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从肉汤和血培养物中通过荧光原位杂交快速鉴定酵母。

Rapid identification of yeast by fluorescence in situ hybridisation from broth and blood cultures.

机构信息

Department of Tropical Medicine, Bernhard Nocht Institute, German Armed Forces Hospital of Hamburg, Hamburg, Germany.

出版信息

Mycoses. 2012 Nov;55(6):521-31. doi: 10.1111/j.1439-0507.2012.02214.x. Epub 2012 Jun 8.


DOI:10.1111/j.1439-0507.2012.02214.x
PMID:22681159
Abstract

Candida species including species other than Candida albicans are of importance as causative agents of sepsis in intensive-care units, requiring prompt initiation of targeted therapy. While fluconazole is usually active against Candida albicans, non-Candida albicans species often require more sophisticated approaches. A rapid species diagnosis is therefore desirable and can be provided by fluorescence in situ hybridisation (FISH). However, broad evaluation studies of described probes are largely lacking and the probe panel that has been described is incomplete. As an addition to previously described C. albicans FISH probes, we evaluated published DNA probes for C. glabrata and C. krusei, as well as newly designed DNA probes for C. krusei, C. lusitaniae, C. parapsilosis, C. tropicalis, Crypotococcus neoformans and a group of intrinsically fluconazole-resistant Candida species for FISH with 22 reference strains, 23 well-characterised laboratory control strains, 169 isolates from clinical samples and 48 blood cultures. Sensitivity and specificity of >99% were demonstrated for all evaluated species-specific probes, whereas the probe that binds to a heterogeneous group of intrinsically fluconazole-resistant Candida species correctly identified eight of nine fluconazole-resistant clinical isolates. FISH yielded reliable results using the classical FISH procedure as well as a recently described slide chamber-based method. Given this good sensitivity and specificity, FISH may be applied for rapid identification of yeast in screening analyses, thus giving the opportunity for more precise targeting of antimycotic therapy.

摘要

包括非白念珠菌属在内的念珠菌物种在重症监护病房败血症的病原体中具有重要意义,需要及时启动靶向治疗。虽然氟康唑通常对白色念珠菌有效,但非白念珠菌属物种通常需要更复杂的方法。因此,快速的物种诊断是理想的,可以通过荧光原位杂交(FISH)提供。然而,对已描述探针的广泛评估研究基本上是缺乏的,而且所描述的探针面板是不完整的。除了之前描述的白色念珠菌 FISH 探针外,我们还评估了已发表的用于光滑念珠菌和克柔念珠菌的 DNA 探针,以及新设计的用于克鲁斯念珠菌、葡萄牙念珠菌、近平滑念珠菌、热带念珠菌、新型隐球菌和一组固有氟康唑耐药的念珠菌属物种的 DNA 探针,用于 22 个参考菌株、23 个特征明确的实验室对照菌株、169 个临床样本分离株和 48 个血培养物的 FISH。所有评估的种特异性探针的敏感性和特异性均>99%,而结合一组固有氟康唑耐药的念珠菌属物种的探针正确鉴定了 9 个氟康唑耐药的临床分离株中的 8 个。FISH 使用经典 FISH 程序和最近描述的载玻片室基于方法都能获得可靠的结果。鉴于这种良好的敏感性和特异性,FISH 可用于快速鉴定筛选分析中的酵母,从而为更精确的抗真菌治疗靶向提供机会。

相似文献

[1]
Rapid identification of yeast by fluorescence in situ hybridisation from broth and blood cultures.

Mycoses. 2012-6-8

[2]
Evaluation of fluorescence in situ hybridisation (FISH) for the identification of Candida albicans in comparison with three phenotypic methods.

Mycoses. 2011-11-29

[3]
Comparison of three differential media for the presumptive identification of yeasts.

Clin Microbiol Infect. 2005-3

[4]
[Evaluation of peptide nucleic acid fluorescent in situ hybridization (PNA FISH) method in the identifi cation of Candida species isolated from blood cultures].

Mikrobiyol Bul. 2016-4

[5]
[Comparison of methods for the identification of the most common yeasts in the clinical microbiology laboratory].

Rev Argent Microbiol. 2003

[6]
Molecular diagnosis and epidemiology of fungal infections.

Med Mycol. 1998

[7]
Species distribution, antifungal susceptibility and clonal relatedness of Candida isolates from patients in neonatal and pediatric intensive care units at a medical center in Turkey.

New Microbiol. 2008-7

[8]
[Evaluation of PNA-FISH method for direct identification of Candida species in blood culture samples and its potential impact on guidance of antifungal therapy].

Mikrobiyol Bul. 2016-10

[9]
[Comparison of Phoenix™ Yeast ID Panel and API® ID 32C commercial systems for the identification of Candida species isolated from clinical samples].

Mikrobiyol Bul. 2014-7

[10]
[Rapid identification and susceptibility to killer toxins of yeasts isolated from non-systemic mycoses].

Rev Argent Microbiol. 2007

引用本文的文献

[1]
Identification of with Fluorescence In-Situ Hybridization (FISH) in Patient Samples-A Proof-of-Principle.

J Fungi (Basel). 2021-12-25

[2]
Evaluation of FISH for Blood Cultures under Diagnostic Real-Life Conditions.

Eur J Microbiol Immunol (Bp). 2018-12-12

[3]
Evaluation of fluorescence in situ hybridisation (FISH) for the detection of fungi directly from blood cultures and cerebrospinal fluid from patients with suspected invasive mycoses.

Ann Clin Microbiol Antimicrob. 2015-1-31

[4]
Winemaking and bioprocesses strongly shaped the genetic diversity of the ubiquitous yeast Torulaspora delbrueckii.

PLoS One. 2014-4-9

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