Comparison of culture for group B streptococcus versus enzyme immunoassay and latex agglutination rapid tests: results in 250 patients during labor

Obstet Gynecol. 1991 Jan;77(1):97-100.

Abstract

Two hundred fifty women in labor were screened for vaginal colonization by group B streptococcus using standard culture and two rapid tests. This primarily Hispanic population had a group B streptococcus vaginal colonization rate of 2.4% (95% confidence interval 0.9-5.2%) for the patients sampled. An enzyme immunoassay and a latex agglutination test for group B streptococcus antigen both had sensitivities of 33% and had specificities of 99 and 95%, respectively, when compared with culture. Neither rapid test appeared to be clinically useful for detecting colonized women in labor, although both can be useful in excluding colonization.

Publication types

  • Comparative Study

MeSH terms

  • Antigens, Bacterial / analysis
  • Bacteriological Techniques*
  • Female
  • Humans
  • Immunoenzyme Techniques*
  • Labor, Obstetric*
  • Latex Fixation Tests*
  • Male
  • Predictive Value of Tests
  • Pregnancy
  • Sensitivity and Specificity
  • Streptococcus agalactiae / immunology
  • Streptococcus agalactiae / isolation & purification*
  • Time Factors
  • Vagina / microbiology*

Substances

  • Antigens, Bacterial