Spieker MR, White DG, Quist BK. Self-collection of group B Streptococcus cultures in pregnant women.
Mil Med 1999;
164:471-4. [PMID:
10414060]
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Abstract
OBJECTIVE
This study assesses the sensitivity of self-collected rectovaginal culture specimens for group B Streptococcus by pregnant patients.
METHODS
A volunteer sample of 240 pregnant women at 28 weeks gestation self-collected rectovaginal culture swabs to screen for the presence of group B Streptococcus. The patients' physicians collected second specimens for comparison.
RESULTS
Twenty-four of 240 women grew group B Streptococcus on at least one culture (incidence, 10%). Twenty physician-collected specimens and 19 patient-collected specimens were positive (83 and 79% sensitivity, respectively). Fifteen patients (62.5%) had both physician-collected and patient-collected cultures grow group B Streptococcus. Cohen's kappa (kappa = 0.75) indicates a high degree of agreement between patient-collected and physician-collected cultures.
CONCLUSIONS
Pregnant women are as likely as their attending physicians to obtain positive cultures for group B Streptococcus by self-collection of rectovaginal swabs.
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