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基于聚合酶链反应的检测方法,用于区分从囊性纤维化患者中分离出的铜绿假单胞菌与其他假单胞菌属菌种。

PCR-based assay for differentiation of Pseudomonas aeruginosa from other Pseudomonas species recovered from cystic fibrosis patients.

作者信息

Spilker Theodore, Coenye Tom, Vandamme Peter, LiPuma John J

机构信息

Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, Michigan, 48109. Laboratorium voor Microbiologie, Universiteit Gent, Ghent, Belgium.

出版信息

J Clin Microbiol. 2004 May;42(5):2074-9. doi: 10.1128/JCM.42.5.2074-2079.2004.

Abstract

Pseudomonas aeruginosa is the major opportunistic bacterial pathogen in persons with cystic fibrosis (CF); pulmonary infection occurs in approximately 80% of adult CF patients. Much of CF patient management depends on accurate identification of P. aeruginosa from sputum culture. However, identification of this species may be problematic due to the marked phenotypic variability demonstrated by CF sputum isolates and the presence of other closely related species. To facilitate species identification, we used 16S ribosomal DNA (rDNA) sequence data to design PCR assays intended to provide genus- or species-level identification. Both assays yielded DNA fragments of the predicted size. We tested 42 culture collection strains (including 14 P. aeruginosa strains and 28 strains representing 16 other closely related Pseudomonas species) and 43 strains that had been previously identified as belonging to 28 nonpseudomonal species also recovered from CF patient sputum. Based on these 85 strains, the specificity and sensitivity of both assays were 100%. To further assess the utility of the PCR assays, we tested 66 recent CF sputum isolates. The results indicated that preliminary phenotypic testing had misidentified several isolates. The 16S rDNA sequence was determined for 38 isolates, and in all cases it confirmed the results of the PCR assays. Thus, we have designed two PCR assays: one is specific for the genus Pseudomonas, while the other is specific for P. aeruginosa. Both assays show 100% sensitivity and specificity.

摘要

铜绿假单胞菌是囊性纤维化(CF)患者主要的机会性细菌病原体;约80%的成年CF患者会发生肺部感染。CF患者的许多治疗措施都依赖于从痰培养中准确鉴定出铜绿假单胞菌。然而,由于CF痰分离株表现出显著的表型变异性以及存在其他密切相关的菌种,该菌种的鉴定可能存在问题。为便于菌种鉴定,我们利用16S核糖体DNA(rDNA)序列数据设计了旨在提供属或种水平鉴定的PCR检测方法。两种检测方法均产生了预测大小的DNA片段。我们检测了42株培养保藏菌株(包括14株铜绿假单胞菌菌株和代表其他16种密切相关假单胞菌属菌种的28株菌株)以及43株先前已鉴定为属于从CF患者痰液中分离出的28种非假单胞菌属菌种的菌株。基于这85株菌株,两种检测方法的特异性和敏感性均为100%。为进一步评估PCR检测方法的实用性,我们检测了66株近期CF痰分离株。结果表明,初步的表型检测误鉴定了几株分离株。对38株分离株测定了16S rDNA序列,在所有情况下均证实了PCR检测结果。因此,我们设计了两种PCR检测方法:一种对假单胞菌属具有特异性,另一种对铜绿假单胞菌具有特异性。两种检测方法均显示出100%的敏感性和特异性。

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