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Comparison of the sensitivity of culture, PCR and quantitative real-time PCR for the detection of Pseudomonas aeruginosa in sputum of cystic fibrosis patients
Authors:Pieter Deschaght  Thierry De Baere  Leen Van Simaey  Sabine Van daele  Frans De Baets  Daniel De Vos  Jean-Paul Pirnay  Mario Vaneechoutte
Institution:(1) Laboratory for Bacteriology Research (LBR), Ghent University Hospital, University of Ghent, Ghent, Belgium;(2) Cystic Fibrosis Centre, Department Pediatric Pulmonology, Ghent University Hospital, University of Ghent, Ghent, Belgium;(3) Laboratory for Molecular and Cellular Technology (LabMCT), Burn Wound Center, Queen Astrid Military Hospital, Brussels, Belgium
Abstract:

Background  

Pseudomonas aeruginosa is the major pathogen involved in the decline of lung function in cystic fibrosis (CF) patients. Early aggressive antibiotic therapy has been shown to be effective in preventing chronic colonization. Therefore, early detection is important and sensitive detection methods are warranted. In this study, we used a dilution series of P. aeruginosa positive sputa, diluted in a pool of P. aeruginosa negative sputa, all from CF patients - to mimick as closely as possible the sputa sent to routine laboratories - to compare the sensitivity of three culture techniques versus that of two conventional PCR formats and four real-time PCR formats, each targeting the P. aeruginosa oprL gene. In addition, we compared five DNA-extraction protocols.
Keywords:
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