iMedPub Journals
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2018
Vol.10 No.3:4
1
© Copyright iMedPub | This article is available from: www.archivesofmedicine.com
Research Article
DOI: 10.21767/1989-5216.1000273
ARCHIVES OF MEDICINE
ISSN 1989-5216
Akinlolu JT, Omololu-Aso J*,
Owolabi AT and
Omololu-Aso OO
Obafemi Awolowo University, Ile-Ife, Nigeria
*Corresponding author:
SJoseph Omololu-Aso
omololu-aso@oauife.edu.ng
Obafemi Awolowo University, Ile-Ife,
Nigeria.
Tel: +234 2348033770933
Citaton: Akinlolu JT, Omololu-Aso J,
Owolabi AT, Omololu-Aso OO (2018)
Molecular Epidemiological Status of Group B
Streptococcus in Ile Ife South Western Nigeria.
Arch Med. Vol.10 No.3:4
Molecular Epidemiological Status of Group B
Streptococcus in Ile Ife South Western Nigeria
Abstract
Studies in some sub-Saharan African countries like Zimbabwe, Malawi, Kenya
and Gambia revealed that Group B Streptococcus (GBS) is emerging as the main
cause of neonatal sepsis and meningits. However, in Nigeria, informaton on
GBS disease prevalence remains sparse. We sourced to isolate GBS from the
rectovaginal and neonatal samples that were obtained from a tertary hospital in
a populated area of Osun state and give an updated informaton on the antbiotc
susceptbility paterns, using demographic and clinical parameters. 170 samples
were collected from consentng mothers and neonate from June, 2016 to January
2017. Ninety-Eight (98) GBS isolates were recovered from vaginal, rectal of the
pregnant woman at the point of labour and Umbilical cord of the neonate within
24 h of birth. Cultures for the isolaton and identfcaton of Group B Streptococcus
(GBS) were carried out using the CDC recommended microbiological methods.
The Kirby-Bauer disk-difusion method was mployed to determine antbiograms of
GBS isolates in accordance with Clinical and Laboratory Standards insttute (CLSI).
The presence of resistant genes was examined using PCR. The prevalence rate
of GBS maternal and neonatal colonizaton were 29.4% and 20.6% respectvely
while 4% of the colonized neonates had nosocomial GBS colonizaton. There was
no signifcant associaton between GBS colonizaton status and age (p>0.05),
parity (p>0.05), obstetric risk factors (p>0.05) and sex of neonate. One out of the
8 representatves of the multdrug resistant isolates harboured tetM gene while
other resistant genes examined were negatve in all MDR isolates. High prevalence
of maternal and neonatal GBS colonizaton has been established among pregnant
women and neonates in the study area. Nosocomial infecton was implicated in
GBS colonizaton among neonates. However further research is called for using
larger sample size and multple curve studies for adequate extrapolaton into the
general populaton.
Keywords: Group B streptococcus; Neonatal colonizaton; Pregnant women;
Sepsis
Received: May 05, 2018; Accepted: May 14, 2018; Published: May 21, 2018
Introducton
Group B Streptococcus (GBS) is the leading cause of neonatal
infectons in humans [1]. It is one of the main causes of infecton
in pregnant women with chorioamnionits, endometrits, surgical
wound infecton as well as genital infectons [2]. Approximately
10-30% of women of childbearing age carry GBS in the
rectovaginal compartment [2]. A combinaton of phenotypic
classifcaton and molecular typing has been successfully
used in epidemiological investgatons of GBS to study clonal
lineages associated with colonizaton or invasive disease [3,4].
A diverse range of molecular techniques have been applied to
determine the populaton structure of GBS, including pulse feld
gel electrophoresis (PFGE), restricton digest patern (RDP) and
multlocus sequence typing (MLST) [5-7].
Multlocus sequence typing has several advantages over
restricton digest based molecular typing techniques in that it
uses standardized protocols, and provides specifc data on single
nucleotde changes rather than crude estmates of approximate
fragment length. Furthermore, the MLST data from diferent
laboratories can be stored and compared on an open access
online database, and hence it has become the preferred method
to compare the genetc relatedness of GBS isolates [8].