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.
Journal Information
Vol. 15. Issue 4.
Pages 323-327 (July - August 2011)
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
Visits
3091
Fernanda de-Paris1,
, Alice Beatriz Mombach Pinheiro Machado1, Tailise Conte Gheno2, Bruna Maria Ascoli2, Kátia Ruschel Pilger de Oliveira1, Afonso Luis Barth1,2
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.
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.
This item has received
Article information
Abstract
Keywords:
Streptococcus agalactiae
polymerase chain reaction
culture
pregnancy
Full text is only aviable in PDF
References
[1.]
A. Schuchat.
Epidemiology of group B stretococcal disease in the United States: shifting paradigms.
Clin Microbiol Rev, 11 (1998), pp. 497-513
[2.]
S.J. Schrag, E.R. Zell, R. Lynfield, et al.
A population-based comparison of strategies to prevent early-onset group B streptococcal disease in neonates.
N Engl J Med, 347 (2002), pp. 233-239
[3.]
F. Freitas, S.H. Martins-Costa, J.G.L. Ramos, J.A. Magalhães.
Rotinas em Obstetrícia.
5.ed., Porto Alegre BR, (2006),
[4.]
J.A. Regan, M.A. Klebanoff, R.P. Nugent.
The epidemiology of group B streptococcal colonization in pregnancy.
Vaginal Infections and Prematurity Study Group Obstet Gynecol, 77 (1991), pp. 604-610
[5.]
H.N. Winn.
Group B Streptococcus infection in pregnancy.
Clin Perinatol, 34 (2007), pp. 387-392
[6.]
R.K. Edwards, S.M. Novak-Weekley, P.P. Koty, et al.
Rapid Group B streptococci screening using a Real-Time Polymerase Chain Reaction Assay.
Obstet Gynecol, 111 (2008), pp. 1335-1341
[7.]
A.L. Costa, F. Lamy Filho, M.B. Chein, et al.
Prevalence of colonization by group B Streptococcus in pregnant women from a public maternity of Northwest region of Brazil.
Rev Bras Ginecol Obstet, 30 (2008), pp. 274-280
[8.]
S.J. Schrag, S. Zywicki, M.M. Farley, et al.
Group B streptococcal disease in the era of intrapartum antibiotic profilaxis.
N Engl J Med, 342 (2000), pp. 15-20
[9.]
M.G. Bergeron, D. Ke, C. Ménard, et al.
Rapid detection of group B streptococci in pregnant women at delivery.
N Engl J Med, 343 (2000), pp. 175-179
[10.]
S. Schrag, R. Gorwitz, K. Fultz-Butts, A. Schuchat.
Prevention of perinatal group B streptococcal disease.
Revised guidelines from CDC. MMWR Recomm Rep, 51 (2002), pp. 1-22
[11.]
N. Aziz, E.J. Baron, H. DSouza, et al.
Comparison of rapid intrapartum screening methods for group B streptococcal vaginal colonization.
J Matern Fetal Neonatal Med, 18 (2005), pp. 225-229
[12.]
K.C. Carroll, D. Ballou, M. Varner, et al.
Rapid detection of group B streptococcal colonization of the genital tract by a commercial optical immunoassay.
Eur J Clin Microbiol Infect Dis, 15 (1996), pp. 206-210
[13.]
C.H. Park, D. Ruprai, N.M. Vandel, et al.
Rapid detection of group B streptococcal antigen from vaginal specimens using a new Optical Immuno Assay technique.
Diagn Microbiol Infect Dis, 24 (1996), pp. 125-128
[14.]
E. Wang, H. Richardson.
A rapid method for detection of group B streptococcal colonization: testing at the bedside.
Obstet Gynecol, 76 (1990), pp. 882-885
[15.]
M. Gavino, E. Wang.
A comparison of a new rapid real-time polymerase chain reaction system to traditional culture in determining group B Streptococcus colonization.
Am J Obstet Gynecol, 197 (2007), pp. 388e1-388e4
[16.]
P. Glaser, C. Rusniok, C. Buchrieser, et al.
Genome sequence of Streptococcus agalactiae, a pathogen causing invasive neonatal disease.
Mol Microbiol, 45 (2002), pp. 1499-1513
[17.]
S.M. Elbaradie, M. Mahmoud, M. Farid.
Maternal and neonatal screening for Group B streptococci by SCP B gene based PCR: a preliminary study.
Ind J Med Microbiol, 27 (2009), pp. 17-21
[18.]
M.K. York, L. Gibbs, F. Chehab, G.F. Brooks.
Comparison of PCR detection of mecA with standard susceptibility testing methods to determine methicillin resistance in coagulasenegative staphylococci.
J Clin Microbiol, 34 (1996), pp. 249-253
[19.]
N. Jones, J.F. Bohnsack, S. Takahashi, et al.
Multilocus sequence typing system for group B Streptococcus.
J Clin Microbiol, 41 (2003), pp. 2530-2536
[20.]
A.R. Fleiss.
Clinical epidemiology. The arquitecture of clinical research.
Saunders, (1985),
[21.]
I.L. Borger, R.E.C. Doliveira, A.C.D. Castro, S.S.B. Mondino.
Streptococcus agalactiae in pregnant women: prevalence of colonization and antimicrobial susceptibility evaluation.
Rev Bras Gineco Obstet, 27 (2005), pp. 575-579
[22.]
B.J. Stoll, A. Schuchat.
Maternal carriage of group B streptococci in developing countries.
Pediatr Infect Dis J, 17 (1998), pp. 499-503
[23.]
M.J. Alfa, S. Sepehri, P.D. Gagne, et al.
Real-time PCR assay provides realiable assessment of intrapartum carriage of group B Streptococcus.
J Clin Microbiol, 48 (2010), pp. 3095-3099
Copyright © 2011. Elsevier Editora Ltda.. All rights reserved