title: PCR-based assay for differentiation of Pseudomonas aeruginosa from other Pseudomonas species recovered from cystic fibrosis patients.
abstract: Pseudomonas aeruginosa is the major opportunistic bacterial pathogen in persons with cystic fibrosis (CF); pulmonary infection occurs in approximately 80% of adult CF patients. Much of CF patient management depends on accurate identification of P. aeruginosa from sputum culture. However, identification of this species may be problematic due to the marked phenotypic variability demonstrated by CF sputum isolates and the presence of other closely related species. To facilitate species identification, we used 16S ribosomal DNA (rDNA) sequence data to design PCR assays intended to provide genus- or species-level identification. Both assays yielded DNA fragments of the predicted size. We tested 42 culture collection strains (including 14 P. aeruginosa strains and 28 strains representing 16 other closely related Pseudomonas species) and 43 strains that had been previously identified as belonging to 28 nonpseudomonal species also recovered from CF patient sputum. Based on these 85 strains, the specificity and sensitivity of both assays were 100%. To further assess the utility of the PCR assays, we tested 66 recent CF sputum isolates. The results indicated that preliminary phenotypic testing had misidentified several isolates. The 16S rDNA sequence was determined for 38 isolates, and in all cases it confirmed the results of the PCR assays. Thus, we have designed two PCR assays: one is specific for the genus Pseudomonas, while the other is specific for P. aeruginosa. Both assays show 100% sensitivity and specificity.
authors.affiliation: Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, Michigan, 48109. Laboratorium voor Microbiologie, Universiteit Gent, Ghent, Belgium.
authors.forename: Theodore
authors.initials: T
authors.lastname: Spilker
authors.forename: Tom
authors.initials: T
authors.lastname: Coenye
authors.forename: Peter
authors.initials: P
authors.lastname: Vandamme
authors.forename: John J
authors.initials: JJ
authors.lastname: LiPuma
mesh_terms: D015373:Bacterial Typing Techniques / Q000706:statistics & numerical data; D001431:Bacteriological Techniques / Q000706:statistics & numerical data; D001483:Base Sequence; D003550:Cystic Fibrosis / Q000150:complications / Q000382:microbiology*; D017931:DNA Primers / Q000235:genetics; D004269:DNA, Bacterial / Q000235:genetics; D006801:Humans; D008969:Molecular Sequence Data; D009894:Opportunistic Infections / Q000150:complications / Q000382:microbiology; D010802:Phylogeny; D016133:Polymerase Chain Reaction / Q000379:methods* / Q000706:statistics & numerical data; D011549:Pseudomonas / Q000145:classification / Q000235:genetics* / Q000302:isolation & purification; D011552:Pseudomonas Infections / Q000150:complications / Q000382:microbiology; D011550:Pseudomonas aeruginosa / Q000145:classification / Q000235:genetics* / Q000302:isolation & purification; D012141:Respiratory Tract Infections / Q000150:complications / Q000382:microbiology; D012680:Sensitivity and Specificity; D013045:Species Specificity
chemical_list: D017931:DNA Primers; D004269:DNA, Bacterial