2002, Number 1
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salud publica mex 2002; 44 (1)
Serologic evidence of high exposure to Group B streptococci (Streptococcus agalactiae) in Mexican women of reproductive age.
Palacios-Saucedo G, Caltenco-Serrano R, Torres-López J, Tapia-Conyer R, Muñoz-Hernández O, Solórzano-Santos F
Language: Spanish
References: 36
Page: 50-56
PDF size: 92.11 Kb.
ABSTRACT
Objective. To assess the prevalence of IgG antibodies against Group B streptococci (GBS) among women of reproductive age in Mexico.
Material and Methods. Serum specimens were drawn from 15 to 40 year-old women, representative of all regions and socioeconomic levels of the country. The sample was randomly selected from Banco Nacional de Sueros (National Sera Bank); serum samples were collected during a national seroepidemiologic survey conducted in 987-1988. The assays for standardization and for evaluation of seroprevalence were carried out at the Hospital de Pediatría del Centro Médico Nacional Siglo XXI (Children’s Hospital) Instituto Mexicano del Seguro Social (IMSS) (Mexican Institute of Social Security) from January to November 1995. IgG antibodies against group B antigen were studied with an enzyme-linked immunosorbent assay (ELISA) developed in our lab. Group B antigen was produced and purified from the reference strain GBS 110.
Results. A total of 2669 serum samples were studied; 2405 were positive to anti-group B antigen IgG antibodies, for a seroprevalence of 90.2%. No differences in prevalence were found among the different age groups or among the different states of the country.
Conclusions. The high seroprevalence of antibodies against GBS suggests that young women in Mexico are commonly exposed to GBS infection.
REFERENCES
Baker CJ, Edwards MS. Group B streptococcal infections. En: Remington JS, Klein JO, ed. Infectious diseases of the fetus and newborn infant. 4a. ed. Philadelphia, Pennsylvania: W.B. Saunders, 1995:980-1054.
Collado ML, Kretschmer RR, Becker I, Guzmán A, Gallardo L, Lepe CM. Colonization of Mexican pregnant women with group B Streptococcus. J Infect Dis 1981;143-134.
Solórzano-Santos F, Díaz-Ramos RD, Arredondo-García JL. Diseases caused by group B Streptococcus in Mexico. Pediatr Infect Dis J 1990;9:66.
Solórzano-Santos F, Echániz-Avilés G, Conde-Glez CJ, Calderón-Jaimes E, Arredondo-García JL, Beltrán-Zúñiga M. Cervicovaginal infection with group B streptococci among pregnant Mexican women. J Infect Dis 1989;159:1003-1004.
Solórzano-Santos F, Arredondo-García JL, Ortiz-Ibarra F, Díaz-Ramos RD, Cázares-Ortiz M, Echániz-Avilés G. Streptococcus del grupo B en la etiología de la infección neonatal. Bol Med Hosp Infant Mex 1990;47: 146-152.
Palacios SG, Eskew EK, Solórzano SF, Mattingly SJ. Decreased capacity for type specific antigen synthesis accounts for high prevalence of nontypeable strains of group B streptococci in Mexico. J Clin Microbiol 1997; 35:2923-2926.
Anthony BF, Okada DM, Hobel CJ. Epidemiology of Group B Streptococcus: Longitudinal observations during pregnancy. J Infect Dis 1978;137: 524-530.
Marques MB, Kasper DL, Shroff A, Michon F, Jennings HJ, Wessels MR. Functional activity of antibodies to the group B polysaccharide of Group B streptococci elicited by a polisaccharide-protein conjugate vaccine. Infect Immun 1994;62:1593-1599.
Baker CJ, Edwards MS, Kasper DL. Role of antibody to native type III polysaccharide of group B Streptococcus in infant infection. Pediatrics 1981;68:544-549.
Musser JM, Mattingly SJ, Quentin R, Goudeau A, Selander RK. Identification of a high-virulence clone of type III Streptococcus agalactiae (group B Streptococcus) causing invasive neonatal disease. Proc Natl Acad Sci USA 1989;86:4731-4735.
Helmig R, Uldbjerg N, Boris J, Kilian M. Clonal analysis of Streptococcus agalactiae isolated from infants with neonatal sepsis or meningitis and their mothers and from healthy pregnant women. J Infect Dis 1993;168: 904-909.
Anthony BF, Concepción NF, Concepción KF. Human antibody to the group-specific polisaccharide of group B Streptococcus. J Infect Dis 1985;151:221-226.
Magos LC, Sánchez VF, Gutiérrez G, Tapia CR. Banco Nacional de Sueros. Salud Publica Mex 1992;34:136-147.
