Department of Medicine, State University of Maringá, Paraná, Brazil.
J Clin Lab Anal. 2010;24(6):403-6. doi: 10.1002/jcla.20419.
We aimed to compare Hitchens-Pike-Todd-Hewitt (HPTH) enrichment broth, Todd-Hewitt broth, and direct culture onto blood sheep agar containing selective antimicrobial (ABA) in screening Group B Streptococci (GBS) carriage in pregnant women. From April to June 2007, duplicate lower vaginal and duplicate anorectal specimens of 102 pregnant women at 35 weeks of gestation or more, who were assisted at Santa Casa de Misericórdia Hospital, Maringá, Paraná, Brazil, were screened by GBS using HPTH, Todd-Hewitt broth, and ABA. Twenty-five (24.5%) pregnant women had one or more positive culture for GBS in those media. The positive rate for each medium was 21.6% (22/102) in the HPTH, 12.8% (13/102) in ABA, and 11.8% (12/102) in Todd-Hewitt broth. HPTH seems to be a high satisfactory medium for screening GBS in vaginal and anorectal samples in pregnant women and additional studies would be interesting in a larger number of pregnant women and in different laboratories.
我们旨在比较希钦斯-派克-托德-休伊特(HPTH)增菌肉汤、托德-休伊特肉汤和直接在含有选择性抗菌剂的血绵羊琼脂上培养,以筛选孕妇携带 B 组链球菌(GBS)。2007 年 4 月至 6 月,对巴西巴拉那州马兰加市圣卡萨德米西库里亚医院的 102 名 35 周或以上妊娠的孕妇进行了阴道和直肠双份标本检测,使用 HPTH、托德-休伊特肉汤和 ABA 对 GBS 进行了筛查。在这些培养基中,有 25 名(24.5%)孕妇有一个或多个 GBS 阳性培养物。HPTH、ABA 和 Todd-Hewitt 肉汤的阳性率分别为 21.6%(22/102)、12.8%(13/102)和 11.8%(12/102)。HPTH 似乎是一种对孕妇阴道和直肠标本中 GBS 进行筛查的高满意度培养基,在更多孕妇和不同实验室中进行更多研究将很有趣。