Rapid detection of group B streptococci directly from vaginal swabs

Autor: Wald, E R, Dashefsky, B, Green, M, Harger, J, Parise, M, Korey, C, Byers, C
Zdroj: Journal of Clinical Microbiology; March 1987, Vol. 25 Issue: 3 p573-574, 2p
Abstrakt: Duplicate vaginal swabs were obtained from patients who attended obstetric or gynecologic clinics affiliated with the Magee Womens Hospital in Pittsburgh. One swab was cultured semiquantitatively on 5% sheep blood agar to detect group B streptococci (GBS). The other swab was subjected to a rapid method (25 min) for antigen detection and micronitrous acid exposure to extract the GBS antigen, followed by latex particle agglutination. A total of 464 swabs were evaluated by direct plating. Fifty-two swabs (11.2%) were found to contain GBS. Overall, the rapid method detected 21 of 52, or 40.4%, positive specimens. The sensitivity of the rapid method for identifying the most heavily colonized samples was 85.7%. This method can be used to identify maternity patients who are heavily colonized with GBS and are at high risk of delivering septic infants.
Databáze: Supplemental Index