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Mol Diagn. 2003;7(3-4):195-200.

PCR-based detection of a cystic fibrosis epidemic strain of Pseudomonas Aeruginosa.

Author information

1
Department of Medical Microbiology and Genitourinary Medicine, University of Liverpool, Liverpool, UK. vivkypanagea@doctors.org.uk

Abstract

BACKGROUND:

The Liverpool epidemic strain (LES) of Pseudomonas aeruginosa is widespread among patients with cystic fibrosis (CF) in specialist centers around Liverpool and elsewhere in the UK. This study evaluates a new diagnostic PCR assay based on a unique DNA sequence (PS21) of LES, for its identification of colonies directly from sputum.

METHODS:

One hundred and fifty-eight sputum samples from 92 patients were cultured and P. aeruginosa isolates were typed by PS21 PCR and pulsed-field gel electrophoresis (PFGE). Subsequently, PS21 PCR was performed directly on sputum and the results were compared with culture, PFGE, and PS21 PCR typing.

RESULTS:

Eighty patients were colonized with P. aeruginosa, 63 by LES (79%). There was 100% concordance between PS21 PCR on colonies and PFGE typing. The sensitivity and specificity of PS21 PCR directly on sputum was 98.2% and 93.6%, respectively.

CONCLUSIONS:

This study shows that PS21 PCR can be used for simple and rapid screening of LES colonization in CF patients.

PMID:
15068391
DOI:
10.1007/bf03260038
[Indexed for MEDLINE]

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