Genital tract microbial isolate in women with preterm pre-labour rupture of membranes in resource-constrained community setting

This study determined patterns of microbial isolates in genital
tract of women with preterm pre-labour rupture of membranes
(PPROM) compared with cases without PPROM. Endocervical
swabs of women with confi rmed diagnosis of PPROM were
examined microbiologically and compared in blinded pattern
with gestational-age-matched controls. One hundred and fi ve
microbiological results each for cases and controls were analysed.
Positive microbial cultures were seen in 79.05% of cases
versus 6.67% of controls. Streptococcus spp. (31.43%) was the
commonest organism isolated in cases ( p 0.001), while
Candida albicans was signifi cantly more in controls ( p 0.001).
The highest incidence of PPROM (82.86%) occurred in gestational
ages of 28 – 30 and 34 – 36 weeks. No fewer than 75.24%
cases occurred in low parity (0 – 2). Majority occurred in extremes
of viable preterm gestation and in women of low parity.