHSB se uzima svim trudnicama između 35. i 37. tjedna trudnoće kultiviranjem obrisaka rodnice i/ili anorektuma. U onih s pozitivnim nalazom provedeno je liječenje prema antibiogramu.
Rezultati. Od ukupno 12 858 testiranih uzoraka u 2017. godini, 1 171 (9,1%) je bilo pozitivno na BHSB. Od ukupnog broja (3 507) testiranih trudnica u zadnjem trimestru trudnoće, njih 489 (13,9%) je bilo pozitivno na BHSB dok je od ukupnog broja (9 351) ostalih testiranih žena, njih 682 (7,3%) bilo pozitivno na BHSB.
Zaključak. Postoji značajna razlika između trudnica pozitivnih na BHSB u zadnjem trimestru trudnoće, njih 13,9% (489/3.507) u odnosu na ostale žene testirane na bakterijske pretrage obrisaka ženskog spolnog sustava, kojih je bilo 7,3% (682/9.351); p<0,05. Rutinsko uzimanje obrisaka vrata maternice u trećem trimestru trudnoće kod asimptomatskih trudnica za rezultat bi imalo povećanje troškova antenatalne zaštite i povećanje vjerojatnosti razvijanja rezistencije bakterije zbog velike primjene antibiotika, no s druge strane postoji mogućnost da bi se smanjila učestalost perinatalnih infekcija.
Abstract (english) Objective. By retrospective data analysis of the Laboratory of the sexual system diagnostic to estimate the incidence of infections caused by BHSB in the female sex system of pregnant women and non-pregnant women in Splitsko-dalmatinska county and to show features, frequency, clinical picture, microbiological tests and treatment of infection in women and infants caused by β-hemolytic streptococci of group B and to point possible ways of preventing infection, as well as preventing the transfer of the bacterium from the mother to the newborn and the tasks of midwife of education and nursing woman in labor and newborn who are colonized by BHSB.
Examines and methods. During 2017, 12 858 wipes from the female sex system were taken by routine processing in the laboratory. The BHSB screening sample is taken by all pregnant women between the weeks 35 and 37 of pregnancy by cultivating vaginal swabs and/or anorectas. The pregnant women who were positive, were treated with corresponding antibiotic.
Results. Out of a total of 12 858 tested samples in 2017, 1 171 (9.1%) were positive for BHSB. Out of the total number (3 507) of pregnant women tested in the last trimester of pregnancy, 489 (13.9%) were positive at BHSB while out of the total number (9 351) of other tested women, 682 (7.3%) were positive at BHSB.
Conclusion. There is a significant difference between the BHSB positive pregnant women in the last trimester of pregnancy, 13.9% (489 / 3.507) compared to the other women tested for bacterial scans of the female sexual system, 7.3% (682 / 9.351); p <0.05. Routine cervical occlusion in the third trimester of pregnancy in asymptomatic pregnant women would result in increased antenatal costs and increased probability of developing bacterial resistance due to high antibiotic use, but on the other hand there is a possibility to reduce the incidence of perinatal infections.
Keywords
infekcija spolnog sustava
trudnice
novorođenčat (ključne riječi unio urednik)
Keywords (english)
genital infection
pregnant woman
newborn (ključne riječi unio urednik)
Language croatian
URN:NBN urn:nbn:hr:176:206523
Study programme Title: Midwifery (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) primaljstva (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) primaljstva)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2020-05-15 08:54:46