Comparison of polymerase chain reaction method with culture method in antenatal Group B Streptococcus screening.

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-09-17 DOI:10.5603/gpl.99055
Dogukan Copur, Ozlem Koyuncu Ozyurt, Hulya Kandemir, Betil Ozhak, Dilara Ogunc, Inanc Mendilcioglu
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Abstract

Objectives: The aim of this study was to investigate the prevalence of Group B Streptococcus (GBS) colonization in pregnancies between 35 and 37 weeks of gestation and to compare the effectiveness of polymerase chain reaction (PCR) method with gold standard technique of culture in antenatal GBS screening.

Material and methods: Vaginal and rectal swabs of a total of 106 pregnant women between 35th and 37th weeks of gestation, who were admitted to our clinic between January 2022 and August 2022, were evaluated using culture and PCR method. The prevalence of GBS was estimated. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the PCR method were analyzed.

Results: The prevalence of GBS was 10.4% and 21.69% using the culture and PCR method, respectively. Compared to the culture, the sensitivity, specificity, PPV, NPV and accuracy of PCR were found to be 100%, 87%, 47%, 100%, and 88%, respectively.

Conclusions: This study results suggest that the PCR method is a simple, effective and fast method with high sensitivity, specificity, PPV, and NPV in antenatal GBS screening.

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聚合酶链反应法与培养法在产前 B 群链球菌筛查中的比较
研究目的本研究旨在调查妊娠35至37周孕妇的乙型链球菌(GBS)定植率,并比较聚合酶链反应(PCR)方法与金标准培养技术在产前GBS筛查中的有效性:采用培养法和聚合酶链反应法对 2022 年 1 月至 2022 年 8 月期间本诊所收治的 106 名妊娠 35 周至 37 周的孕妇的阴道拭子和直肠拭子进行了评估。估计了 GBS 的流行率。对 PCR 方法的敏感性、特异性、阳性预测值(PPV)、阴性预测值(NPV)和准确性进行了分析:结果:培养法和 PCR 法的 GBS 患病率分别为 10.4% 和 21.69%。与培养法相比,PCR 法的敏感性、特异性、PPV、NPV 和准确性分别为 100%、87%、47%、100% 和 88%:本研究结果表明,PCR 方法是一种简单、有效、快速的方法,在产前 GBS 筛查中具有较高的灵敏度、特异性、PPV 和 NPV。
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