Articles

Identification of Group B Streptococci Using 16S rRNA, cfb, scpB, and atr Genes in Pregnant Women by PCR

Abstract

Streptococcus agalactiae is acommensalorganism, but it may cause infection in susceptible hosts. The aim of this study was to evaluate PCR assay compared with conventional culture method for direct detection of Streptococcus agalactiae. Total of 203 paired low vaginal swabs were collected from women at 35-37 weeks of pregnancy from June 2013 through February 2014 for detection of Streptococcus agalactiae using PCR assay targeting 16S rRNA, cfb, scpB, and atr genes and culture method following broth enrichment. The results were recorded and evaluated for determining of sensitivity, specificity, positive and negative predictive values of PCR assaycompared with culture method. Prevalence of Streptococcus agalactiae was determined as 7.39% (n=15) using culture method; 19.70% (n=40) by PCR targeting 16S rRNA gene; 18.23% (n=37) by targeting atr gene; 17.24% (n=35) by cfb gene; and 8.87% (n=18) by scpB gene. Generally, a total of 49 specimens were considered true positive (27 samples by PCR assay using the four genes in sum, 4 samples only by atr gene PCR, 3 samples only by cfb gene PCR, 2 samples only by culture method, and 13 samples by PCR assay and culture method in common) and prevalence of Streptococcus agalactiae determined 24.14% in Hamadan. The current data demonstrated that performing only culture method for detecting GBS from pregnant women leads to missed false negative carrier individuals. Thus, it is recommended that both the PCR assay and conventional culture method to be performed in order to detect Streptococcus agalactiae.

Schuchat A, Balter S, Fischetti VA, Novick RP, Ferretti JJ, Portnoy DA. Epidemiology of Group B Streptococcal Infections. Gram-Positive Pathogens. Washington DC: ASM Press, 2006:186-95.

Farley MM. Group B streptococcal disease in nonpregnant adults. Clin Infect Dis 2001;33:556-61.

Schrag SJ ZS, Farley MM, Reingold AL, Harrison LH, Lefkowitz LB, Hadler JL, et al. Group B streptococcal disease in the era of intrapartum antibiotic prophylaxis. N Engl J Med 2000;342:15-20.

Zangwill KM, Schuchat A, Wenger JD. Group B streptococcal disease in the United States, 1990: report from a multistate active surveillance system. MMWR CDC SurveillSumm 1992;41:25-32.

Boyer KM, Gotoff SP. Prevention of early-onset neonatal group B streptococcal disease with selective intrapartum chemoprophylaxis. N Engl J Med 1986;314:1665-9.

Schrag S, Gorwitz R, Fultz-Butts K, Schuchat.Prevention of perinatal group B streptococcal disease. Revised guidelines from CDC. MMWR Recomm Rep 2002;5:1-22.

Yancey MK, Schuchat A, Brown LK, Ventura VL, Markenson GR. The accuracy of late antenatal screening cultures in predicting genital group B streptococcal colonization at delivery. ObstetGynecol 1996;88:811-5.

Verani JR, McGee L, Schrag SJ. Prevention of perinatal group B streptococcal disease--revised guidelines from CDC, 2010. MMWR Recomm Rep 2010;59:1-36.

Fazzeli H, Arabestani MR, Esfahani BN, Khorvash F, Pourshafie MR, Moghim S, et al. Development of PCR- based method for detection of Enterobacteriaceae in septicemia. J Res Med Sci 2012;17:671-5.

Arabestani MR, Fazzeli H, Nasr Esfahani B. Identifiation of the most common pathogenic bacteria in patients with suspected sepsis by multiplex PCR. J Infect Dev Ctries 2014;8:461-8.

Ke D, Menard C, Picard FJ, Boissinot M, Ouellette M, Roy PH, et al. Development of Conventional and Real- Time PCR Assays for the Rapid Detection of Group B Streptococci. ClinChem 2000;46:324-31.

de-Paris F, Machado AB, Gheno TC, Ascoli BM, Oliveira KR, Barth AL. Group B Streptococcus detection: comparison of PCR assay and culture as a screening method for pregnant women. Braz J Infect Dis 2011;15:323-7.

Riffon Re, Sayasith K, Khalil H, Dubreuil P, Drolet M.Development of a Rapid and Sensitive Test for Identiļ¬cation of Major Pathogens in Bovine Mastitis by PCR. J ClinMicrobiol 2001;39:2584-9.

Ke D, Menard C, Picard FoJ, Boissinot M, Ouellette M, Roy PH, et al. Development of Conventional and Real- Time PCR Assays for the Rapid Detection of Group B Streptococci. ClinChem 2000;46:324-31.

