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Near-term pregnant women in the Dominican Republic experience high rates of Group B Streptococcus rectovaginal colonization with virulent strains
Maternal colonization with Group B Streptococcus (GBS) is an important cause of stillbirth, prematurity, and serious infection and death in infants worldwide. Resource constraints limit prevention strategies in many regions. Maternal GBS vaccines in development could be a more accessible prevention...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513192/ https://www.ncbi.nlm.nih.gov/pubmed/37733668 http://dx.doi.org/10.1371/journal.pgph.0002281 |
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author | Laycock, Katherine M. Acosta, Francia Valera, Sandra Villegas, Ana Mejia, Elia Mateo, Christian Felipe, Rosa Fernández, Anabel Job, Megan Dongas, Sophia Steenhoff, Andrew P. Ratner, Adam J. Geoghegan, Sarah |
author_facet | Laycock, Katherine M. Acosta, Francia Valera, Sandra Villegas, Ana Mejia, Elia Mateo, Christian Felipe, Rosa Fernández, Anabel Job, Megan Dongas, Sophia Steenhoff, Andrew P. Ratner, Adam J. Geoghegan, Sarah |
author_sort | Laycock, Katherine M. |
collection | PubMed |
description | Maternal colonization with Group B Streptococcus (GBS) is an important cause of stillbirth, prematurity, and serious infection and death in infants worldwide. Resource constraints limit prevention strategies in many regions. Maternal GBS vaccines in development could be a more accessible prevention strategy, but data on geographic variations in GBS clones are needed to guide development of a broadly effective vaccine. In the Dominican Republic (DR), limited data suggest that pregnant women experience GBS colonization at rates among the highest globally. We aimed to determine the prevalence of maternal rectovaginal GBS colonization and describe clonal characteristics of colonizing strains in the DR. A cross-sectional study assessed rectovaginal GBS colonization in 350 near-term pregnant women presenting for routine prenatal care at an urban tertiary center in the DR. Rectovaginal samples were tested with chromogenic Strep B Carrot Broth and cultured for confirmatory whole-genome sequencing. In a secondary analysis, participants’ demographics and histories were assessed for association with GBS colonization. Rectovaginal GBS colonization occurred in 26.6% of women. Serotypes Ia, Ib, II, III, IV, and V were detected, with no one serotype predominating; serotype III was identified most frequently (21.5%). Virulent and emerging strains were common, including CC17 (15.1%) and ST1010 (17.2%). In this first characterization of maternal GBS serotypes in the DR, we found high rates of rectovaginal colonization including with virulent and emerging GBS strains. The serotypes observed here are all targeted by candidate hexavalent GBS vaccines, suggesting effective protection in the DR. |
format | Online Article Text |
id | pubmed-10513192 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-105131922023-09-22 Near-term pregnant women in the Dominican Republic experience high rates of Group B Streptococcus rectovaginal colonization with virulent strains Laycock, Katherine M. Acosta, Francia Valera, Sandra Villegas, Ana Mejia, Elia Mateo, Christian Felipe, Rosa Fernández, Anabel Job, Megan Dongas, Sophia Steenhoff, Andrew P. Ratner, Adam J. Geoghegan, Sarah PLOS Glob Public Health Research Article Maternal colonization with Group B Streptococcus (GBS) is an important cause of stillbirth, prematurity, and serious infection and death in infants worldwide. Resource constraints limit prevention strategies in many regions. Maternal GBS vaccines in development could be a more accessible prevention strategy, but data on geographic variations in GBS clones are needed to guide development of a broadly effective vaccine. In the Dominican Republic (DR), limited data suggest that pregnant women experience GBS colonization at rates among the highest globally. We aimed to determine the prevalence of maternal rectovaginal GBS colonization and describe clonal characteristics of colonizing strains in the DR. A cross-sectional study assessed rectovaginal GBS colonization in 350 near-term pregnant women presenting for routine prenatal care at an urban tertiary center in the DR. Rectovaginal samples were tested with chromogenic Strep B Carrot Broth and cultured for confirmatory whole-genome sequencing. In a secondary analysis, participants’ demographics and histories were assessed for association with GBS colonization. Rectovaginal GBS colonization occurred in 26.6% of women. Serotypes Ia, Ib, II, III, IV, and V were detected, with no one serotype predominating; serotype III was identified most frequently (21.5%). Virulent and emerging strains were common, including CC17 (15.1%) and ST1010 (17.2%). In this first characterization of maternal GBS serotypes in the DR, we found high rates of rectovaginal colonization including with virulent and emerging GBS strains. The serotypes observed here are all targeted by candidate hexavalent GBS vaccines, suggesting effective protection in the DR. Public Library of Science 2023-09-21 /pmc/articles/PMC10513192/ /pubmed/37733668 http://dx.doi.org/10.1371/journal.pgph.0002281 Text en © 2023 Laycock et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Laycock, Katherine M. Acosta, Francia Valera, Sandra Villegas, Ana Mejia, Elia Mateo, Christian Felipe, Rosa Fernández, Anabel Job, Megan Dongas, Sophia Steenhoff, Andrew P. Ratner, Adam J. Geoghegan, Sarah Near-term pregnant women in the Dominican Republic experience high rates of Group B Streptococcus rectovaginal colonization with virulent strains |
title | Near-term pregnant women in the Dominican Republic experience high rates of Group B Streptococcus rectovaginal colonization with virulent strains |
title_full | Near-term pregnant women in the Dominican Republic experience high rates of Group B Streptococcus rectovaginal colonization with virulent strains |
title_fullStr | Near-term pregnant women in the Dominican Republic experience high rates of Group B Streptococcus rectovaginal colonization with virulent strains |
title_full_unstemmed | Near-term pregnant women in the Dominican Republic experience high rates of Group B Streptococcus rectovaginal colonization with virulent strains |
title_short | Near-term pregnant women in the Dominican Republic experience high rates of Group B Streptococcus rectovaginal colonization with virulent strains |
title_sort | near-term pregnant women in the dominican republic experience high rates of group b streptococcus rectovaginal colonization with virulent strains |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10513192/ https://www.ncbi.nlm.nih.gov/pubmed/37733668 http://dx.doi.org/10.1371/journal.pgph.0002281 |
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