Title |
A multiplex real-time PCR assay for rapid detection and differentiation of 25 bacterial and fungal pathogens from whole blood samples
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Published in |
Medical Microbiology and Immunology, November 2007
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DOI | 10.1007/s00430-007-0063-0 |
Pubmed ID | |
Authors |
Lutz Eric Lehmann, Klaus-Peter Hunfeld, Thomas Emrich, Gerd Haberhausen, Heimo Wissing, Andreas Hoeft, Frank Stüber |
Abstract |
Early detection of bloodstream infections (BSI) is crucial in the clinical setting. Blood culture remains the gold standard for diagnosing BSI. Molecular diagnostic tools can contribute to a more rapid diagnosis in septic patients. Here, a multiplex real-time PCR-based assay for rapid detection of 25 clinically important pathogens directly from whole blood in <6 h is presented. Minimal analytical sensitivity was determined by hit rate analysis from 20 independent experiments. At a concentration of 3 CFU/ml a hit rate of 50% was obtained for E. aerogenes and 100% for S. marcescens, E. coli, P. mirabilis, P. aeruginosa, and A. fumigatus. The hit rate for C. glabrata was 75% at 30 CFU/ml. Comparing PCR identification results with conventional microbiology for 1,548 clinical isolates yielded an overall specificity of 98.8%. The analytical specificity in 102 healthy blood donors was 100%. Although further evaluation is warranted, our assay holds promise for more rapid pathogen identification in clinical sepsis. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Germany | 2 | <1% |
United States | 2 | <1% |
Spain | 2 | <1% |
United Kingdom | 1 | <1% |
Belgium | 1 | <1% |
Unknown | 208 | 96% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 44 | 20% |
Student > Master | 36 | 17% |
Student > Ph. D. Student | 32 | 15% |
Student > Bachelor | 17 | 8% |
Student > Doctoral Student | 16 | 7% |
Other | 41 | 19% |
Unknown | 30 | 14% |
Readers by discipline | Count | As % |
---|---|---|
Agricultural and Biological Sciences | 57 | 26% |
Medicine and Dentistry | 43 | 20% |
Biochemistry, Genetics and Molecular Biology | 25 | 12% |
Engineering | 17 | 8% |
Immunology and Microbiology | 13 | 6% |
Other | 24 | 11% |
Unknown | 37 | 17% |