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Tanno D, Saito K, Tomii Y, Nakatsuka Y, Uechi K, Ohashi K, Hidaka T, Yamadera Y, Hata A, Toyokawa M, Shimura H. A Multicenter Study on the Utility of Selective Enrichment Broth for Detection of Group B Streptococcus in Pregnant Women in Japan. Jpn J Infect Dis 2024; 77:68-74. [PMID: 37914290 DOI: 10.7883/yoken.jjid.2023.295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2023]
Abstract
Universal screening for Streptococcus agalactiae, Group B Streptococcus (GBS), in pregnant women is important for the prevention of severe infectious diseases in neonates. The subculture method using selective enrichment broth significantly improves GBS detection rates in the United States; however, this method is not widely utilized in Japan mainly because of the lack of large-scale validation. Therefore, we aimed to validate the utility of the subculture method in collaboration with multiple facilities. A total of 1957 vaginal-rectal swab specimens were obtained from pregnant women at 35-37 gestational weeks from March 1, 2020, to August 30, 2020, at Fukushima Medical University Hospital, Aiiku Hospital, Kitano Hospital, and the University of the Ryukyus Hospital. Conventional direct agar plating, subculture using selective enrichment broth, and direct latex agglutination (LA) testing with incubated broth were performed for GBS detection, and discrepant results were confirmed using real-time PCR. The GBS detection rates for direct agar plating, subculture, and direct LA testing were 18.2% (357/1957), 21.6% (423/1957), and 22.3% (437/1957), respectively. The use of selective enrichment broth showed promise for GBS detection with high sensitivity and is therefore recommended for GBS screening to prevent GBS-related infectious diseases in neonates in Japan.
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Affiliation(s)
- Daiki Tanno
- Department of Clinical Laboratory Sciences, School of Health Sciences, Fukushima Medical University, Japan
- Department of Clinical Laboratory, Fukushima Medical University Hospital, Japan
- Department of Laboratory Medicine, School of Medicine, Fukushima Medical University, Japan
| | - Kyoichi Saito
- Department of Clinical Laboratory, Fukushima Medical University Hospital, Japan
- Department of Laboratory Medicine, School of Medicine, Fukushima Medical University, Japan
| | - Yasuaki Tomii
- Department of Clinical Laboratory, Aiiku Hospital, Japan
| | - Yukari Nakatsuka
- Department of Laboratory Medicine, Medical Research Institute KITANO HOSPITAL, PIIF Tazuke-kofukai, Japan
| | - Kohei Uechi
- Division of Clinical Laboratory and Blood Transfusion, University of the Ryukyus Hospital, Japan
| | - Kazutaka Ohashi
- Department of Clinical Laboratory, Fukushima Medical University Hospital, Japan
| | - Tomoo Hidaka
- Department of Hygiene and Preventive Medicine, School of Medicine, Fukushima Medical University, Japan
| | - Yukio Yamadera
- Department of Clinical Laboratory, Fukushima Medical University Hospital, Japan
| | - Atsuko Hata
- Department of Pediatrics, Division of Infectious Diseases, Medical Research Institute KITANO HOSPITAL, PIIF Tazuke-kofukai, Japan
| | - Masahiro Toyokawa
- Department of Clinical Laboratory Sciences, School of Health Sciences, Fukushima Medical University, Japan
- Department of Clinical Laboratory, Fukushima Medical University Hospital, Japan
- Department of Laboratory Medicine, School of Medicine, Fukushima Medical University, Japan
| | - Hiroki Shimura
- Department of Clinical Laboratory, Fukushima Medical University Hospital, Japan
- Department of Laboratory Medicine, School of Medicine, Fukushima Medical University, Japan
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