Skip to main content
Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1995 May;33(5):1215–1222. doi: 10.1128/jcm.33.5.1215-1222.1995

Comparison of phenotypic characteristics, DNA-DNA hybridization results, and results with a commercial rapid biochemical and enzymatic reaction system for identification of viridans group streptococci.

K Kikuchi 1, T Enari 1, K Totsuka 1, K Shimizu 1
PMCID: PMC228134  PMID: 7615731

Abstract

The rapid ID 32 Strep system (bioMérieux, Marcy l'Etoile, France) was evaluated for its ability to identify 21 species of viridans group streptococci; results were compared with DNA-DNA hybridization results and results of conventional physiological tests. A total of 171 strains of the 21 species including 147 clinical strains was analyzed. Of the 156 strains of species included in the database of this system, 136 strains (87%) were correctly identified. Incorrect identification occurred for 13 strains (8%), and no identification was given for 7 strains (5%). It was difficult to differentiate S. mitis and S. oralis accurately with this system. Of the 17 strains identified as S. mitis by the rapid ID 32 Strep system, the results of DNA-DNA hybridization were in agreement for only 3 strains. S. crista and S. parasanguis, which are not included in the database, were identified as S. mitis or S. sanguis or were not identified, but S. parasanguis could probably be identified by using the rapid ID 32 Strep system because the biochemical profile is well characterized for this species. The rapid ID 32 Strep system can be used to differentiate most species for which phenotypic characteristics have been described if the database is revised according to recently reported amended criteria for the identification of viridans group streptococci. However, identification of a few species such as S. mitis and S. oralis is problematic with this system.