Hulley SB, Cummings SR. Designing clinical research. Baltimore Maryland: Williams & Wilkins, 1988:215-220.
Milligan TW, Doran TI, Straus DC, Mattingly SJ. Growth and amino acid requirements of various strains of group B streptococci. J Clin Microbiol 1978;7:28-33.
Loewus FA. Improvement in anthrone method for determination of carbohydrates. Anal Chem 1952;24:219.
Warren L. The thiobarbituric acid assay of sialic acids. J Biol Chem 1959;234:1971-1975.
Aminoff D. Methods for the quantitative estimation of N-acetylneuraminic acid and their application to hydrolysates of sialomucoids. Biochem J 1961;81:384-392.
Gray BM. ELISA methodology for polysaccharide antigens: Protein coupling of polysaccharides for adsorption to plastic tubes. J Immunol Method 1979;28:187-192.
Schuchat A, Wenger JD. Epidemiology of group B streptococcal disease: Risk factors, prevention strategy, and vaccine development. Epidemiol Rev 1994;16:374-402.
Schuchat A. Group B streptococcus. Lancet 1999;353:51-56.
Doran TI, Straus DC, Mattingly SJ. Factors influencing release of type III antigens by group B streptococci. Infect Immun 1981;31:615-623.
Milligan TW, Baker CJ, Straus DC, Mattingly SJ. Association of elevated levels of extracellular neuraminidase with clinical isolates of type III group B streptococci. Infect Immun 1978;21:738-746.
Nealon TJ, Mattingly SJ. Association of elevated levels of cellular lipoteichoic acid of group B streptococci with human neonatal disease. Infect Immun 1983;39:1243-1251.
Mattingly SJ, Maurer JJ, Eskew EK, Cox F. Identification of a high-virulence clone of serotype III Streptococcus agalactiae by growth characteristics at 40 oC. J Clin Microbiol 1990;28:1676-1677.
Quentin R, Goudeau A, Wallace RJ, Smith AL, Selander RK, Musser JM. Urogenital, maternal and neonatal isolates of Haemophilus influenzae: Identification of unusually virulent serologically non-typeable clone families and evidence for a new Haemophilus species. J Gen Microbiol 1990;136:1203-1209.
Tullus K, Brauner A, Fryklund B, Munkhammar T, Rabsch W, Reissbrodt R et al. Host factors versus virulence-associated bacterial characteristics in neonatal and infantile bacteraemia and meningitis caused by Escherichia coli. J Med Microbiol 1992;36:203-208.
Fischer GW, Lowell GH, Crumrine MH, Bass JW. Demonstration of opsonic activity and in vivo protection against group B streptococci type III by Streptococcus pneumoniae type 14 antisera. J Exp Med 1978;148: 776-786.
Fischer GW, Lowell GH, Crumrine MH, Wilson SR. Immunoprecipitation and opsonic cross-reaction between type-14 pneumococcus and group-B streptococcus type III. Lancet 1979;1:75-77.
Echániz-Avilés G, Velázquez-Meza ME, Carnalla-Barajas MN, Soto- Noguerón A, Solórzano-Santos F, Pérez-Miravete A et al. Antimicrobial susceptibilities and capsular types of invasive Streptococcus pneumoniae isolated in children in Mexico City. Microb Drug Resist 1997; 3: 153-157.
Yow MD, Leeds LJ, Thompson PK, Mason EO, Clark DJ, Beachler CW. The natural history of group B streptococcal colonization in the pregnant women and her offspring. I. Colonization studies. Am J Obstet Gynecol 1980;137:34-38.
Walsh JA, Hutchins S. Group B streptococcal disease: Its importance in the developing world and prospect for prevention with vaccines. Pediatr Infect Dis J 1989;8:271-277.
Stoll BJ, Schuchat A. Maternal carriage of group B streptococci in developing countries. Pediatr Infect Dis J 1998;17:499-503.
Temmerman M, Lopita MI, Sanghvi HCG, Sinei SKF, Plummer FA, Piot P. The role of maternal syphilis, gonorrhoea and HIV-1 infections in spontaneous abortion. Int J STD AIDS 1992;3:418-422.
Regan JA, Chao S, James LS. Premature rupture of membranes, preterm delivery, and group B streptococcal colonization of mothers. Am J Obstet Gynecol 1981;141:184-186.
Palacios GC, Eskew EK, Solórzano SF, Mattingly SJ. Identification of the high-virulence clone of group B streptococci in Mexican isolates by growth characteristics at 40 oC. Curr Microbiol 1999;38:126-131.