在中耳炎的细菌病原体的分子分析与输出
J C Post1, R A Preston, J J Aul
1Department of Otolaryngology, University of Pittsburgh, PA 15261, USA.
JAMA
|May 24, 1995
概括
聚合酶链反应 (PCR) 在77.3%的儿科中耳输液样本中检测到细菌DNA,即使培养是负的. 这表明PCR是一种有价值的工具,用于识别出泄漏的中耳炎中的细菌存在.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 微生物学 微生物学
- 分子诊断学 分子诊断学
背景情况:
- 慢性中耳炎与溢出 (OME) 在儿童中很常见.
- 标准的细菌培养通常无法检测OME中的病原体.
- 准确的病原体鉴定对于有效的治疗至关重要.
研究的目的:
- 评估聚合酶链反应 (PCR) 在检测细菌DNA方面的有效性.
- 为了将PCR结果与中耳液的标准培养方法进行比较.
- 在文化无菌的儿科OME样本中调查细菌的存在.
主要方法:
- 进行了一项单中心,盲目,比较研究.
- 针对Moraxella catarrhalis,Haemophilus influenzae和Streptococcus pneumoniae的PCR试验被开发和验证.
- 通过培养和PCR分析了97个儿科中耳喷液样本.
主要成果:
- 在97个中耳液样本中,PCR检测到77.3%的细菌DNA.
- 48%的标本是PCR阳性,但对目标细菌的培养是负的.
- 培养负样本显示至少有>10^4个细菌基因组等价物.
结论:
- 基于PCR的测试有效地检测出在显著比例的文化无菌中耳喷液中的细菌DNA.
- 培养负样本中的高细菌负载表明有活跃的传染过程.
- PCR提供了一种更敏感的方法,用于识别儿科OME中的细菌病原体.
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