孕妇对 B 群链球菌筛查的知识、态度和当前做法：沙特阿拉伯麦地那的横断面研究。
Knowledge, attitude and current practices of pregnant women towards group B streptococcus screening: cross-sectional study, Al-Madinah, Saudi Arabia.
机构信息
Pediatric Department, College of Medicine, Taibah University, Madinah, Saudi Arabia
Pediatric Department, Madinah Maternity and Children Hospital, Madinah, Saudi Arabia.
出版信息
BMJ Open. 2020 Feb 12;10(2):e032487. doi: 10.1136/bmjopen-2019-032487.
AIMS
Group B streptococcus (GBS) is one of the most frequent bacterial pathogens causing invasive infections in neonates. It can be transmitted from colonised mother to neonates around delivery. Screening strategies for GBS during pregnancy include either universal culture-based or risk-based screening. The present study aimed to assess the knowledge, attitude and current practices of pregnant women towards GBS screening in Al-Madinah City, Saudi Arabia.
METHODS
A hospital-based cross-sectional study was conducted at Madinah Maternity and Children Hospital, Al-Madinah, Saudi Arabia, from May to July 2018. Participants were recruited from postnatal wards. Participants were interviewed using a previously published validated survey that was divided into the following domains: demographic data, knowledge, experience and attitude towards different GBS screening strategies.
RESULTS
A total of 377 out of 450 women (response rate 83.7%) were enrolled. The results showed that the overall mean knowledge score of the pregnant women towards GBS screening was 59.8%. Majority of the women (66.8%) were not aware of the GBS bacterium, while 86.5% of them had never been informed of GBS risk assessment during their pregnancies. The mean knowledge score among women who were aware of GBS (62.8%) was significantly higher than that among women who were not (58.4%) (p=0.015). However, majority of the pregnant women (61.8%) showed preference for universal culture-based GBS screening strategy over risk-based strategy.
CONCLUSION
The study results have concluded that the level of awareness and knowledge about GBS among pregnant women were relatively poor; however, majority of the pregnant women prefer universal culture-based screening.
目的
B 群链球菌（GBS）是导致新生儿侵袭性感染的最常见细菌病原体之一。它可以从定植的母亲传播给分娩时的新生儿。妊娠期间 GBS 的筛查策略包括基于培养的普遍筛查或基于风险的筛查。本研究旨在评估沙特麦地那市孕妇对 GBS 筛查的知识、态度和当前做法。
方法
这是一项 2018 年 5 月至 7 月在沙特麦地那母婴医院进行的基于医院的横断面研究。参与者从产后病房招募。使用先前发表的经过验证的调查，参与者被分为以下领域进行访谈：人口统计学数据、知识、经验以及对不同 GBS 筛查策略的态度。
结果
共有 450 名妇女中的 377 名（应答率 83.7%）被纳入研究。结果表明，孕妇对 GBS 筛查的总体平均知识得分是 59.8%。大多数妇女（66.8%）不知道 GBS 细菌，而 86.5%的人在怀孕期间从未被告知过 GBS 风险评估。知道 GBS 的妇女（62.8%）的平均知识得分明显高于不知道 GBS 的妇女（58.4%）（p=0.015）。然而，大多数孕妇（61.8%）更喜欢基于培养的普遍 GBS 筛查策略而不是基于风险的策略。
结论
研究结果表明，孕妇对 GBS 的认识和知识水平相对较低；然而，大多数孕妇更喜欢基于培养的普遍筛查。
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