Full Text

The Full Text of this article is available as a PDF (209.4 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Adnan S., Li N., Miura H., Hashimoto Y., Yamamoto H., Ezaki T. Covalently immobilized DNA plate for luminometric DNA-DNA hybridization to identify viridans streptococci in under 2 hours. FEMS Microbiol Lett. 1993 Jan 15;106(2):139–142. doi: 10.1111/j.1574-6968.1993.tb05949.x. [DOI] [PubMed] [Google Scholar]
  2. Anneroth G., Ericsson S. G. An experimental histological study of monkey teeth without antagonist. Odontol Revy. 1967;18(4):345–359. [PubMed] [Google Scholar]
  3. Appelbaum P. C., Jacobs M. R., Heald J. I., Palko W. M., Duffett A., Crist R., Naugle P. A. Comparative evaluation of the API 20S system and the automicrobic system gram-positive identification card for species identification of streptococci. J Clin Microbiol. 1984 Feb;19(2):164–168. doi: 10.1128/jcm.19.2.164-168.1984. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Appelbaum P. C., Jacobs M. R., Palko W. M., Frauenhoffer E. E., Duffett A. Accuracy and reproducibility of the IDS rapID STR system for species identification of streptococci. J Clin Microbiol. 1986 May;23(5):843–846. doi: 10.1128/jcm.23.5.843-846.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Awada A., van der Auwera P., Meunier F., Daneau D., Klastersky J. Streptococcal and enterococcal bacteremia in patients with cancer. Clin Infect Dis. 1992 Jul;15(1):33–48. doi: 10.1093/clinids/15.1.33. [DOI] [PubMed] [Google Scholar]
  6. Beighton D., Carr A. D., Oppenheim B. A. Identification of viridans streptococci associated with bacteraemia in neutropenic cancer patients. J Med Microbiol. 1994 Mar;40(3):202–204. doi: 10.1099/00222615-40-3-202. [DOI] [PubMed] [Google Scholar]
  7. Beighton D., Hardie J. M., Whiley R. A. A scheme for the identification of viridans streptococci. J Med Microbiol. 1991 Dec;35(6):367–372. doi: 10.1099/00222615-35-6-367. [DOI] [PubMed] [Google Scholar]
  8. Bentley R. W., Leigh J. A., Collins M. D. Intrageneric structure of Streptococcus based on comparative analysis of small-subunit rRNA sequences. Int J Syst Bacteriol. 1991 Oct;41(4):487–494. doi: 10.1099/00207713-41-4-487. [DOI] [PubMed] [Google Scholar]
  9. Bochud P. Y., Eggiman P., Calandra T., Van Melle G., Saghafi L., Francioli P. Bacteremia due to viridans streptococcus in neutropenic patients with cancer: clinical spectrum and risk factors. Clin Infect Dis. 1994 Jan;18(1):25–31. doi: 10.1093/clinids/18.1.25. [DOI] [PubMed] [Google Scholar]
  10. Coykendall A. L. Classification and identification of the viridans streptococci. Clin Microbiol Rev. 1989 Jul;2(3):315–328. doi: 10.1128/cmr.2.3.315. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Douglas C. W., Heath J., Gwynn J. P. Enzymic activity of salivary amylase when bound to the surface of oral streptococci. FEMS Microbiol Lett. 1992 Apr 15;71(2):193–197. doi: 10.1016/0378-1097(92)90511-l. [DOI] [PubMed] [Google Scholar]
  12. Douglas C. W., Heath J., Hampton K. K., Preston F. E. Identity of viridans streptococci isolated from cases of infective endocarditis. J Med Microbiol. 1993 Sep;39(3):179–182. doi: 10.1099/00222615-39-3-179. [DOI] [PubMed] [Google Scholar]
  13. Elting L. S., Bodey G. P., Keefe B. H. Septicemia and shock syndrome due to viridans streptococci: a case-control study of predisposing factors. Clin Infect Dis. 1992 Jun;14(6):1201–1207. doi: 10.1093/clinids/14.6.1201. [DOI] [PubMed] [Google Scholar]
  14. Ezaki T., Hashimoto Y., Takeuchi N., Yamamoto H., Liu S. L., Miura H., Matsui K., Yabuuchi E. Simple genetic method to identify viridans group streptococci by colorimetric dot hybridization and fluorometric hybridization in microdilution wells. J Clin Microbiol. 1988 Sep;26(9):1708–1713. doi: 10.1128/jcm.26.9.1708-1713.1988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Facklam R., Bosley G. S., Rhoden D., Franklin A. R., Weaver N., Schulman R. Comparative evaluation of the API 20S and AutoMicrobic gram-positive identification systems for non-beta-hemolytic streptococci and aerococci. J Clin Microbiol. 1985 Apr;21(4):535–541. doi: 10.1128/jcm.21.4.535-541.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. French G. L., Talsania H., Charlton J. R., Phillips I. A physiological classification of viridans streptococci by use of the API-20STREP system. J Med Microbiol. 1989 Apr;28(4):275–286. doi: 10.1099/00222615-28-4-275. [DOI] [PubMed] [Google Scholar]
