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Evaluation of a rapid latex test for direct detection ofStreptococcus agalactiae in various obstetrical and gynaecological disorders

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Abstract

Cervical samples collected during speculum examination in 413 women were tested for the presence ofStreptococcus agalactiae by Gram staining, a new latex agglutination test and standard cultures. The results of each method are reported in correlation with the clinical circumstances of isolation. Gram stain and the latex agglutination test had a sensitivity of 30 % and 78 %, and a specificity of 89 % and 98 % respectively compared with culture. The sensitivity of the latex agglutination test was higher in cases of premature rupture of membranes (90 %), presumed chorioamnionitis (86 %), presumed post-partum endometritis (86 %) and presumed salpingitis (87 %). This latex agglutination test appears to be useful for identifying patients who are heavily colonized withStreptococcus agalactiae and are at a high risk of infection.

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Authors and Affiliations

  1. Département de Microbiologie Médicale et Moléculaire, Unité de Bactériologie, Unité de Recherche Associée, Centre National de Recherche Scientifique 1334, France

    R. Quentin, I. Dubarry, C. Gignier & A. Goudeau

  2. Département de Gynécologie-Obstétrique et de la Reproduction, Centre Hospitalier Universitaire Bretonneau, 37044, Tours Cedex, France

    F. Pierre

  3. Laboratoire bioMérieux, 69280, Marcy-l'Etoile, France

    M. Saulnier

Authors
  1. R. Quentin
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  2. I. Dubarry
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  3. C. Gignier
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  4. M. Saulnier
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  5. F. Pierre
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  6. A. Goudeau
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Quentin, R., Dubarry, I., Gignier, C. et al. Evaluation of a rapid latex test for direct detection ofStreptococcus agalactiae in various obstetrical and gynaecological disorders. Eur. J. Clin. Microbiol. Infect. Dis. 12, 51–54 (1993). https://doi.org/10.1007/BF01997059

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