Rapid laboratory diagnostic procedures are important for prevention and treatment of rheumatic fever and acute glomerulonephritis.
Most strains of group A streptococci which accounted for the major share of streptococcal infection in man, produce predominantly deoxyribonuclease-B, and high levels of neutralizing antibody for this specific enzyme are commonly found in patients convalescing from an infection with these organisms.
But, little data are as yet available regarding the frequency of DNase production by different streptococcal strains.
The present paper reports on DNase production by beta hemolytic streptococci compared with serological groups and T-types of these strains.
Also we studied on antibody titers to DNase B, streptolysin 0 and Hemoprobe-SZ test in seven year old children.
312 strains of beta hemolytic streptococci isolated from clinical materials were studied for DNase activity. The isolated strains were available for serological grouping: group A (191 strains), groupB (59), group C (12), and group G (50). T-typing of group A strains were for T-1 (20 strains), T-2 (1), T-3 (4), T-4 (26), T-5 (1), T-6 (3), T-8 (1), T-9 (4), T-11 (7), T-12 (60), T-13 (2), T-18 (5), T-22 (3), T-23 (3), T-25 (2), T-28 (4), T-B3264 (9), T-Imp. 19 (1), and untypable strains (35).
A qualtative agar slant method was used to determine DNase activity. Each strain was band streaked on a DNase test medium agar slant (Eiken Co. Ltd. Japan). These agar slants were incubated at 37°C for 20 hours to 40 hours. The enzymatic activity was determined by colour changes from blue to pink, and was differenciated as strong reaction (+), weak reaction (±), and negative (-).
Anti-deoxyribonuclease-B (ADNase B) titers were determined by measuring enzyme inhibition method (Wampole Laboratories, USA). Anti-streptolysin O (ASO) titers were determined by the modified method of Rantz and Randall (Nissui Co. Ltd. Japan). Hemoprobe-SZ test was carried out by hemagglutination method with using 100 diluted serum (Wampole Laboratories, USA).
188 of 191 (98.4%) of group A streptococci had strong DNase activity, and three strains which had weak activity were all T type B3264. Thirty-four of 59 (57.6%) of group B streptococci had weak activity. Only one group B strain had strong activity, and other strains were negative. Almost all of group C strains had no activity during first 20 hr incubation, but only two strains had weak activity during 20 hr. Eleven of 50 (22%) of group G had weak activity and others were all negative in 20 hr incubation. Two strains of group G had strang activity during 40 hr incubation.
Distribution of antibody titers for ADNase-B, ASO and Hemoprobe-SZ test among healthy school children was discussed.
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