Alethia® Group B Streptococcus
Molecular assay for the detection of Group B Streptococcus. Alethia provides a quick, accurate and reliable molecular assay for Group B Strep detection.
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FAQs
When is the best time to screen for GBS in pregnancy?
Studies have shown that testing within four weeks of delivery is most accurate at predicting GBS colonization status at delivery. The 2020 guidelines published by the American College of Obstetricians and Gynecologists (ACOG) state that screening should be done between 36-38 weeks of gestation.
The broth enrichment step delays the result by 24 hours. What advantage does it offer?
Broth enrichment greatly enhances the recovery of GBS thus improving the sensitivity. The 2010 CDC guidelines state that all samples must be enriched in broth media for 18-24 hours. For GBS disease, an accurate screening result is far more important than a rapid screening result.
Culture is the preferred method. What are the drawbacks?
The majority of infants that develop GBS disease are born to mothers who tested negative for Group B Streptococcus. This is due in large part to false-negative culture results. The sensitivity of culture is unreliable and is documented to be as low as 42%. The lack of sensitivity can be attributed to several factors including: Subjectivity, 4% of GBS isolates are nonhemolytic and therefore are undetectable on the culture plate, Overgrowth of normal flora can inhibit the ability to identify GBS colonies.
Can a molecular test be done directly from a prenatal swabs?
Based on the recommendations of the CDC, all vaginal-rectal swabs must be inoculated in selective enrichment broth first and incubated for 18-24 hours prior to performing any molecular test.
What are the advantages of molecular testing for Group B Streptococcus?
Recommended by CDC guidelines:
- Sensitivity of 98.6% means fewer false negatives
- Eliminates all subjectivity related to traditional culture methods
- Definitive, accurate answers mean appropriate therapy can be administered at delivery, if needed
What is the suggested CPT code?
Alethia Group B <em>Streptococcus</em> – 87653
Broth Culture – 87081
References:
1.Department of Health and Human Services, Centers for DiseaseControl and Prevention. Prevention of Perinatal Group B Streptococcal Disease, Revised Guidelines from CDC, 2010.MMWR 2010;59.
2.M. Van Dyke, Ph.D., et al. 2009. Evaluation of Universal Antenatal Screening for Group B Streptococcus. The New England Journal of Medicine. 360: pp. 2626-2636.
3.F. Rallu, P. Barriga, C. Scrivo, V. Martel-Laferriere, and C. Laferriere.2006. Sensitivities of Antigen Detection and PCR assays Greatly Increased Compared to that of the Standard Culture Method for Screening for Group B Streptococcus Carriage in Pregnant Women.Journal of Clinical Microbiology. 44: pp. 725-728.
4.CDC website, https://www.cdc.gov/groupbstrep/clinicians/QAs-obstetric.htm
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