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Published on: November 4, 2016
PCR-based identification and strain typing of Pichia anomala using the ribosomal intergenic spacer region IGS1
Sonia Bhardwaj1, Rajeshwari Sutar2, Anand K Bachhawat2
1Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India.
Insights
A new PCR method rapidly identifies Pichia anomala fungal infections in children. This technique accurately distinguishes P. anomala from similar species and confirms outbreak sources, improving patient care.
Area of Science:
- Medical Mycology
- Molecular Biology
- Infectious Diseases
Background:
- Pichia anomala fungaemia outbreaks in pediatric patients necessitate rapid diagnostic tools.
- Accurate identification and strain typing are crucial for outbreak investigation and control.
Purpose of the Study:
- To develop and validate a specific PCR-based method for rapid identification of Pichia anomala.
- To characterize P. anomala isolates at the strain level using molecular techniques.
- To re-evaluate previous outbreak investigations using the new molecular method.
Main Methods:
- Development of a PCR assay targeting the rRNA gene intergenic spacer region 1 (IGS1).
- Application of the PCR method to 106 P. anomala isolates (77 outbreak, 29 post-outbreak).
- Comparative analysis with conventional morphological/biochemical methods and BLAST analysis of ITS sequences.
Main Results:
- The PCR method accurately identified P. anomala isolates.
- Eleven isolates previously misidentified by conventional methods were correctly identified as Pichia guilliermondii (8) and Debaryomyces hansenii (3).
- Strain typing confirmed a point-source outbreak of P. anomala.
Conclusions:
- The developed PCR method offers rapid and accurate identification of P. anomala.
- IGS sequence polymorphisms are valuable for molecular typing and epidemiological studies.
- This approach can be extended for typing other microbial organisms.
Abstract:
Frequent outbreaks of Pichia anomala fungaemia in paediatric patients have warranted the development of a rapid identification system for this organism. This study describes a specific PCR-based method targeting the rRNA gene intergenic spacer region 1 (IGS1) for rapid identification of Pichia anomala isolates and characterization at the strain level. These methods of species identification and strain typing were used on 106 isolates of Pichia anomala (77 from a previously described outbreak and 29 isolated post-outbreak from the same hospital). Using conventional morphological and biochemical methods, 11 strains isolated during the outbreak were misidentified as P. anomala. blast analysis of sequences of internal transcribed spacer (ITS) regions of rRNA genes confirmed that they were Pichia guilliermondii (eight isolates) and Debaryomyces hansenii (three isolates). Strain typing of Pichia anomala isolates confirmed the previous finding of a point-source outbreak. The results suggest that IGS sequences and their polymorphisms could be exploited for similar typing methods in other organisms.
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