P2-CE03 Incidence of Acinetobacter baumannii in pregnant women with preterm premature rupture of membrane (PPROM)

---

Z Mohd-Zain, O Yahcob, M Sood, N A Abu, C S Chiong and N S Mohd-Nor

University Teknologi MARA Selangor, Malaysia
Monash University Malaysia, Malaysia
Selayang Hospital, Malaysia

: Androl Gynecol: Curr Res

Abstract

---

Background: Acinetobacter baumannii has emerged as a significant opportunistic pathogen that is involved in severe nosocomial infections. There are also some reports that this bacterium is associated with premature contractions and chorioamnionitis during pregnancy. However, reports associating A. baumannii in causing preterm premature rupture of membrane (PPROM) are limited. In this study, we compared the incidence of A. baumannii in pregnant women with PPROM and those who delivered at term and also, to determine subsequent transmission of the bacterium to their babies. Materials and Methods: Samples consisted of high vaginal swabs from 108 women with PPROM and 110 women with normal pregnancy. For babies (n = 111), swabs were collected from their ears and axillae within six hours of delivery. All the swabs were cultured for A. baumannii on Acinetobacter selective media (CHROMagar) and the suspected colonies were then identified by VITEK® 2, using ID-GNB card. Results: A. baumannii was isolated from eight (7.54%) mothers with PPROM and eight (7.24%) mothers with normal pregnancy. No significance difference (p > 0.05) between these two groups was observed. Amongst the PPROM mothers who were A. baumannii colonizers, 50% of them transmitted the bacteria to their babies compared to 25% of those with normal pregnancy. Conclusion: The incidence of A. baumannii colonization in pregnant women is low, regardless whether they have PPROM or not. This suggests that colonization of A. baumannii in pregnant women has no significant role in leading to PPROM and mothers who have PPROM have a high possibility of transmitting the bacterium to their babies.

Biography

---

E-mail: mini.sood@gmail.com