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伊朗疑似皮肤癣菌病病例中皮肤癣菌的检测:聚合酶链反应测序方法的评估

Detection of Dermatophytes from Dermatophytosis-Suspected Cases in Iran, Evaluation of Polymerase Chain Reaction-Sequencing Method.

作者信息

Arammehr Akbar, Dehghan Parvin, Chadeganipour Mostafa, Katoueezadeh Maryam, Shadzi Shahla

机构信息

Department of Parasitology and Mycology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Hematology and Medical Laboratory Science, Faculty of Allied Medicine, Kerman university of Medical Sciences, Kerman, Iran.

出版信息

Adv Biomed Res. 2020 Oct 30;9:56. doi: 10.4103/abr.abr_21_20. eCollection 2020.

Abstract

BACKGROUND

Dermatophytosis is mostly caused by dermatophytes species, and the diagnosis of disease is very important for early treatment. The aim of this study was to identify the commonly dermatophytes species isolated directly from the clinical samples, using the polymerase chain reaction (PCR) and evaluate both conventional and molecular methods.

MATERIALS AND METHODS

This study was performed on 115 clinical samples. Dermatophyte isolates were initially identified by conventional method and confirmed by the sequencing molecular method. In this study, the molecular technique is implemented directly on clinical samples. Statistical analysis of the information was performed by the SPSS software, and the results were statistically analyzed.

RESULTS

Our findings demonstrated that the most abundant dermatophyte species by PCR-sequencing were (20%), followed by (10%), (6.7%), (6.7%), , and , (3.3%) for each one.

CONCLUSION

For medical laboratories, routine procedures are still preferred because of their lower cost, and the results are almost the same as the molecular methods. The sensitivity and specificity values for PCR under our laboratory condition were 60% and 87%, respectively. This study shows that molecular results performed better in nails than other samples, by culture results.

摘要

背景

皮肤癣菌病主要由皮肤癣菌引起,疾病的诊断对于早期治疗非常重要。本研究的目的是使用聚合酶链反应(PCR)直接从临床样本中鉴定常见的皮肤癣菌种类,并评估传统方法和分子方法。

材料与方法

本研究对115份临床样本进行。皮肤癣菌分离株最初通过传统方法鉴定,并通过测序分子方法进行确认。在本研究中,分子技术直接应用于临床样本。使用SPSS软件对信息进行统计分析,并对结果进行统计学分析。

结果

我们的研究结果表明,通过PCR测序,最常见的皮肤癣菌种类是 (20%),其次是 (10%)、 (6.7%)、 (6.7%),每种 、 和 各占(3.3%)。

结论

对于医学实验室而言,由于成本较低,常规程序仍然是首选,其结果与分子方法几乎相同。在我们的实验室条件下,PCR的敏感性和特异性值分别为60%和87%。本研究表明,通过培养结果,分子检测结果在指甲样本中比在其他样本中表现更好。

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