TY - JOUR
T1 - Cultivation-independent approach for the direct detection of bacteria in human clinical specimens as a tool for analysing culture-negative samples
T2 - a prospective study
AU - Aguilera-Arreola, Ma Guadalupe
AU - Martínez-Peña, Marcos Daniel
AU - Hernández-Martínez, Fabiola
AU - Juárez Enriques, Sara R.
AU - Rico Verdín, Beatriz
AU - Majalca-Martínez, Cristina
AU - Castro-Escarpulli, Graciela
AU - Albarrán-Fernández, Enrique
AU - Serrano-López, S. Cecilia
N1 - Publisher Copyright:
© 2016, Aguilera-Arreola et al.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Administration of empirical antibiotic therapy prior to microbiological diagnosis is thought to be associated the failure of subsequent bacterial growth in culture. The aim of this study was to detect bacterial pathogens via direct amplification and sequencing of the 16S rDNA gene in samples showing negative culture results as alternative diagnostic tools to troubleshoot difficult samples. Twenty-three (7.66 %) positive samples were detected, most of which were monomicrobial infections; 15 of the cases were identified as HAIs, 6 had catheter colonisation, and 2 had sample colonisation. The pathogens identified included Escherichia, Salmonella, Pseudomonas spp., Enterococcus spp. and coagulase-negative staphylococci (CoNS). The most frequent infections were bacteraemia and urinary tract infection, but meningitis, warm infection and soft tissue infection were also documented. These findings emphasise the efficacy and usefulness of molecular diagnosis, thus 16S rDNA gene analysis is strongly indicated by HAIs diagnostics.
AB - Administration of empirical antibiotic therapy prior to microbiological diagnosis is thought to be associated the failure of subsequent bacterial growth in culture. The aim of this study was to detect bacterial pathogens via direct amplification and sequencing of the 16S rDNA gene in samples showing negative culture results as alternative diagnostic tools to troubleshoot difficult samples. Twenty-three (7.66 %) positive samples were detected, most of which were monomicrobial infections; 15 of the cases were identified as HAIs, 6 had catheter colonisation, and 2 had sample colonisation. The pathogens identified included Escherichia, Salmonella, Pseudomonas spp., Enterococcus spp. and coagulase-negative staphylococci (CoNS). The most frequent infections were bacteraemia and urinary tract infection, but meningitis, warm infection and soft tissue infection were also documented. These findings emphasise the efficacy and usefulness of molecular diagnosis, thus 16S rDNA gene analysis is strongly indicated by HAIs diagnostics.
KW - 16S rDNA
KW - Broad-range PCR
KW - Culture-negative
KW - Direct sequencing
KW - Hospital-acquired infections
UR - http://www.scopus.com/inward/record.url?scp=84961184071&partnerID=8YFLogxK
U2 - 10.1186/s40064-016-1949-3
DO - 10.1186/s40064-016-1949-3
M3 - Artículo
SN - 2193-1801
VL - 5
JO - SpringerPlus
JF - SpringerPlus
IS - 1
M1 - 332
ER -