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Rapid detection of urinary tract infections caused by Proteus spp. using PNA-FISH
C Almeida1, N F Azevedo, J C Bento
1IBB-Institute for Biotechnology and Bioengineering, Centre of Biological Engineering, Universidade do Minho, Campus de Gualtar, 4710-057, Braga, Portugal. carinaalmeida@deb.uminho.pt
Abstract:
We developed a fluorescence in situ hybridization (FISH) method for the rapid detection of Proteus spp. in urine, using a novel peptide nucleic acid (PNA) probe. Testing on 137 urine samples from patients with urinary tract infections has shown specificity and sensitivity values of 98 % (95 % CI, 93.2-99.7) and 100 % (95 % CI, 80,8-100), respectively, when compared with CHROMagar Orientation medium. Results indicate that PNA-FISH is a reliable alternative to traditional culture methods and can reduce the diagnosis time to approximately 2 h.
Insights
A new peptide nucleic acid fluorescence in situ hybridization (PNA-FISH) method rapidly detects Proteus spp. in urine. This reliable PNA-FISH technique offers a faster alternative to traditional urine culture methods for diagnosing urinary tract infections.
Area of Science:
- Clinical microbiology
- Diagnostic molecular biology
Background:
- Urinary tract infections (UTIs) are common, often caused by Proteus species.
- Current diagnostic methods rely on urine culture, which can be time-consuming.
Purpose of the Study:
- To develop and evaluate a rapid fluorescence in situ hybridization (FISH) method for detecting Proteus species in urine samples.
- To assess the performance of a novel peptide nucleic acid (PNA) probe for this application.
Main Methods:
- Development of a PNA-FISH assay utilizing a specific PNA probe for Proteus spp.
- Testing the PNA-FISH assay on 137 clinical urine samples from patients with suspected UTIs.
- Comparison of PNA-FISH results with those obtained from CHROMagar Orientation medium.
Main Results:
- The PNA-FISH method demonstrated high specificity (98%) and sensitivity (100%) for detecting Proteus spp.
- The assay achieved these results compared to the established CHROMagar Orientation medium.
- Diagnosis time was significantly reduced to approximately 2 hours.
Conclusions:
- PNA-FISH is a highly sensitive and specific method for the rapid detection of Proteus species in urine.
- This technique offers a reliable and faster alternative to conventional urine culture methods for UTI diagnosis.
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