Kulkarni Raghavendra D, Mishra Mukti Nath, Mohanraj Jeevanandam, Chandrasekhar Arun, Ajantha G S, Kulkani Sheetal, Bhat Shama
Department of Microbiology, SDM College of Medical Sciences and Hospital, Dharwad, India.
Department of Molecular Diagnostics, Bhat Biotech India Pvt. Ltd., Bengaluru, Karnataka, India.
J Lab Physicians. 2018 Jan-Mar;10(1):68-72. doi: 10.4103/JLP.JLP_74_17.
Nosocomial infections are often caused by multidrug-resistant bacteria and the incidence is increasing. , a Gram-negative bacillus, is commonly associated with the use of intravascular catheterization and airway intubation. Polymerase chain reaction (PCR) for identification of from samples has been standardized that use conventional wet-reagent mix. We have designed and optimized a dry-reagent mix for identification of species by PCR. The dry-reagent mix can be stored at room temperature, has less chances of contamination, and thus can be used at point-of-care diagnosis.
The present work was focused on comparing the sensitivity and specificity of dry-reagent PCR mix over conventional wet-reagent PCR mix for identification of species.
Conventional wet-reagent mix based and dry-reagent mix based PCR were carried out for the DNA isolated from . The latter was also applied directly on bacterial growth without prior DNA extraction process. Equal numbers of bacterial isolates other than species were also subjected to identification by the same protocols for determining the sensitivity and specificity of the test.
The species showed amplification of the target gene and the band was observed at 397 bp. The dry-reagent PCR mix results matched completely with the conventional wet-reagent PCR mix assay. All the non- isolates were negative for the PCR. This indicates that the test is highly specific. The dry-reagent mix also contained an enzyme resistant to PCR inhibitors and capable of amplifying DNA directly from cells.
Performance of dry-reagent PCR mix without the need for DNA extraction and preparation of a PCR mix proved to be more sensitive and reduce the handling error, minimizes the time, manual work, and skilled labor.
医院感染通常由多重耐药菌引起,且发病率呈上升趋势。[细菌名称]是一种革兰氏阴性杆菌,通常与血管内插管和气道插管的使用有关。用于从样本中鉴定[细菌名称]的聚合酶链反应(PCR)已使用传统湿试剂混合物进行了标准化。我们设计并优化了一种用于通过PCR鉴定[细菌名称]物种的干试剂混合物。该干试剂混合物可在室温下储存,污染几率较小,因此可用于即时诊断。
本研究的重点是比较干试剂PCR混合物与传统湿试剂PCR混合物在鉴定[细菌名称]物种方面的敏感性和特异性。
对从[样本来源]分离的DNA进行基于传统湿试剂混合物和干试剂混合物的PCR。后者也直接应用于细菌生长,无需事先进行DNA提取过程。同样按照相同方案对等量的非[细菌名称]物种的细菌分离株进行鉴定,以确定该测试的敏感性和特异性。
[细菌名称]物种显示出目标[基因名称]基因的扩增,在397 bp处观察到条带。干试剂PCR混合物的结果与传统湿试剂PCR混合物检测结果完全匹配。所有非[细菌名称]分离株的PCR检测均为阴性。这表明该测试具有高度特异性。干试剂混合物还含有一种对PCR抑制剂具有抗性且能够直接从细胞中扩增DNA的酶。
无需DNA提取和制备PCR混合物的干试剂PCR混合物的性能被证明更敏感,减少了操作误差,最大限度地减少了时间、体力劳动和熟练劳动力。