Development and performance of a multiplex PCR assay for the detection of bacteria in sterile body fluids

被引:9
作者
Johnson, Coreen [1 ,2 ]
Marquez, Christopher [4 ]
Olson, Damon [5 ]
Ward, Tabitha [2 ]
Cheney, Stephen [2 ]
Hulten, Tina [3 ]
Ton, Trang [1 ]
Webb, C. R. [1 ]
Dunn, James [1 ,2 ]
机构
[1] Texas Childrens Hosp, Dept Pathol, Houston, TX 77030 USA
[2] Baylor Coll Med, Dept Pathol & Immunol, Houston, TX 77030 USA
[3] Baylor Coll Med, Sect Infect Dis, Dept Pediat, Houston, TX 77030 USA
[4] Mayo Clin, Dept Lab Med & Pathol, Jacksonville, FL 32224 USA
[5] Childrens Minnesota, Dept Pathol, Minneapolis, MN 55404 USA
关键词
cerebrospinal fluid; Kingella kingae; multiplex PCR; osteoarticular infection; pleural fluid; synovial fluid; POLYMERASE-CHAIN-REACTION; KINGELLA-KINGAE; SEPTIC ARTHRITIS; OSTEOARTICULAR INFECTIONS; DIAGNOSIS; CHILDREN; SEROTYPES;
D O I
10.2217/fmb-2022-0226
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Aim: To assess the performance characteristics of a lab-developed multiplex PCR assay for the detection of common bacterial pathogens associated with infections in pediatric patients from normally sterile sites, such as cerebrospinal fluid, synovial and pleural fluids. Materials & methods: A total of 272 specimens were tested by PCR and traditional culture methods to assess the presence of Neisseria meningitidis, Streptococcus pneumoniae, Streptococcus pyogenes, methicillin-sensitive and methicillin-resistant Staphylococcus aureus, and Kingella kingae. Results: Compared with culture, the overall positive and negative percentage agreement of the PCR were 95.9% and 74.1%, respectively. Conclusion: This sterile body fluid PCR affords a rapid and sensitive alternative for bacterial detection, allowing for more timely pathogen-directed antimicrobial therapy.
引用
收藏
页码:187 / 195
页数:9
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