Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin

Detalhes bibliográficos
Autor(a) principal: Matos, Juliana de A.
Data de Publicação: 2006
Outros Autores: Madureira, Danielle J., Rebelo, Maria C., Hofer, Cristina B., Barroso, David E.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/39446
Resumo: Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Bacteriologia. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Serviço de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.
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spelling Matos, Juliana de A.Madureira, Danielle J.Rebelo, Maria C.Hofer, Cristina B.Barroso, David E.2020-01-23T11:25:09Z2020-01-23T11:25:09Z2006MATOS, Juliana de A. et al. Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 101, n. 5, p. 559-563, Aug. 2006.0074-0206https://www.arca.fiocruz.br/handle/icict/3944610.1590/s0074-027620060005000141678-8060engFundação Oswaldo Cruz. Instituto Oswaldo CruzStreptococcus pneumoniaeMeningiteReação em cadeia da polimeraseStreptococcus pneumoniaeMeningitisPolymerase chain reactionPneumolysin ply geneDiagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysininfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Bacteriologia. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Serviço de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Bacteriologia. Rio de Janeiro, RJ, Brasil.Instituto Estadual de Infectologia São Sebastião. Rio de Janeiro, RJ, Brasil.Universidade Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Serviço de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Bacteriologia. Rio de Janeiro, RJ, BrasilDiagnosis of bacterial meningitis has long been based on classical methods of Gram stain, serological tests, and culture of cerebrospinal fluid (CSF). The performance of these methods, especially culture and direct smear is thwarted by failure to detect bacteria following administration of antimicrobial agents and reluctance to performance lumbar punctures at admission. Indeed, patients with meningitis frequently receive antibiotics orally or by injection before the diagnosis is suspected or established Thus an alternative method has become necessary to help clinicians and epidemiologists to management and control of bacterial meningitis. We evaluate the application of a polymerase chain reaction-based (PCR) assay for amplification of pneumolysin gene (ply) to diagnosis of Streptococcus pneumoniae meningitis. The PCR assay sensitivity for CSF was 96% (95% confidence interval, CI, 90-99%) compared to a sensitivity of 59% for culture (95% CI 49-69%), 66% for Gram stain (95% CI 56-74%), and 78% for latex agglutination test (95% CI 69-86%); PCR specificity was 100% (95% CI 83-100%). PCR results were available within 4 h of the start of the assay. This molecular approach proved to be reliable and useful to identify this bacterium compared with other classical laboratory methods for identification of bacterial meningitis pathogens.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/39446/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALDavidEBarros_DanieleMadureira_etal_IOC_2006.pdfDavidEBarros_DanieleMadureira_etal_IOC_2006.pdfapplication/pdf444806https://www.arca.fiocruz.br/bitstream/icict/39446/2/DavidEBarros_DanieleMadureira_etal_IOC_2006.pdf97461485b3c55268237223d5cde1e042MD52TEXTDavidEBarros_DanieleMadureira_etal_IOC_2006.pdf.txtDavidEBarros_DanieleMadureira_etal_IOC_2006.pdf.txtExtracted 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dc.title.pt_BR.fl_str_mv Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
title Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
spellingShingle Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
Matos, Juliana de A.
Streptococcus pneumoniae
Meningite
Reação em cadeia da polimerase
Streptococcus pneumoniae
Meningitis
Polymerase chain reaction
Pneumolysin ply gene
title_short Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
title_full Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
title_fullStr Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
title_full_unstemmed Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
title_sort Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
author Matos, Juliana de A.
author_facet Matos, Juliana de A.
Madureira, Danielle J.
Rebelo, Maria C.
Hofer, Cristina B.
Barroso, David E.
author_role author
author2 Madureira, Danielle J.
Rebelo, Maria C.
Hofer, Cristina B.
Barroso, David E.
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Matos, Juliana de A.
Madureira, Danielle J.
Rebelo, Maria C.
Hofer, Cristina B.
Barroso, David E.
dc.subject.other.pt_BR.fl_str_mv Streptococcus pneumoniae
Meningite
Reação em cadeia da polimerase
topic Streptococcus pneumoniae
Meningite
Reação em cadeia da polimerase
Streptococcus pneumoniae
Meningitis
Polymerase chain reaction
Pneumolysin ply gene
dc.subject.en.pt_BR.fl_str_mv Streptococcus pneumoniae
Meningitis
Polymerase chain reaction
Pneumolysin ply gene
description Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Departamento de Bacteriologia. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Hospital Universitário Clementino Fraga Filho. Serviço de Doenças Infecciosas e Parasitárias. Rio de Janeiro, RJ, Brasil.
publishDate 2006
dc.date.issued.fl_str_mv 2006
dc.date.accessioned.fl_str_mv 2020-01-23T11:25:09Z
dc.date.available.fl_str_mv 2020-01-23T11:25:09Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv MATOS, Juliana de A. et al. Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 101, n. 5, p. 559-563, Aug. 2006.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/39446
dc.identifier.issn.pt_BR.fl_str_mv 0074-0206
dc.identifier.doi.none.fl_str_mv 10.1590/s0074-02762006000500014
dc.identifier.eissn.none.fl_str_mv 1678-8060
identifier_str_mv MATOS, Juliana de A. et al. Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin. Memórias do Instituto Oswaldo Cruz, Rio de Janeiro, v. 101, n. 5, p. 559-563, Aug. 2006.
0074-0206
10.1590/s0074-02762006000500014
1678-8060
url https://www.arca.fiocruz.br/handle/icict/39446
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Fundação Oswaldo Cruz. Instituto Oswaldo Cruz
publisher.none.fl_str_mv Fundação Oswaldo Cruz. Instituto Oswaldo Cruz
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