作者: G. Kwatra , P.V. Adrian , T. Shiri , E.J. Buchmann , C.L. Cutland
DOI: 10.1016/J.CMI.2015.01.030
关键词: Colonization 、 Serotype 、 Humoral immunity 、 Group B 、 Microbiology 、 Pregnancy 、 Immunology 、 Biology 、 Antibody 、 Latex fixation test 、 Streptococcus
摘要: Group B Streptococcus (GBS) rectovaginal colonization in pregnant women is associated with invasive GBS disease newborns, preterm delivery and stillbirths. We studied the association of serotype-specific capsular polysaccharide (CPS) antibody on new acquisition clearance from 20 weeks until 37 to 40 weeks' gestation. Serum CPS IgG concentration was measured by multiplex enzyme-linked immunosorbent assay opsonophagocytic activity (OPA) titres. Rectovaginal swabs were evaluated for colonization, using standard culture methods serotyping latex agglutination, at five six weekly intervals. Higher serotype III lower risk during pregnancy (p 0.009). Furthermore, OPA titres Ia higher who remained free throughout study compared those acquired homotypic <0.001 both serotypes). values ≥1μg/mL V ≥3μg/mL serotypes significantly protection against serotype. A vaccine that induces sufficient women, including high titres, could protect latter half pregnancy.