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Vol. 15. Issue 4.
Pages 323-327 (July - August 2011)
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Vol. 15. Issue 4.
Pages 323-327 (July - August 2011)
Original article
Open Access
Group B Streptococcus detection: comparison of PCR assay and culture as a screening method for pregnant women
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Fernanda de-Paris1,
Corresponding author
fparis@terra.com.br

Correspondence to: Unidade de Microbiologia e Biologia Molecular Serviço de Patologia Clínica Hospital de Clínicas de Porto Alegre Rua Ramiro Barcelos, 2350 90035-930 Porto Alegre, RS Brazil.
, Alice Beatriz Mombach Pinheiro Machado1, Tailise Conte Gheno2, Bruna Maria Ascoli2, Kátia Ruschel Pilger de Oliveira1, Afonso Luis Barth1,2
1 Serviço de Patologia Clínica, Unidade de Microbiologia e Biologia Molecular, Hospital de Clínicas de Porto Alegre, RS, Brazil
2 Departamento de Análises, Faculdade de Farmácia, Universidade Federal do Rio Grande do Sul (UFRGS), RS, Brazil
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Abstract

Streptococcus agalactiae or group B Streptococcus (GBS) is one of the most important causal agents of serious neonatal infections. Numerous assays have been evaluated for GBS screening in order to validate a fast and efficient method. The aim of this study was to compare the culture technique (established as the gold standard) with the molecular method of polymerase chain reaction (PCR) with specific primers (atr gene). Two hundred and sixty-three samples were analyzed. Vaginal samples were collected, according to the Centers for Disease Control and Prevention (CDC) recommendations, from women over 35 weeks of pregnancy at Hospital de Clínicas de Porto Alegre (HCPA). Two different extraction methods were tested in all samples collected. PCR technique yielded 71 (26.99%) positive results. Sensitivity and specificity for PCR were 100% and 86.88%, respectively. PCR demonstrated a shorter turnaround time than the culture. The molecular methodology proved to be a useful screening for GBS, allowing effective treatment to be initiated in shorter time to prevent newborn infection.

Keywords:
Streptococcus agalactiae
polymerase chain reaction
culture
pregnancy
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Copyright © 2011. Elsevier Editora Ltda.. All rights reserved
The Brazilian Journal of Infectious Diseases
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