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Diagnostic Utility of Broad Range Bacterial 16S rRNA Gene PCR with Degradation of Human and Free Bacterial DNA in Bloodstream Infection Is More Sensitive Than an In-House Developed PCR without Degradation of Human and Free Bacterial DNA
Joint Authors
Rogina, Petra
Skvarc, Miha
Stubljar, David
Kofol, Romina
Kaasch, Achim
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-09
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
We compared a commercial broad range 16S rRNA gene PCR assay (SepsiTest) to an in-house developed assay (IHP).
We assessed whether CD64 index, a biomarker of bacterial infection, can be used to exclude patients with a low probability of systemic bacterial infection.
From January to March 2010, 23 patients with suspected sepsis were enrolled.
CD64 index, procalcitonin, and C-reactive protein were measured on admission.
Broad range 16S rRNA gene PCR was performed from whole blood (SepsiTest) or blood plasma (IHP) and compared to blood culture results.
Blood samples spiked with Staphylococcus aureus were used to assess sensitivity of the molecular assays in vitro.
CD64 index was lower in patients where possible sepsis was excluded than in patients with microbiologically confirmed sepsis ( P = 0.004 ).
SepsiTest identified more relevant pathogens than blood cultures ( P = 0.008 ); in three patients (13%) results from blood culture and SepsiTest were congruent, whereas in four cases (17.4%) relevant pathogens were detected by SepsiTest only.
In vitro spiking experiments suggested equal sensitivity of SepsiTest and IHP.
A diagnostic algorithm using CD64 index as a decision maker to perform SepsiTest shows improved detection of pathogens in patients with suspected blood stream infection and may enable earlier targeted antibiotic therapy.
American Psychological Association (APA)
Rogina, Petra& Skvarc, Miha& Stubljar, David& Kofol, Romina& Kaasch, Achim. 2014. Diagnostic Utility of Broad Range Bacterial 16S rRNA Gene PCR with Degradation of Human and Free Bacterial DNA in Bloodstream Infection Is More Sensitive Than an In-House Developed PCR without Degradation of Human and Free Bacterial DNA. Mediators of Inflammation،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1043312
Modern Language Association (MLA)
Rogina, Petra…[et al.]. Diagnostic Utility of Broad Range Bacterial 16S rRNA Gene PCR with Degradation of Human and Free Bacterial DNA in Bloodstream Infection Is More Sensitive Than an In-House Developed PCR without Degradation of Human and Free Bacterial DNA. Mediators of Inflammation No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1043312
American Medical Association (AMA)
Rogina, Petra& Skvarc, Miha& Stubljar, David& Kofol, Romina& Kaasch, Achim. Diagnostic Utility of Broad Range Bacterial 16S rRNA Gene PCR with Degradation of Human and Free Bacterial DNA in Bloodstream Infection Is More Sensitive Than an In-House Developed PCR without Degradation of Human and Free Bacterial DNA. Mediators of Inflammation. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1043312
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1043312