Comparison of the Gen-Probe Group A streptococcus Direct Test with culture and a rapid streptococcal antigen detection assay for diagnosis of streptococcal pharyngitis

Author:

Heiter B J1,Bourbeau P P1

Affiliation:

1. Department of Laboratory Medicine, Geisinger Medical Center, Danville, Pennsylvania 17822.

Abstract

The Gen-Probe Group A Streptococcus Direct Test (GP-ST) is a new assay which utilizes a nucleic acid probe to detect group A streptococci directly from pharyngeal swabs. In this study, 1,103 specimens were cultured and tested by GP-ST. The sensitivities and specificities were as follows: culture, 98.8 and 100%; GP-ST, 92.4 and 99.6%. Of the 1,103 specimens, 808 were also tested with the TestPack Strep A assay. For the specimens tested by all three methods, the sensitivities and specificities were as follows: culture, 99.5 and 100%; TestPack Strep A assay, 76.3 and 99.7%; GP-ST, 93.5 and 99.7%. The GP-ST is a very user-friendly assay which has the potential to replace culture for the diagnosis of streptococcal pharyngitis.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference9 articles.

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2. Group A streptococcal infections and acute rheumatic fever;Bisno A.;N. Engl. J. Med.,1991

3. Bourbeau P. P. B. J. Heiter J. P. Anhalt and D. W. Naumovitz. Comparison of direct specimen testing utilizing TestPack Strep A with testing of specimens following a 2-hour broth enrichment. Diagn. Microbiol. Infect. Dis. in press.

4. Campos J. M. and C. Mohla. 1992. Program Abstr. 32nd Intersci. Conf. Antimicrob. Agents Chemother. abstr. 1036 p. 283.

5. Culturing of throat swabs: end of an era;Gerber M. A.;J. Pediatr.,1985

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