Multicenter Performance Evaluation of the $ Revogene^{®} $ GBS DS Real-Time PCR Assay for Group B Streptococcus Detection During Labor

Purpose This study aimed to evaluate the performance and ease of use of the $ Revogene^{®} $ GBS DS PCR assay for the intrapartum detection of Group B Streptococcus (GBS) colonization, as compared with intrapartum culture and antenatal culture-based screening. Methods Between April and August 2019, 398 women who gave birth in one of the three maternities participating in this study agreed to the collection of a vaginal swab when they arrived in the labor ward. The samples were immediately sent to the adjacent laboratory where they were discharged into the buffer provided with the $ Revogene^{®} $ GBS DS assay. Part of the buffer was used to perform the $ Revogene^{®} $ GBS DS test, and part of the same buffer was used for GBS culture. Results The $ Revogene^{®} $ GBS DS assay provided a valid result in less than 70 min for 356 (89%) women. The sensitivity of the test was 85.7% (66.4–95.3%). The specificity of the test was 99.1% (97.3–99.8%). The positive predictive value was 88.9% (69.7–97.1%). The negative predictive value was 98.9% (96.9–99.6%). Conclusion The easy-to-use $ Revogene^{®} $ GBS DS assay provides a valuable tool for the detection of GBS colonization at the beginning of labor. The sensitivity and turn-around time are adequate. The high number of invalid results needs to be addressed before the $ Revogene^{®} $ GBS DS test can be expected to replace the current screening-based approach..

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:27

Enthalten in:

Molecular diagnosis & therapy - 27(2023), 5 vom: 20. Juli, Seite 611-620

Sprache:

Englisch

Beteiligte Personen:

d’Otreppe, Stéphanie [VerfasserIn]
Lefèvre, Philippe [VerfasserIn]
Meex, Cécile [VerfasserIn]
Devey, Anaïs [VerfasserIn]
Sacheli, Rosalie [VerfasserIn]
Gerard, Martin [VerfasserIn]
Melin, Pierrette [VerfasserIn]

Links:

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Anmerkungen:

© The Author(s), under exclusive licence to Springer Nature Switzerland AG 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

doi:

10.1007/s40291-023-00660-3

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

SPR052780902