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©2013 UpToDate ® Print Email Algorithm for recommended laboratory testing for prenatal screening for group B streptococcal (GBS) colonization * Direct plating with appropriate media may be done in addition to enriched culture. Direct plating should not be used as the sole means to identify GBS. Reproduced from: Verani JR, McGee L, Schrag SJ. Division of Bacterial Diseases, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention (CDC). Prevention of perinatal group B streptococcal disease--revised guidelines from CDC, 2010. MMWR Recomm Rep 2010; 59:1.