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Research ArticleOriginal Article

Self-Collection of Antepartum Anogenital Group B Streptococcus Cultures

Peter G. Torok and Jan R. Dunn
The Journal of the American Board of Family Practice March 2000, 13 (2) 107-110; DOI: https://doi.org/10.3122/15572625-13-2-107
Peter G. Torok
From the Family Practice Service, Evans Army Community Hospital, Fort Carson, Colo. Reprints are not available.
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Jan R. Dunn
From the Family Practice Service, Evans Army Community Hospital, Fort Carson, Colo. Reprints are not available.
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Abstract

Background: Group B streptococcus (GBS) from the maternal perineum is a leading cause of serious neonatal infection. Recommendations by the Centers for Disease Control and Prevention include cultures from anogenital swabs on all pregnant women between 35 and 37 weeks' gestation. This study examines whether a significant difference in test results exists between GBS cultures from swabs done by physicians and those done by patients, and whether patients prefer to perform the swab themselves, with the potential of enhancing patient satisfaction and decreasing utilization of health care resources.

Methods: Study design was a comparison of 250 obstetrics patients attending a military community hospital family medicine clinic. Patients were assigned on an alternating basis to perform an anogenital culture swab before or after the physician performed a swab. Patients were designated to complete a preference survey before or after the swabs were performed. Descriptive statistics, chi square, and McNemar's test corrected for multiple comparisons, and the Kruskal-Wallis test on effect of order on test outcome were used to analyze the data.

Results: Forty-two of 250 patients had positive cultures. There was no statistically significant difference between swab results done by patients and those done by physicians. There was no significant difference between results of first swabs and results of second swabs. Of the 250 patients 145 preferred self-collection. There was no statistically significant relation between preference and order of completion of the questionnaire.

Conclusions: Patient-collection technique is as accurate as physician collection. A majority of patients in this study population preferred self-collection of GBS swabs.

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The Journal of the American Board of Family     Practice: 13 (2)
The Journal of the American Board of Family Practice
Vol. 13, Issue 2
1 Mar 2000
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Self-Collection of Antepartum Anogenital Group B Streptococcus Cultures
Peter G. Torok, Jan R. Dunn
The Journal of the American Board of Family Practice Mar 2000, 13 (2) 107-110; DOI: 10.3122/15572625-13-2-107

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Self-Collection of Antepartum Anogenital Group B Streptococcus Cultures
Peter G. Torok, Jan R. Dunn
The Journal of the American Board of Family Practice Mar 2000, 13 (2) 107-110; DOI: 10.3122/15572625-13-2-107
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