In vitro evaluation of the performance of Granada selective enrichment broth for the detection of group B streptococcal colonization

A broth for the screening of group B streptococcal (GBS) carriage during pregnancy is about to be introduced. Simulating conditions in everyday practice, we have compared the sensitivity of this Granada tube broth (GT) with that of classical Amies transport medium (AT) in vitro. A total of 1,485 GT and 1,485 AT were tested with 33 well-characterized GBS strains in three different concentrations, five different incubation times, and three different temperatures. After initial incubation at room temperature (RT) or 4A degrees C, GT were placed at 37A degrees C. GT were scored for the presence of orange pigment. GT and AT were subcultured on blood agar (BA). Pigment was observed in 98% of GT incubated at 37A degrees C. GBS could be cultured in 91%, 73%, and 55% of GT incubated at 37A degrees C, RT, or 4A degrees C, respectively. For AT, these percentages were only 20% at 37A degrees C, 52% at RT, and 59% at 4A degrees C. When GT initially incubated at RT or 4A degrees C were subsequently incubated at 37A degrees C, the sensitivity improved significantly. We conclude that GT is a more sensitive GBS transport and culture medium than the conventional method, especially for low inocula and prolonged transport/incubation times. GT does not exclude the presence of GBS, and should always be incubated at 37A degrees C and subcultured on solid agar for optimal sensitivity.