Group B streptococcus serotype prevalence in reproductive-age women at a tertiary care military medical center relative to global serotype distribution

<p>Abstract</p> <p>Background</p> <p>Group B <it>Streptococcus </it>(GBS) serotype (Ia, Ib, II-IX) correlates with pathogen virulence and clinical prognosis. Epidemiological studies of seroprevalence are an important metric for determining the proportion of serotypes in a given population. The purpose of this study was to evaluate the prevalence of individual GBS serotypes at Madigan Healthcare System (Madigan), the largest military tertiary healthcare facility in the Pacific Northwestern United States, and to compare seroprevalences with international locations.</p> <p>Methods</p> <p>To determine serotype distribution at Madigan, we obtained GBS isolates from standard-of-care anogenital swabs from 207 women of indeterminate gravidity between ages 18-40 during a five month interval. Serotype was determined using a recently described molecular method of polymerase chain reaction by capsular polysaccharide synthesis (cps) genes associated with pathogen virulence.</p> <p>Results</p> <p>Serotypes Ia, III, and V were the most prevalent (28%, 27%, and 17%, respectively). A systematic review of global GBS seroprevalence, meta-analysis, and statistical comparison revealed strikingly similar serodistibution at Madigan relative to civilian-sector populations in Canada and the United States. Serotype Ia was the only serotype consistently higher in North American populations relative to other geographic regions (p < 0.005). The number of non-typeable isolates was significantly lower in the study (p < 0.005).</p> <p>Conclusion</p> <p>This study establishes PCR-based serotyping as a viable strategy for GBS epidemiological surveillance. Our results suggest that GBS seroprevalence remains stable in North America over the past two decades.</p

Maximising trapping efficiency in reptile surveys : the role of seasonality, weather conditions and moon phase on capture success

Context : Designing an appropriate survey protocol requires understanding of how capture rates of target species may be influenced by factors other than on-ground abundance, such as weather conditions or seasonality. This is particularly relevant for ectotherms such as reptiles, as activity can be affected by environmental conditions such as ambient temperature.Aims : The present study examines factors affecting capture success of reptiles in semi-arid environments of southern Australia, and addresses the following two main questions: (1) what is the influence of weather and seasonal factors on capture rates of reptiles, and (2) what are the implications for developing an effective protocol for reptile surveys?Methods : We surveyed reptiles using pitfall traps in spring and summer of 2006/07 and 2007/08 at sites (n = 280) throughout the Murray Mallee region of south-eastern Australia. We used mixed-effect regression models to investigate the influence of seasonal and weather-related variables on species&rsquo; capture success.Key results : Total captures of reptiles, and the likelihood of capture of 15 reptile species, increased with rising daily temperature. Greater numbers of individual species were captured during spring than in summer, even though temperatures were cooler. This probably reflects greater levels of activity associated with breeding. Several species were more likely to be captured when maximum or minimum daily temperatures exceeded a certain level (e.g. Lerista labialis, Delma australis, Nephrurus levis). Other factors, such as rainfall and moon phase, also influenced capture success of some species.Conclusions : Surveys for reptiles in semi-arid environments are likely to capture the greatest diversity of species on warm days in late spring months, although surveys on hot days in summer will enhance detection of particular species (e.g. Morethia boulengeri, Varanus gouldii). We recommend trapping during periods with maximum temperatures exceeding 25&ndash;30C and minimum overnight temperatures of 15C. Finally, trapping during rainfall and full-moon events will maximise chances of encountering species sensitive to these variables (blind snakes and geckoes).Implications : Selecting the most favourable seasonal and weather conditions will help ensure that reptile surveys maximise the likelihood of capturing the greatest diversity of reptiles, while minimising trap-effort required.<br /