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2002 | 54 | 3 |

Tytuł artykułu

Reakcja amplifikacji bakteryjnego DNA w diagnostyce infekcyjnego zapalenia wsierdzia

Warianty tytułu

Języki publikacji

PL

Abstrakty

PL
The aim of this study was to evaluate the usefulness of broad-range bacterial PCR in infective endocarditis of bacterial etiology, and to determine its specificity and sensitivity. Twenty five blood samples were taken for analysis from patients with infective endocarditis and acquired valvular heart disease. Infective endocarditis was diagnosed according to Duke criteria. There were two control groups consisting of patients with acquired valvular heart disease: 10 patients with urinary tract infection and 15 patients without. Three different primer pairs for the region of the gene coding for 16S rRNA were tested, to find the most specific one. The highest specificity was found for F/R primers, as the relevant amplified PCR product was present in every blood sample with infective endocarditis, and also in 4 out of 10 patients with urinary tract infection. Broad-range PCR in bacterial endocarditis is a fast, sensitive and inexpensive tool for the detection of bacteria, but it is far more prone to contamination than species specific-PCR. However, in controlled conditions it may be valuable in the identification of non-specific infection allowing for a more rapid clinical diagnosis of endocarditis.

Wydawca

-

Rocznik

Tom

54

Numer

3

Opis fizyczny

s.265-272,tab.,bibliogr.

Twórcy

  • Instytut Kardiologii, Warszawa
autor

Bibliografia

  • 1. Dixon SC, Horti J, Guo Y i inni. Methods for extracting and amplifying genomicDNA isolated from frozen serum. Nat Biotechnol 1998; 16: 91-94.
  • 2. Goldcnberger D., Kunzli A., Vogt P i inni. Molecular diagnosis of bacterial endocarditis by broad-range PCR amplification and direct sequencing. J Clin Microbiol 1997; 11: 2733-39.
  • 3. Greisen K, Loeffelholz M, Purohit A i inni. PCR primers and probes for the 16S Rrna gene of most species of pathogenic bacteria, including bacteria found in cerebrospinal fluid. J Clin Microbiol 1994; 2: 335-51.
  • 4. Habib G, Derumeaux G, Avierinos JF i inni. Value and limitations of the Duke criteria for the diagnosis of infective endocarditis. JACC 1999; 33: 2023.
  • 5. Kane TD, Alexander JW, Johannigman JA. The detection of microbial DNA in the blood. A sensitive method for diagnosing bacteriemia and/or bacterial translocation in surgical patients. Annals of Surgery 1998; 1: 1-9.
  • 6. Klausegger A, Hell M, Berger A i inni. Gram type-specific broad-range PCR amplification for rapid detection of 62 pathogenic bacteria. J. Clin. Microbiol. 1999; 2: 464-66.
  • 7. Laforgia N, Coppola B, Carbone R i inni. Rapid detection of neonatal sepsis using polymerase chain reaction. Acta Paediatr 1997; 86: 1097-99.
  • 8. Meier A., Persing DH, Finken M, i inni. Elimination of contaminating DNA within polymerase chain reaction reagents: implications for a general approach to detection of uncultured pathogens. J Clin Microbiol 1993; 3: 646-52.
  • 9. Mercier B, Gaucher C, Feugeas O i inni. Direct PCR from whole blood, without DNA extraction. Nuc Acids Res 1990; 19: 5908.
  • 10. Miller BC, Altwegg M, Raoult D i inni. Culture-negative endocarditis-causes, diagnosis and treatment. Rev Med Microbiol 2000; 2: 59-75.
  • 11. Moore J, Milar C. Is the polymerase chain reaction a useful tool or an expensive toy in culture-negative endocarditis? Commun Dis Public Health 2000; 3: 81-83.
  • 12. Otto CM. Infective endocarditis.; w: Valvular heart disease, ed. WB Saunders, Philadephia, 1999; 417-50.
  • 13. Rawczyńska-Englert I, Hryniewiecki T, Dzierżanowska D. Evaluation of serum cytokine concentrations in patients with infective endocarditis. J Heart Valve Dis 2000; 9: 705-09.
  • 14. Rawczyńska-Englert I., Meszaros J. Zakażenia w kardiochirurgii, w: Chemioterapia zakażeń chirurgicznych, red. T. Tołłoczko, J. Jeljaszewicz, Med Tour Press, Warszawa 1995; 144.
  • 15. Trotha R., Konig B. Sequencing 16S-rRNA gene fragments to identify bacteria for medical microbiology. Qiagen News. 1999; 5: 8-10.
  • 16. Wilbrink B, Heijden IM, Schouls LM i inni. Detection of bacterial DNA in joint samples from patients with undifferentiated arthritis and reactive arthritis, using polymerase chain reaction with universal 16S ribosomal RNA primers. Arthritis & Rheumatism. 1998; 3: 535-43.

Typ dokumentu

Bibliografia

Identyfikatory

Identyfikator YADDA

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