Elbaradie SM, Mahmoud M, Farid M. Maternal and neonatal screening for group b streptococci by scpb gene based pcr: a preliminary study. Indian J Med Microbiol 2009;27:17-21.

Rallu F, Barriga P, Scrivo C, Martel-Laferriere V, Laferriere C. Sensitivities of antigen detection and PCR assays greatly increased compared to that of the standard culture method for screening for group B Streptococcus carriage in pregnant women. J ClinMicrobiol2006;44:725-8.

Dmitriev AA, Suvorov AD, Shen Y, Yang H. Clinical diagnosis of group B streptoccocci by scpB gene based PCR. Indian J Med Res 2004;119:233-6.

Chan KL, Levi K, Towner KJ, Weston VC, Ramsay MM, Kean LH. Evaluation of the sensitivity of a rapid polymerase chain reaction for detection of group B Streptococcus. ObstetGynaecol 2006;26:402-6.

Atkins KI, Atkinson Rm, Shanks A, Parvin CA, Dunne WM, Gross G. Evaluation of polymerase chain reaction for group B streptococcus detection using an improved culture method. ObstetGynecol 2006;108:488-91.

Shabayek S, Abdalla S, Abouzeid AM. Comparison of scpB gene and cfb gene polymerase chain reaction assays with culture on Islam medium to detect Group B Streptococcus in pregnancy. Indian J Med Microbiol 2010;28:320-5.

Centers for Disease Control and Prevention. Prevention of Perinatal Group B Streptococcal Disease Revised Guidelines from CDC, 2010. MMWR Recomm Rep 2010;59:1-36.

AbdollahiFard S, Ghotasloo R, Zafardoost S. Study on colonization of group B streptococcus and relationship with perinatal complication in pregnant women referred to Alzahra hospital. J BiolSci 2008;7:726-8.

Fatemi F, Pakzad P, Zeraati H, Talebi S, Asgari S, Akhondi MM, et al. Comparative molecular and microbiologic diagnosis of vaginal colonization by group B streptococcus in pregnant women during Labor. Iranian J Basic Med Sci 2010;13:183-8.

Jahed T, KhoshnoodShariati M, Zafarghandi A, Darabi P, Karimi A. Frequency of Group B Streptococcus colonization and antibiogram in women at 35-37 weeks of gestation visited in prenatal clinic of Mahdieh Hospital in 2008. Pejouhandeh 2011;16:139-43.

Javadi A, Khorvash F, Tabian A, Dariosh M. Group B streptococcus prevalence of vagina and anorectom in pregnant women between 35-37 week gestations. J Isfahan Med Sch 2005;22:89-94.

Mozafari A, Ghanaei M, Sadr Nori B, Farhadi L. Group B streptococcus prevalence in pregnant women between 28-

week gestations. J Guilan Med Univ 2005;15:91-6.

NakhaeiMoghaddam M. Recto-Vaginal colonization of Group B Streptococcus in pregnant women referred to a hospital in Iran and its effect on Lactobacillus normal flora. J BiolSci 2010;10:166-9.

NamavarJahromi B, Poorarian S, Poorbarfehee S. The prevalence and adverse effects of group B Streptococcal colonization during pregnancy. Arch Iran Med 2008;11:654-7.

Rabiee S, Arab M, Mashouf R. Epidemiologic pattern of vaginal colonization by group B Streptococcus in pregnant women in Hamadan, Central west of Iran. Iran J Med Sci 2006;31:106-68.

Bakhtiari R, Dallal MS, Mehrabadi J, Heidarzadeh S, Pourmand M. Evaluation of Culture and PCR Methods for Diagnosis of Group B Streptococcus Carriage in Iranian Pregnant Women. Iranian J Publ Health 2012;41:65-70.

Rallu F, Barriga P, Scrivo C, Martel-Laferriere V, Laferriere C. Sensitivities of antigen detection and PCR assays greatly increased compared to that of the standard culture method for screening for group B Streptococcus carriage in pregnant women. J ClinMicrobiol 2006;44:725-8.

Files
IssueVol 54, No 12 (2016) QRcode
SectionArticles
Keywords
Streptococcus agalactiae Pregnancy Polymerase chain reaction

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Mousavi SM, Hosseini SM, Mashouf RY, Arabestani MR. Identification of Group B Streptococci Using 16S rRNA, cfb, scpB, and atr Genes in Pregnant Women by PCR. Acta Med Iran. 2017;54(12):765-770.