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Test ID CGBS Group B Streptococcus (Streptococcus agalactiae) Culture

Useful For

Screening for maternal colonization with Streptococcus agalactiae at 35 to 37 weeks gestation as a guide for intrapartum antibiotic prophylaxis to decrease the risk of infection by Streptococcus agalactiae in the infant

Reflex Tests

Test ID Reporting Name Available Separately Always Performed
RMALD Ident by MALDI-TOF mass spec No, (Bill Only) No
GID Bacteria Identification No, (Bill Only) No
STRP Identification Streptococcus No, (Bill Only) No
ISAE Aerobe Ident by Sequencing No, (Bill Only) No

Testing Algorithm

When this test is ordered, the reflex tests may be performed and charged.

Method Name

Conventional Culture Technique

Reporting Name

Grp B Strep (S. agalactiae) Culture

Specimen Type

Varies

Specimen Type: Swab

Sources: Vaginal/rectal combination swab

Container/Tube: Culture transport swab

Specimen Volume: Swab

Additional Information:

1. Specimen source is required.

2. Vaginal/rectal combination swab is the only acceptable specimen according to Centers for Disease Control and Prevention (CDC) guidelines. Vaginal only, rectal only, or other sources are not acceptable.

3. This assay is used for assessment of carriage of Streptococcus agalactiae (group B streptococcus) in pregnant women.

Specimen Stability Information

Specimen Type Temperature Time
Varies Ambient (preferred) 24 hours
  Refrigerated  24 hours

Clinical Information

Streptococcus agalactiae (group B streptococcus) is a cause of morbidity and mortality among infants. Infections occurring within the first week of life are considered early-onset; those occurring in infants >1 week of age are considered late-onset. Maternal vaginal or rectal colonization with Streptococcus agalactiae is a risk factor for early-onset disease in infants. Ten to 30% of pregnant women are vaginally or rectally colonized with Streptococcus agalactiae and may transmit the organism to their infant during labor and delivery. The Centers for Disease Control and Prevention recommends screening for colonization with Streptococcus agalactiae at 35 to 37 weeks gestation as a guide for intrapartum antibiotic prophylaxis to decrease the risk of infection with Streptococcus agalactiae in the infant.

Reference Values

Negative

Cautions

No significant cautionary statements

Day(s) Performed

Monday through Sunday; Continuously

Report Available

3 days

Performing Laboratory

Mayo Medical Laboratories in Rochester

Test Classification

This test uses a standard method. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

87081-Strep Grp B (S. agalactiae) culture

87077-Ident by MALDI-TOF mass spec (if appropriate)

87077-Bacteria identification (if appropriate)

87077-Identification Streptococcus (if appropriate)

87153-Aerobe ident by sequencing (if appropriate)

NY State Approved

Yes