- Title
- Ureaplasma species in the placenta and histopathology associated with preterm birth
- Creator
- Sprong, Kaitlin Elizabeth
- Subject
- Port Elizabeth (South Africa)
- Subject
- Eastern Cape (South Africa)
- Subject
- South Africa
- Date Issued
- 2021-12
- Date
- 2021-12
- Type
- Master's theses
- Type
- text
- Identifier
- http://hdl.handle.net/10948/54128
- Identifier
- vital:46310
- Description
- The Eastern Cape province is known for its high perinatal morbidity and mortality rate. Studies from other countries indicate that Ureaplasma spp. have been associated with clinical chorioamnionitis, spontaneous preterm labor and preterm premature rupture of the fetal membranes. The prevalence of Ureaplasma urealyticum, Ureaplasma parvumand Mycoplasma hominisin the placenta and its role in preterm birth is unknown in South Africa. Objectives The objectives of this study were to: (i) analyze placental histology, maternal and neonatal outcomes and clinical presentation of preterm birth, (ii) detect Ureaplasma spp. and M. hominisin the placenta from cases of preterm birth, (iii) determine antibiotic susceptibility profiles of Ureaplasma spp. isolates and investigate mechanisms of antibiotic resistance, (iv) characterize the microbial diversity in the placenta using 16S rRNA next generation sequencing and(v) review pathologies to ascertain whether there is any association between Ureaplasma spp. in the placenta and adverse maternal, obstetric and neonatal outcomes. iiiABSTRACTBackground The Eastern Cape province is known for its high perinatal morbidity and mortality rate. Studies from other countries indicate that Ureaplasmaspp. have been associated with clinical chorioamnionitis, spontaneous preterm labor and preterm premature rupture of the fetal membranes. The prevalenceof Ureaplasmaurealyticum,UreaplasmaparvumandMycoplasmahominisin the placenta andits role in preterm birth is unknown in South Africa. Objectives The objectives of this study were to: (i) analyze placental histology, maternal and neonatal outcomes and clinical presentation of preterm birth, (ii) detect Ureaplasmaspp. and M. hominisin the placenta from cases of preterm birth, (iii) determine antibiotic susceptibility profiles of Ureaplasmaspp. isolates and investigate mechanisms of antibiotic resistance, (iv) characterize the microbial diversity in the placenta using 16S rRNA next generation sequencing and(v) review pathologies to ascertain whether there is any association between Ureaplasmaspp. inthe placenta and adverse maternal, obstetric and neonatal outcomes. MethodsPlacentas were collected from patients presenting with preterm birth (n=100; 28-34 weeks gestational age) and term birth (n=20; >38 weeks) regardless of the APGAR score. Placentas were submitted for histopathology and used for detection of Ureaplasmaspp. by culture (U9 broth, MycoDuo kits;BioRad) and PCR (DNA was extracted from culture and homogenized placental tissue). Antibiotic susceptibility profiles of Ureaplasmaspp isolates were determined by the SIR Antibiogram kit (BioRad) and microbroth dilution method. Molecular mechanisms of resistance were ascertained by PCR amplification of target genes. Placentas were sent to National Health Laboratory Servicesfor routine histopathology. Next generation sequencing was performed on 16S rRNA amplicons from placental DNA for analysis of microbial diversity.
- Description
- Thesis (PhD) -- Faculty of Science, Journalsim and Media Studies, 2021
- Format
- computer
- Format
- online resource
- Format
- application/pdf
- Format
- 1 online resource (248 pages)
- Format
- Publisher
- Nelson Mandela University
- Publisher
- Faculty of Science
- Language
- English
- Rights
- Nelson Mandela University
- Rights
- All Rights Reserved
- Rights
- Open Access
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | SOURCE1 | Sprong, KS.pdf | 32 MB | Adobe Acrobat PDF | View Details Download |