Strep Group B Culture

Test Code
Lab502


Alias/See Also
GBSS
Prenatal (broth-enriched) Group B Strep Detection
Group B Strep Screen
 


CPT Codes
87081

Preferred Specimen
Genital, Rectal Swab


Instructions
The technique of swabbing the vagina is extremely important in obtaining an adequate specimen. Swab specimens should be taken prior to application of any preparatory reagents (i.e.; antibiotic wash, Betadyne, KY Jelly). Using only a sterile dacron or rayon tipped swab, swab the cervix/endocervix followed by the lower 1/3 of the vagina using a circular motion as the swab is removed. Avoid touching the rectum with the swab. Swabs with wooden shafts, calcium alginate or cotton tips interfere with the test results and should not be used. All swab samples should be processed within 72 hours of collection. Swabs may be stored and transported at ambient temperature, in a dry, sterile tube or in a sleeve containing modified Stuart's medium or Amies medium. The use of charcoal based transport media or semi-solid based transport medium is not recommended as it may interfere with assay performance. Manufacturers' recommendations should be followed regarding the use of any swab type.


Transport Container
ESwab (White top)


Transport Temperature
Ambient


Specimen Stability
Ambient – 72 hours


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Improper collection
Improper swab
Improper or no label
Storage and stability specifications not met


Methodology
Conventional culture techniques

Setup Schedule
Daily


Reference Range
No Streptococcus Group B isolated
 


Clinical Significance
Because approximately 10 to 30 percent of all pregnant women are colonized with Streptococcus agalactiae (group B), the prevention of vertical transmission of the organism to the infant is of great concern.  Studies have shown that intrapartum administration of antibiotics, particularly ampicillin, to the mother is successful in interrupting transmission.  Those women experiencing early labor, prolonged rupture of membranes, previ-ously diagnosed with infections, or a history of maternal fever are at particularly high risk for group B strep-tococcal colonization and/or infection and should be screened by either culture or rapid detection.


Performing Laboratory
Meritus Microbiology



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.