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. 1969 Aug;18(2):193–197. doi: 10.1128/am.18.2.193-197.1969

Time, Cost, and Efficacy Study of Identifying Group A Streptococci with Commercially Available Reagents

Lawrence A Chitwood 1, Myra B Jennings 1, Harris D Riley Jr 1
PMCID: PMC377942  PMID: 4896879

Abstract

During the 12-month period primary throat, wound, and skin cultures, tentatively identified as B streptococci, were submitted by 10 different clinical laboratories for evaluation. A total of 692 beta-hemolytic streptococci were isolated from cultures submitted and examined in parallel by the fluorescent-antibody, precipitin, and bacitracin techniques. An evaluation of the specificity and sensitivity in conjunction with basic and personnel costs was determined for each method. The standard Lancefield precipitin method was established as the standard by which the bacitracin and flourescent antibody techniques were compared. With some variation depending on the commerical source of the disc, approximately 7% of the strains examined produced false reactions with the bacitracin disc. False-negative reactions were rarely noted by the group A fluorescent antibody technique (0.5%), but an appreciable number of other Lancefield groups (B, C, and G) were nonreactive with homologous conjugates.

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Selected References

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

  1. COHEN J. O., COWART G. S., CHERRY W. B. Antibodies against Staphylococcus aureus in nonimmunized rabbits. J Bacteriol. 1961 Jul;82:110–114. doi: 10.1128/jb.82.1.110-114.1961. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. DENNY F. W., WANNAMAKER L. W., BRINK W. R., RAMMELKAMP C. H., Jr, CUSTER E. A. Prevention of rheumatic fever; treatment of the preceding streptococcic infection. J Am Med Assoc. 1950 May 13;143(2):151–153. doi: 10.1001/jama.1950.02910370001001. [DOI] [PubMed] [Google Scholar]
  3. ESTELA L. A., SHUEY H. E. COMPARISON OF FLUORESCENT ANTIBODY, PRECIPITIN, AND BACITRACIN DISK METHODS IN THE IDENTIFICATION OF GROUP A STREPTOCOCCI. Am J Clin Pathol. 1963 Dec;40:591–597. doi: 10.1093/ajcp/40.6.591. [DOI] [PubMed] [Google Scholar]
  4. EVANS A. S., DICK E. C. ACUTE PHARYNGITIS AND TONSILLITIS IN UNIVERSITY OF WISCONSIN STUDENTS. JAMA. 1964 Nov 23;190:699–708. doi: 10.1001/jama.1964.03070210005001. [DOI] [PubMed] [Google Scholar]
  5. Grover A. A., Spoerk K., Evans A. S. Streptococcal infections: observations from a public health laboratory. Am J Public Health Nations Health. 1965 Oct;55(10):1609–1621. doi: 10.2105/ajph.55.10.1609. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. LEVINSON M. L., FRANK P. F. Differentiation of group A from other beta hemolytic streptococci with bacitracin. J Bacteriol. 1955 Mar;69(3):284–287. doi: 10.1128/jb.69.3.284-287.1955. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. MAXTED W. R. The use of bacitracin for identifying group A haemolytic streptococci. J Clin Pathol. 1953 Aug;6(3):224–226. doi: 10.1136/jcp.6.3.224. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. MOFFET H. L., CRAMBLETT H. G., SMITH A. GROUP A STREPTOCOCCAL INFECTIONS IN A CHILDREN'S HOME. II. CLINICAL AND EPIDEMIOLOGIC PATTERNS OF ILLNESS. Pediatrics. 1964 Jan;33:11–17. [PubMed] [Google Scholar]
  9. MOODY M. D., ELLIS E. C., UPDYKE E. L. Staining bacterial smears with fluorescent antibody. IV. Grouping streptococci with fluorescent antibody. J Bacteriol. 1958 May;75(5):553–560. doi: 10.1128/jb.75.5.553-560.1958. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Moody M. D., Siegel A. C., Pittman B., Winter C. C. Fluorescent-Antibody Identification of Group A Streptococci from Throat Swabs. Am J Public Health Nations Health. 1963 Jul;53(7):1083–1092. doi: 10.2105/ajph.53.7.1083. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. PEEPLES W. J., SPIELMAN D. W., MOODY M. D. Field application of fluorescent antibody technique for identification of group A streptococcus. Public Health Rep. 1961 Aug;76:651–654. [PMC free article] [PubMed] [Google Scholar]
  12. QUINN R. W., DENNY F. W., RILEY H. D. Natural occurrence of hemolytic streptococci in normal school children. Am J Public Health Nations Health. 1957 Aug;47(8):995–1008. doi: 10.2105/ajph.47.8.995. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. STETSON C. A., RAMMELKAMP C. H., Jr, KRAUSE R. M., KOHEN R. J., PERRY W. D. Epidemic acute nephritis: studies on etiology, natural history and prevention. Medicine (Baltimore) 1955 Dec;34(4):431–450. doi: 10.1097/00005792-195512000-00002. [DOI] [PubMed] [Google Scholar]
  14. STREAMER C. W., WILLIAMS P. M., WANG W. L., JOHNSON R. S., McGUIRE C. D., ABELOW I. J., GLASER R. J. Identification of group A streptococci. Bacitracin disc and fluorescent antibody techniques compared with the Lancefield precipitin method. Am J Dis Child. 1962 Aug;104:157–160. [PubMed] [Google Scholar]
  15. WANNAMAKER L. W., RAMMELKAMP C. H., Jr, DENNY F. W., BRINK W. R., HOUSER H. B., HAHN E. O., DINGLE J. H. Prophylaxis of acute rheumatic fever by treatment of the preceding streptococcal infection with various amounts of depot penicillin. Am J Med. 1951 Jun;10(6):673–695. doi: 10.1016/0002-9343(51)90336-1. [DOI] [PubMed] [Google Scholar]

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