Enrichment culture evaluation and characterization of Streptococcus agalactiae among pregnant women in Japan

Maternal screening tests and prophylactic antibiotics are important to prevent neonatal and infant group B streptococcal (GBS) infections. The performance of enrichment broth media for GBS screening that are available in Japan is unclear. Whole-genome data of GBS isolates from pregnant women in Japa...

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Veröffentlicht in:Journal of medical microbiology 2024-07, Vol.73 (7)
Hauptverfasser: Nakano, Satoshi, Koide, Shota, Hosaka, Yumiko, Hasegawa, Yuri, Ishida-Kuroki, Kasumi, Kawakami, Sayoko, Hayashi, Wataru, Yu, Liansheng, Kayama, Shizuo, Miyashita, Noriko, Nagata, Koh, Miura, Shoko, Sugawara, Yo, Miyazaki, Hiroaki, Miura, Kiyonori, Sugai, Motoyuki
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container_issue 7
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container_title Journal of medical microbiology
container_volume 73
creator Nakano, Satoshi
Koide, Shota
Hosaka, Yumiko
Hasegawa, Yuri
Ishida-Kuroki, Kasumi
Kawakami, Sayoko
Hayashi, Wataru
Yu, Liansheng
Kayama, Shizuo
Miyashita, Noriko
Nagata, Koh
Miura, Shoko
Sugawara, Yo
Miyazaki, Hiroaki
Miura, Kiyonori
Sugai, Motoyuki
description Maternal screening tests and prophylactic antibiotics are important to prevent neonatal and infant group B streptococcal (GBS) infections. The performance of enrichment broth media for GBS screening that are available in Japan is unclear. Whole-genome data of GBS isolates from pregnant women in Japan is lacking. The aim of this study was to compare the protocol performance of six enrichment broths and two subculture agar plates, which were all available in Japan, for GBS detection. In addition, we showed whole-genome data of GBS isolates from pregnant women in Japan. We collected 133 vaginal-rectal swabs from pregnant women visiting clinics and hospitals in Nagasaki Prefecture, Japan, and compared the protocol performance of 6 enrichment broths and 2 subculture agar plates. All GBS isolates collected in this study were subjected to whole-genome sequencing analysis. We obtained 133 vaginal-rectal swabs from pregnant women at 35-37 weeks of gestation from 8 private clinics and 2 local municipal hospitals within Nagasaki Prefecture, Japan. The detection rate of the protocol involving the six enrichment broths and subsequent subcultures varied between 95.5 and 100 %, depending on the specific choice of enrichment broth. The GBS carriage rate among pregnant women in this region was 18.8 %. All 25 isolates derived from the swabs were susceptible to penicillin, whereas 48 and 36 % of the isolates demonstrated resistance to erythromycin and clindamycin, respectively. The distribution of serotypes was highly diverse, encompassing seven distinct serotypes among the isolates, with the predominant serotype being serotype V ( = 8). Serotype V isolates displayed a tendency towards increased resistance to erythromycin and clindamycin, with all resistant isolates containing the gene. There was no difference in performance among the culture protocols evaluated in this study. GBS strains isolated from pregnant women appeared to have greater genomic diversity than GBS strains detected in neonates/infants with invasive GBS infections. To confirm this result, further studies with larger sample sizes are needed.
doi_str_mv 10.1099/jmm.0.001849
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The performance of enrichment broth media for GBS screening that are available in Japan is unclear. Whole-genome data of GBS isolates from pregnant women in Japan is lacking. The aim of this study was to compare the protocol performance of six enrichment broths and two subculture agar plates, which were all available in Japan, for GBS detection. In addition, we showed whole-genome data of GBS isolates from pregnant women in Japan. We collected 133 vaginal-rectal swabs from pregnant women visiting clinics and hospitals in Nagasaki Prefecture, Japan, and compared the protocol performance of 6 enrichment broths and 2 subculture agar plates. All GBS isolates collected in this study were subjected to whole-genome sequencing analysis. We obtained 133 vaginal-rectal swabs from pregnant women at 35-37 weeks of gestation from 8 private clinics and 2 local municipal hospitals within Nagasaki Prefecture, Japan. The detection rate of the protocol involving the six enrichment broths and subsequent subcultures varied between 95.5 and 100 %, depending on the specific choice of enrichment broth. The GBS carriage rate among pregnant women in this region was 18.8 %. All 25 isolates derived from the swabs were susceptible to penicillin, whereas 48 and 36 % of the isolates demonstrated resistance to erythromycin and clindamycin, respectively. The distribution of serotypes was highly diverse, encompassing seven distinct serotypes among the isolates, with the predominant serotype being serotype V ( = 8). Serotype V isolates displayed a tendency towards increased resistance to erythromycin and clindamycin, with all resistant isolates containing the gene. There was no difference in performance among the culture protocols evaluated in this study. GBS strains isolated from pregnant women appeared to have greater genomic diversity than GBS strains detected in neonates/infants with invasive GBS infections. 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The detection rate of the protocol involving the six enrichment broths and subsequent subcultures varied between 95.5 and 100 %, depending on the specific choice of enrichment broth. The GBS carriage rate among pregnant women in this region was 18.8 %. All 25 isolates derived from the swabs were susceptible to penicillin, whereas 48 and 36 % of the isolates demonstrated resistance to erythromycin and clindamycin, respectively. The distribution of serotypes was highly diverse, encompassing seven distinct serotypes among the isolates, with the predominant serotype being serotype V ( = 8). Serotype V isolates displayed a tendency towards increased resistance to erythromycin and clindamycin, with all resistant isolates containing the gene. There was no difference in performance among the culture protocols evaluated in this study. GBS strains isolated from pregnant women appeared to have greater genomic diversity than GBS strains detected in neonates/infants with invasive GBS infections. 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subjects Adult
Anti-Bacterial Agents - pharmacology
Clindamycin - pharmacology
Culture Media - chemistry
Female
Genome, Bacterial
Humans
Japan - epidemiology
Microbial Sensitivity Tests
Pregnancy
Pregnancy Complications, Infectious - epidemiology
Pregnancy Complications, Infectious - microbiology
Rectum - microbiology
Streptococcal Infections - epidemiology
Streptococcal Infections - microbiology
Streptococcus agalactiae - classification
Streptococcus agalactiae - drug effects
Streptococcus agalactiae - genetics
Streptococcus agalactiae - isolation & purification
Vagina - microbiology
Whole Genome Sequencing
title Enrichment culture evaluation and characterization of Streptococcus agalactiae among pregnant women in Japan
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