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2009 | 58 | 1 |

Tytuł artykułu

Evaluation of real-time PCR method for rapid diagnosis of brucellosis with different clinical manifestations

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
In this study, we tested the advantages of TaqMan real time PCR technique and compare it to conventional methods using serum samples from patients with different clinical forms of brucellosis. A total of 50 patients were included in the study. Blood culture using BACTEC 9240 system, Standard Wright's tube agglutination, and real time PCR methods were used. Control blood samples from 30 people with no history of brucellosis or exposure to Brucella spp. were examined too. Serological assay was positive for 49 patients (98%). Forty-four (88%) of the 50 patients had a positive PCR result, whereas Brucella spp were isolated from blood cultures of 18 patients (36%). STA test was all positive for focal brucellosis. Real time PCR test was positive in 9 patients with focal disease (90%), whereas blood culture was positive only in 4 patients (40%). The sensitivity, specificity, positive and negative predictive values of the real time PCR method were calculated as 88%, 100%, 100%, and 83%, respectively. Our results suggest that the high sensitivity and specificity of real time PCR method make it a useful tool for diagnosis of brucellosis with different clinical manifestations.

Wydawca

-

Rocznik

Tom

58

Numer

1

Opis fizyczny

p.15-19,ref.

Twórcy

autor
  • Celal Bayar University, School of Medicine, Manisa, Turkey
autor
autor
autor
autor
autor

Bibliografia

  • Debeaumont C, P.A. Falconnet and M. Maurin. 2005. Real time PCR for detection of Brucella spp. DNA in human serum samples. Eur. J. Clin. Microbiol. Infect. Dis. 24: 842-45.
  • Doganay M. and B. Aygen. 2003. Human brucellosis: an over-view. Int J Infect Dis. 7: 173-82.
  • Franco M.P., M. Mulder , R.H. Gilman and H.L. Smits. 2007. Human brucellosis. Lancet Infect. Dis. 7: 755-86.
  • Kattar M.M., P.A. Zalloua, G.F. Araj, J. Samaha-Kfoury, H. Shbaklo, S.K. Kanj, S. Khalife and M. Deeb. 2007. Development and evaluation of real time polymerase chain reaction assays on whole blood and paraffin-embedded tissues for rapid diagnosis of human brucellosis. Diagn. Microbiol. Infect. Dis. 59: 23-32.
  • Mert A., R. Ozaras , F. Tabak , M. Bilir , M. Yýlmaz, C. Kurt, S. Ongoren, M. Tanriverdi and R. Ozturk. 2003. The sensitivity and specificity of Brucella agglutination tests. Diagn. Microbiol. Infect. Dis. 46: 241-43.
  • Ministry of Health of Turkey. Annual Health Statistics, 2006 (www.saglik.gov.tr).
  • Morata P., M.I. Queipo-Ortuno, J.M. Reguera, F. Miralles, J.J. Lopez-Gonzales and J.D. Colmenero. 2001. Diagnostic yield of a PCR assay in focal complications of brucellosis. J. Clin. Microbiol. 39: 3743-46.
  • Moyer N. and P.L.A. Holcomb. 1995. Brucella. In: Murray PR, Baron EJ, Pfaller MA, Tanover FC, Yolken RH, eds. Manual of clinical microbiology. 6th ed. Washington. DC: American Society for Microbiology.
  • Navarro E., J. Escribano, J.A. Fernandez and J. Solera. 2002. Comparison of three PCR methods for detection of Brucella spp. In human blood samples. FEMS Immun. Med. Microbiol. 34: 147-151.
  • Navarro E., M.A. Casao and J. Solera. 2004. Diagnosis of human brucellosis using PCR. Expert Rev. Mol. Diagn. 4: 115-125.
  • Ozkurt Z., M.A. Tasyaran, A. Kaya. 2002. Detection of Brucella mellitensis by the BacT/Alert automated system and Brucella broth culture. Clin. Microbiol. Infect. 8: 749-52.
  • Ozturk R., A. Mert, F. Kocak, R. Ozaras, F. Koksal, F. Tabak, M. Bilir and Y. Ahtuglu. 2002. The diagnosis of brucellosis by use of BACTEC 9240 blood culture system. Diagn. Microbiol. Infect. Dis. 44: 133-35.
  • Pappas G., P. Papadimitrou, N. Akritidis, L Christou and E.V. Tsiano. 2006. The new global map of human brucellosis. Lancet Infect. Dis. 6: 91-99.
  • Queipo-Ortuno M.I., J.D. Colmenero, G. Baeza and P. Morata. 2005a. Comparison between Lightcycler real time polymerase chain reaction (PCR) assay with serum and PCR-Enzyme linked immunosorbent assay with whole blood samples for the diagnosis of human brucellosis. Clin. Infect. Dis. 40: 260-64.
  • Queipo-Ortuno M.I., J.D. Colmenero, J.M. Reguera, M.A. Garcia-Ordonez, M.E. Pachon, M. Gonzalez and P. Morata. 2005b. Rapid diagnosis of human brucellosis by SYBR Green I-based real-time PCR assay and melting curve analysis in serum samples. Clin. Microbiol. Infect. 11: 713-718.
  • Vrioni G., C. Gartzonika, A. Kostoula, C. Boboyianni, C. Papadopoulou and S. Levidiotou. 2004. Application of a polymerase chain reaction enzyme immunoassay in peripheral whole blood and serum specimens for diagnosis of acute human brucellosis. Eur. J. Clin. Microbiol. Infect Dis. 23: 194-99.
  • World Health Organization. Fact Sheet N173. World Health Organization, Geneva, Switzerland 1997.
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Typ dokumentu

Bibliografia

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