Abstract
We have developed a novel method for the preparation of fecal specimens for PCR assays. Approximately 100 mg of solid stool or 200 microliters of liquid fecal sample was thoroughly suspended in 1 ml of water. Fecal debris was removed by low-speed centrifugation (2,800 x g for 2 min). The supernatant was then boiled for 10 min in a water bath and further clarified by high-speed centrifugation (12,000 x g for 5 min). Fifty microliters of the clarified supernatant was then purified by Sepharose CL-6B spin column chromatography, and a portion of the purified supernatant was used for PCR. By this method, stools containing enterotoxigenic Escherichia coli H10407 were amplified by colonization factor antigen I fimbrial gene PCR, with a sensitivity of 100 organisms per reaction. The method was also effective for processing stool specimens for Clostridium difficile toxin A and B gene PCRs. This method is rapid, effective, and simple to perform and will improve the applications of PCR to stool specimens for diagnostic purposes.
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- Acuna-Soto R., Samuelson J., De Girolami P., Zarate L., Millan-Velasco F., Schoolnick G., Wirth D. Application of the polymerase chain reaction to the epidemiology of pathogenic and nonpathogenic Entamoeba histolytica. Am J Trop Med Hyg. 1993 Jan;48(1):58–70. doi: 10.4269/ajtmh.1993.48.58. [DOI] [PubMed] [Google Scholar]
- Allard A., Girones R., Juto P., Wadell G. Polymerase chain reaction for detection of adenoviruses in stool samples. J Clin Microbiol. 1990 Dec;28(12):2659–2667. doi: 10.1128/jcm.28.12.2659-2667.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Boondeekhun H. S., Gurtler V., Odd M. L., Wilson V. A., Mayall B. C. Detection of Clostridium difficile enterotoxin gene in clinical specimens by the polymerase chain reaction. J Med Microbiol. 1993 May;38(5):384–387. doi: 10.1099/00222615-38-5-384. [DOI] [PubMed] [Google Scholar]
- Chong S. K., Lou Q., Fitzgerald J. F., Lee C. H. Evaluation of 16S rRNA gene PCR with primers Hp1 and Hp2 for detection of Helicobacter pylori. J Clin Microbiol. 1996 Nov;34(11):2728–2730. doi: 10.1128/jcm.34.11.2728-2730.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Gumerlock P. H., Tang Y. J., Meyers F. J., Silva J., Jr Use of the polymerase chain reaction for the specific and direct detection of Clostridium difficile in human feces. Rev Infect Dis. 1991 Nov-Dec;13(6):1053–1060. doi: 10.1093/clinids/13.6.1053. [DOI] [PubMed] [Google Scholar]
- Gumerlock P. H., Tang Y. J., Weiss J. B., Silva J., Jr Specific detection of toxigenic strains of Clostridium difficile in stool specimens. J Clin Microbiol. 1993 Mar;31(3):507–511. doi: 10.1128/jcm.31.3.507-511.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hornes E., Wasteson Y., Olsvik O. Detection of Escherichia coli heat-stable enterotoxin genes in pig stool specimens by an immobilized, colorimetric, nested polymerase chain reaction. J Clin Microbiol. 1991 Nov;29(11):2375–2379. doi: 10.1128/jcm.29.11.2375-2379.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ibrahim A., Liesack W., Stackebrandt E. Polymerase chain reaction-gene probe detection system specific for pathogenic strains of Yersinia enterocolitica. J Clin Microbiol. 1992 Aug;30(8):1942–1947. doi: 10.1128/jcm.30.8.1942-1947.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Karjalainen T. K., Evans D. G., So M., Lee C. H. Molecular cloning and nucleotide sequence of the colonization factor antigen I gene of Escherichia coli. Infect Immun. 1989 Apr;57(4):1126–1130. doi: 10.1128/iai.57.4.1126-1130.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kato N., Ou C. Y., Kato H., Bartley S. L., Brown V. K., Dowell V. R., Jr, Ueno K. Identification of toxigenic Clostridium difficile by the polymerase chain reaction. J Clin Microbiol. 1991 Jan;29(1):33–37. doi: 10.1128/jcm.29.1.33-37.1991. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kato N., Ou C. Y., Kato H., Bartley S. L., Luo C. C., Killgore G. E., Ueno K. Detection of toxigenic Clostridium difficile in stool specimens by the polymerase chain reaction. J Infect Dis. 1993 Feb;167(2):455–458. doi: 10.1093/infdis/167.2.455. [DOI] [PubMed] [Google Scholar]
- Kuhl S. J., Tang Y. J., Navarro L., Gumerlock P. H., Silva J., Jr Diagnosis and monitoring of Clostridium difficile infections with the polymerase chain reaction. Clin Infect Dis. 1993 Jun;16 (Suppl 4):S234–S238. doi: 10.1093/clinids/16.supplement_4.s234. [DOI] [PubMed] [Google Scholar]
- Marler L. M., Siders J. A., Wolters L. C., Pettigrew Y., Skitt B. L., Allen S. D. Comparison of five cultural procedures for isolation of Clostridium difficile from stools. J Clin Microbiol. 1992 Feb;30(2):514–516. doi: 10.1128/jcm.30.2.514-516.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Olive D. M. Detection of enterotoxigenic Escherichia coli after polymerase chain reaction amplification with a thermostable DNA polymerase. J Clin Microbiol. 1989 Feb;27(2):261–265. doi: 10.1128/jcm.27.2.261-265.1989. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Saulnier P., Andremont A. Detection of genes in feces by booster polymerase chain reaction. J Clin Microbiol. 1992 Aug;30(8):2080–2083. doi: 10.1128/jcm.30.8.2080-2083.1992. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Stacy-Phipps S., Mecca J. J., Weiss J. B. Multiplex PCR assay and simple preparation method for stool specimens detect enterotoxigenic Escherichia coli DNA during course of infection. J Clin Microbiol. 1995 May;33(5):1054–1059. doi: 10.1128/jcm.33.5.1054-1059.1995. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wilde J., Eiden J., Yolken R. Removal of inhibitory substances from human fecal specimens for detection of group A rotaviruses by reverse transcriptase and polymerase chain reactions. J Clin Microbiol. 1990 Jun;28(6):1300–1307. doi: 10.1128/jcm.28.6.1300-1307.1990. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Xu L., Harbour D., McCrae M. A. The application of polymerase chain reaction to the detection of rotaviruses in faeces. J Virol Methods. 1990 Jan;27(1):29–37. doi: 10.1016/0166-0934(90)90143-4. [DOI] [PubMed] [Google Scholar]