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Tötsch, M; Schmid, KW; Brömmelkamp, E; Stücker, A; Puelacher, C; Sidoroff, G; Mikuz, G; Böcker, W; Dockhorn-Dworniczak, B.
Rapid detection of mycobacterial DNA in clinical samples by multiplex PCR.
Diagn Mol Pathol. 1994; 3(4):260-264 Doi: 10.1097/00019606-199412000-00008
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Tötsch Martin
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Abstract:
Triplex-polymerase chain reaction technique (PCR) was developed for the detection and identification of mycobacterial DNA sequences in uncultured clinical samples. A 123 bp fragment corresponding to a specific Mycobacterium tuberculosis sequence complex, a 383 bp DNA fragment encoding for part of the 65 kD mycobacterial surface antigen, and a 268 bp fragment of the human beta-globin gene to demonstrate the presence of suitable DNA were amplified by triplex PCR. To demonstrate the applicability of this method, 206 alcohol-fixed, paraffin-embedded sputum samples from 47 patients with culture-proven tuberculosis were investigated. Of 206 samples, 157 were PCR positive, resulting in correct diagnosis of tuberculosis in 46 of 47 (97.8%) patients. Furthermore, 165 alcohol-fixed, auramin-stained sputum smears were examined in a blind trial. Triplex PCR revealed tuberculosis in 20 of 21 samples from patients with tuberculosis. In comparison, cultures were positive in 20 of 21 samples, and acid-fast organisms were found by microscopy in 18 of 21 samples. We conclude that triplex PCR is a rapid and sensitive technique for the detection of mycobacterial DNA in uncultured clinical samples and offers equivalent sensitivity (95.2%) and specificity (98.6%) as do culture methods.
Find related publications in this database (using NLM MeSH Indexing)
Base Sequence -
DNA Primers -
DNA, Bacterial - analysis
Electrophoresis, Polyacrylamide Gel -
Gene Amplification -
Globins - genetics
Humans -
Molecular Sequence Data -
Mycobacterium tuberculosis - genetics
Paraffin Embedding -
Polymerase Chain Reaction - methods
Sputum - chemistry Sputum - microbiology
Tissue Fixation -
Tuberculosis - diagnosis

Find related publications in this database (Keywords)
MYCOBACTERIA
MYCOBACTERIUM TUBERCULOSIS
MULTIPLEX PCR
UNCULTURED CLINICAL SAMPLES
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