Key words: Streptococcus pyogenes, Streptococcus dysgalactiae subsp. equisimilis, rapid diagnosis

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1 Key words: Streptococcus pyogenes, Streptococcus dysgalactiae subsp. equisimilis, rapid diagnosis

2 Table 1 Strains evaluated

3

4 Table 3 Comparison of sensitivity (CFU/mL) of 8 rapid diagnostic kits for detecting group A streptococcus to Streptococcus pyogenes isolated from clinical source Streptococcus pyogenes ( ) T-1 Streptococcus pyogenes ( ) T-2 Streptococcus pyogenes ( ) T-28 Streptococcus pyogenes ( ) T-4 Streptococcus pyogenes ( ) T-12 ++: Strong-positive +: Positive +-: The trace Negative at the test band position were observed -: unit: CFU (colony forming unit)/ml

5

6 Table 5 Comparison of sensitivity of 8 rapid diagnostic kits for detecting group A streptococcus to Group A streptococcusother than Streptococcus pyogenes isolated from clinical source Streptococcus anginosus (SM2003-1) Streptococcus constellatus (SM2004-1) Streptococcus dysgalactiae subsp. equisimilis (2003X-1) Streptococcus dysgalactiae subsp. equisimilis ( ) + +: Strong-positive +: Positive + -: The Negative trace at the test band position were observed -: unit: CFU/ml

7

8 14) Kalia A, Enright MC, Spratt BG, Bessen DA Directional gene movement from human- to commensal-like Streptococci. In- pathogenic fect. Immun 2001; 69: ) Bert F, Lambert-Zechovsky N: Analysis of a case of recurrent bacteraemia due to group A Streptococcus equisimilis by pulsed-field gel electrophoresis. Infection 1997; 25: ) Lancefield R.C.: A serological differentiation of human and other groups of hemolytic streptococci. J Exp Med 1933; 57: ) Claudia M.B, Gerhard H, Norbert S, Reinhard Z, Rudolf L: Characterization of blood culture isolates of Streptococcus dysgalactiae subsp. equisimilis possessing Lancefield's group A antigen. Journal of Clinical Microbiology 1999; ) Hasikawa S, Iinuma Y, Furushita M, Ohkura T, Nada T, Torii K, et al.: Characteri-zation of group C and G streptococcal strains that cause Streptococcal Toxic Shock Syndrome. J Clin Microbiol 2004; 42:

9 Evaluation of Rapid Diagnostic Kits for the Detection of Group A Streptococcus to Streptococcus pyogenes and Streptococcus spp. with Lancefield's Group A Antigen Noriko MITSUNO 1), Tomohiro Nobuyoshi TAMAGAWA 1), Juichi Eiji IKEDA 1), Kazuko HAMASAKI 1), Chihiro KATSUKAWA 2) & Michiko OKUYAMA 1) Department of Clinical Laboratory, Osaka-City General Hospital, 1) Department of Microbiology, Osaka Prefectural Institute of 2) Public Health We studied the basic performance of eight rapid diagnostic kits for the detection of Group A streptococcus by immunochromatography under the same conditions. Kits were the QuickVue Dipstick Strep A (Sumitomo Seiyaku Biomedical Co., Ltd.), TESTPACK Plus STREP A (ABBOTT JAPAN Co., Ltd), CLEAVIEW STREP A (Nihon Schering K. K.), QuickVue STREP A (Wako Pure Chemical Industries, Ltd), ImmunoCard STAT! STREP A (TFB, INC.), DIPSTICK 'Eiken' STREP A (Eiken Chemical Co., Ltd.), Rapid Testa Strep A (Daiichi Pure Chemical Co., Ltd.), and StatCheck Strep A (KAINOS Laboratories, Inc.). Four of these kits, i.e. QuickVue Dipstick Strep A, TESTPACK Plus STREP A, Rapid Testa Strep A, while the Anginosus group and S. dysgalactiae subsp. equisimilis with Lancefield' s group A antigen showed sensitivity very similar to S. pyogenes. Of these strains, S. dysgalactiae subsp. equisimilis formed a Ĉ-hemolytic colony resembling that of S. pyogenes on sheep blood agar, and was sensitive to bacitracin. It is thus indispensable to identify the colony using biochemical tests such as the PYR (pyrrolidonylarylamidase production) test. In using rapid diagnostic kits for the detection of Group A streptococcus, it is important to rule out the possibility of Group A streptococcus other than S. pyogenes in throats. Severe invasive group-g streptococcal infections are increasing recently. Concerning S. dysgalactiae subsp. equisimilis, it is especially important to conduct these identification tests.

感染症学雑誌第80巻第6号

感染症学雑誌第80巻第6号 Streptococcus pyogenes Streptococcus Streptococcus pyogenes Streptococcus dysgalactiae equisimilis S. pyogenes S. pyogenes S. dysgalactiae equisimilis S. pyogenes S. dysgalactiae equisimilis S. pyogenes

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