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From the Department of Obstetrics and Gynecology at University of Rochester School of Medicine and Dentistry, Rochester, New York.
The results of 364 cultures of the uterine cervix obtained from a population of 307 antepartum patients being cared for in an obstetric clinic as of a specified date were reviewed. Positive cultures for p-hemolytic streptococcus were found in 11.1% of the patients, representing 10.4% of all cultures taken. A case of a fatal postpartum infection with nonhospital acquired nongroup A ß-hemolytic streptococcus demonstrated the potential pathogenicity of these organisms. Since ß-hemolytic streptococcus can be eliminated from the uterine cervix by antibiotic therapy, consideration of routine antepartum cervical culture and prophylactic therapy for ß-hemolytic streptococcus infection is recommended.
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