Rm. Ostroff et Jw. Steaffens, EFFECT OF SPECIMEN STORAGE, ANTIBIOTICS, AND FEMININE HYGIENE PRODUCTS ON THE DETECTION OF GROUP-B STREPTOCOCCUS BY CULTURE AND THE STREP-BOIA TEST, Diagnostic microbiology and infectious disease, 22(3), 1995, pp. 253-259
Agar culture from vaginal swabs is the routine method for diagnosis of
maternal Group B Streptococcus (GBS) colonization. Swab specimens are
often transported to a clinical laboratory for processing. In these s
tudies, specimen transport was simulated by inoculating swabs with GBS
and storing them at selected temperatures and with or without transpo
rt medium. The recovery of viable GBS was assessed by agar culture. GB
S antigen was detected immunologically with an Optical ImmunoAssay (OI
A((R))) method. Swabs that were stored with transport medium harbored
viable but rapidly declining numbers of GBS. In contrast, a strong OIA
signal was maintained. Recovery of viable GBS organisms declined move
quickly when swabs were stored in the absence of transport medium, wh
ereas detection of GBS antigen remained consistent. Both methods were
tested for interference from either antibiotics or feminine hygiene pr
oducts. These compounds inhibited the detection of GBS by culture but
had no detrimental effect on the OIA result.