Evaluation of four chromogenic media for the isolation of Group B Streptococcus from vaginal specimens in pregnant women

Summary: Direct culture onto four commercial chromogenic media, selective for the isolation of Group B Streptococcus (GBS), were compared with the conventional pre-enrichment Centers for Disease Control and Prevention (CDC) method for the ability to isolate GBS from 242 pregnant women's self-collected vaginal/perineal swabs. The sensitivities and specificities for direct culture on to chromogenic agar were 92% and 100% for StrepBSelect (Bio-Rad Laboratories), 96% and 100% for Brilliance GBS (Thermo-Fisher Scientific), 94% and 100% for CHROMagar StrepB (CHROMagar, Dutec Diagnostics), 86% and 100% for ChromID Strepto B (bioMerieux). CDC recommended broth pre-enrichment then culture on blood containing selective agar had a sensitivity and specificity of 90.0% and 100% respectively. The chromogenic agar tested produced comparable results to the pre-enrichment CDC method.
Source: Pathology - Category: Pathology Tags: Microbiology Source Type: research