Rapid Detection of Streptococcus pyogenes in Pleural Fluid Samples from Pediatric Patients with Empyema

ABSTRACT A total of 120 pleural fluid specimens from 113 pediatric patients were tested using two rapid antigen detection assays for Streptococcus pyogenes. Results were compared to culture, Gram stain, and PCR results. Each rapid antigen assay detected 9 out of 10 (90%) PCR-positive samples, with 100% specificity. These antigen detection assays are useful to provide microbiological diagnosis of empyema caused by S. pyogenes.

[1]  F. Martinón-Torres,et al.  Pleural antigen assay in the diagnosis of pediatric pneumococcal empyema. , 2012, Journal of critical care.

[2]  Joon-Ho Lee,et al.  Diagnosis of pneumococcal empyema using immunochromatographic test on pleural fluid and serotype distribution in Korean children. , 2012, Diagnostic microbiology and infectious disease.

[3]  C. Byington,et al.  Molecular Analysis Improves Pathogen Identification and Epidemiologic Study of Pediatric Parapneumonic Empyema , 2011, The Pediatric infectious disease journal.

[4]  P. Berche,et al.  Microbiological diagnosis of empyema in children: comparative evaluations by culture, polymerase chain reaction, and pneumococcal antigen detection in pleural fluids. , 2006, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[5]  J. Langley,et al.  Empyema associated with community-acquired pneumonia: A Pediatric Investigator's Collaborative Network on Infections in Canada (PICNIC) study , 2008, BMC infectious diseases.

[6]  R. Freeman,et al.  Clinical features, aetiology and outcome of empyema in children in the north east of England , 2004, Thorax.

[7]  W. Harmsen,et al.  Comparison of LightCycler PCR, Rapid Antigen Immunoassay, and Culture for Detection of Group A Streptococci from Throat Swabs , 2003, Journal of Clinical Microbiology.

[8]  R. Feigin,et al.  Current issues in the diagnosis and management of pediatric empyema. , 2002, Seminars in pediatric infectious diseases.

[9]  M. Leinonen,et al.  Etiological diagnosis of childhood pneumonia by use of transthoracic needle aspiration and modern microbiological methods. , 2002, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[10]  C. Byington,et al.  An epidemiological investigation of a sustained high rate of pediatric parapneumonic empyema: risk factors and microbiological associations. , 2002, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[11]  M. Watkinson,et al.  Neonatal pleural empyema caused by group A Streptococcus. , 1994, The Pediatric infectious disease journal.

[12]  John D Lambris,et al.  Hot Topics in Infection and Immunity in Children IX , 2012, Advances in Experimental Medicine and Biology.

[13]  J. Clark Microbiology and management of pleural empyema. , 2009, Advances in experimental medicine and biology.