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Methods for detecting Gemmata spp. bacteremia in the microbiology laboratory
Jacques-Robert Christen1,2, Edwin Edmond1, Michel Drancourt3
1URMITE, UMR CNRS 7278, IRD 198, INSERM 1095, IHU Méditerranée Infection, Aix Marseille Université, 19-21 Bd Jean Moulin, 13005, Marseille, France.
Detecting Gemmata bacteria in blood is challenging. New laboratory methods, including specific culture and quantitative PCR, show promise for identifying Gemmata bacteremia, which may be under-documented.
Area of Science:
- Microbiology
- Clinical Diagnostics
- Human Microbiome Research
Background:
- Gemmata bacteria (Gemmata obscuriglobus, Gemmata massiliana) are Gram-negative, aerobic bacteria.
- These Planctomycetes are found in the human digestive tract and water.
- Detection of Gemmata in patients with febrile neutropenia suggests Gemmata bacteremia may be under-recognized.
Purpose of the Study:
- To develop effective laboratory protocols for detecting Gemmata species (spp.) bacteremia.
- To evaluate different methods for identifying Gemmata in blood samples.
Main Methods:
- Development and comparison of three detection methods: automated microbial detection, culture on solid medium (Caulobacter agar), and quantitative polymerase chain reaction (PCR).
- Testing using mock-infected and control blood specimens.
Main Results:
- Automated blood culture systems failed to detect Gemmata spp.
- Culturing detected Gemmata obscuriglobus at ≥10^2 bacteria/mL and Gemmata massiliana at ≥10^4 bacteria/mL.
- Quantitative real-time PCR detected 10^2 Gemmata bacteria/mL.
Conclusions:
- Standard automated blood cultures are insufficient for Gemmata bacteremia detection.
- Specific culture and quantitative PCR methods are effective for identifying Gemmata spp. in blood.
- These protocols can aid in investigating the epidemiology of Gemmata bacteremia.
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