  17. Freney J., Bland S., Etienne J., Desmonceaux M., Boeufgras J. M., Fleurette J. Description and evaluation of the semiautomated 4-hour rapid ID 32 Strep method for identification of streptococci and members of related genera. J Clin Microbiol. 1992 Oct;30(10):2657–2661. doi: 10.1128/jcm.30.10.2657-2661.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Handley P., Coykendall A., Beighton D., Hardie J. M., Whiley R. A. Streptococcus crista sp. nov., a viridans streptococcus with tufted fibrils, isolated from the human oral cavity and throat. Int J Syst Bacteriol. 1991 Oct;41(4):543–547. doi: 10.1099/00207713-41-4-543. [DOI] [PubMed] [Google Scholar]
  19. Hinnebusch C. J., Nikolai D. M., Bruckner D. A. Comparison of API Rapid Strep, Baxter MicroScan Rapid Pos ID Panel, BBL Minitek Differential Identification System, IDS RapID STR System, and Vitek GPI to conventional biochemical tests for identification of viridans streptococci. Am J Clin Pathol. 1991 Oct;96(4):459–463. doi: 10.1093/ajcp/96.4.459. [DOI] [PubMed] [Google Scholar]
  20. James P. A., Young S. E., White D. G. Incidence of penicillin tolerance among blood culture isolates of Streptococcus sanguis, 1987-88. J Clin Pathol. 1991 Feb;44(2):160–163. doi: 10.1136/jcp.44.2.160. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Kikuchi K., Totsuka K., Shimizu K., Enari T., Shibata Y., Hasegawa H. [Microbiological and clinical studies of infective endocarditis due to nutritionally variant streptococci]. Kansenshogaku Zasshi. 1994 Jul;68(7):830–836. doi: 10.11150/kansenshogakuzasshi1970.68.830. [DOI] [PubMed] [Google Scholar]
  22. Kusunoki S., Ezaki T., Tamesada M., Hatanaka Y., Asano K., Hashimoto Y., Yabuuchi E. Application of colorimetric microdilution plate hybridization for rapid genetic identification of 22 Mycobacterium species. J Clin Microbiol. 1991 Aug;29(8):1596–1603. doi: 10.1128/jcm.29.8.1596-1603.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Nachamkin I., Dalton H. P. The clinical significance of streptococcal species isolated from cerebrospinal fluid. Am J Clin Pathol. 1983 Feb;79(2):195–199. doi: 10.1093/ajcp/79.2.195. [DOI] [PubMed] [Google Scholar]
  24. Ohkuni H., Todome Y., Mizuse M., Ohtani N., Suzuki H., Igarashi H., Hashimoto Y., Ezaki T., Harada K., Imada Y. Biologically active extracellular products of oral viridans streptococci and the aetiology of Kawasaki disease. J Med Microbiol. 1993 Nov;39(5):352–362. doi: 10.1099/00222615-39-5-352. [DOI] [PubMed] [Google Scholar]
  25. Parker M. T., Ball L. C. Streptococci and aerococci associated with systemic infection in man. J Med Microbiol. 1976 Aug;9(3):275–302. doi: 10.1099/00222615-9-3-275. [DOI] [PubMed] [Google Scholar]
  26. Roberts R. B., Krieger A. G., Schiller N. L., Gross K. C. Viridans streptococcal endocarditis: the role of various species, including pyridoxal-dependent streptococci. Rev Infect Dis. 1979 Nov-Dec;1(6):955–966. doi: 10.1093/clinids/1.6.955. [DOI] [PubMed] [Google Scholar]
  27. Rudney J. D., Larson C. J. Use of restriction fragment polymorphism analysis of rRNA genes to assign species to unknown clinical isolates of oral viridans streptococci. J Clin Microbiol. 1994 Feb;32(2):437–443. doi: 10.1128/jcm.32.2.437-443.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Sussman J. I., Baron E. J., Tenenbaum M. J., Kaplan M. H., Greenspan J., Facklam R. R., Tyburski M. B., Goldman M. A., Kanzer B. F., Pizzarello R. A. Viridans streptococcal endocarditis: clinical, microbiological, and echocardiographic correlations. J Infect Dis. 1986 Oct;154(4):597–603. doi: 10.1093/infdis/154.4.597. [DOI] [PubMed] [Google Scholar]
  29. Whiley R. A., Beighton D. Emended descriptions and recognition of Streptococcus constellatus, Streptococcus intermedius, and Streptococcus anginosus as distinct species. Int J Syst Bacteriol. 1991 Jan;41(1):1–5. doi: 10.1099/00207713-41-1-1. [DOI] [PubMed] [Google Scholar]
  30. Whiley R. A., Fraser H. Y., Douglas C. W., Hardie J. M., Williams A. M., Collins M. D. Streptococcus parasanguis sp. nov., an atypical viridans Streptococcus from human clinical specimens. FEMS Microbiol Lett. 1990 Mar 1;56(1-2):115–121. doi: 10.1111/j.1574-6968.1990.tb04133.x. [DOI] [PubMed] [Google Scholar]

Articles from Journal of Clinical Microbiology are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES