A comparative study of isolation, identification and grouping of streptococcal isolates from throat swabs of school going children applying different methods of extraction for antigen

S. Mohana, C. Sasikumar, S. Yasodha
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Abstract

Objective: The objective of this research was to collect the throat swabs from symptomatic and asymptomatic children and microbiologically positive sample were further taken up for grouping. Methods: Extraction of streptococcal group antigen by various methods namely enzyme extraction, fullers extraction, Lancefield extraction. Comparing the antigen extraction methods in identifying the sero groups of BHS.Comparative studies between conventional and enzymatic methods of extraction. Which one is ideal method of extraction and which one is common among the children. Results: Throat swabs were collected in the age group of 5-12 both symptomatic and asymptomatic children. Symptomatic such as rashes, throat pain, fever, cold, cough etc. Totally 361 throat swabs were collected of which 19 were BHS.18 isolates were typeable and 1 was non typeable. In enzyme extraction is not effective in the extraction of group D streptococci may be extracted with mutanolysin only after 4H incubation although effective for the extraction of some strains of group D streptococci.in fullers extraction it was seen to give an important clue to the structure of cell wall of gram positive bacteria in lance field extraction was easily performed specific and sensitive method. Conclusion: Group A streptococcal isolates were just 2 in no which shows that group A is not the predominant strain in our study. There by denoting the prevalence of rheumatic fever and RHD are becoming less. There was no cross reaction among groups were lancefield and fullers method were applied.in enzymatic method there was slight cross reaction noted between A and D in one isolate,F and G in one isolate and C and G in another isolate.
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不同抗原提取方法对学龄儿童咽拭子链球菌分离、鉴定和分型的比较研究
目的:收集有症状和无症状儿童的咽拭子,并进一步采集微生物阳性样本进行分组。方法:采用酶法、富勒法、兰斯菲尔德法提取链球菌群抗原。比较不同抗原提取方法鉴定BHS血清群。常规提取法与酶法的比较研究。哪一种是理想的提取方法,哪一种在儿童中是常见的。结果:收集了5-12岁有症状和无症状儿童的咽拭子。有皮疹、咽喉痛、发热、感冒、咳嗽等症状。共采集361份咽拭子,其中bhs阳性19株,可分型18株,不可分型1株。在酶提法中对D群链球菌的提取不有效,虽然对部分D群链球菌的提取有效,但只有在孵育4H后才能用变溶素提取。富勒提取是研究革兰氏阳性菌细胞壁结构的重要线索,lance field提取方法简便、特异、灵敏。结论:A群链球菌分离株仅2株,表明A群不是本研究的优势菌株。在那里,风湿热和RHD的患病率正在减少。采用lancefield法和fullers法,各组间无交叉反应。在酶促法中,一株分离物中的A和D、F和G以及C和G之间存在轻微的交叉反应。
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