Abstract
By using a recently developed PCR-solution hybridization enzyme-linked assay (PCR-SHELA), we investigated Pneumocystis carinii in bronchoalveolar lavage fluid samples and induced sputa of patients with pneumocystosis. In detecting P. carinii, PCR-SHELA proved more sensitive than immunofluorescence staining or a single PCR and significantly more diagnostically specific than a nested PCR. Our data suggest that PCR-SHELA could be used to detect P. carinii organisms in respiratory samples, particularly in patients with uncertain diagnoses.
Full Text
The Full Text of this article is available as a PDF (122.9 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Cartwright C. P., Nelson N. A., Gill V. J. Development and evaluation of a rapid and simple procedure for detection of Pneumocystis carinii by PCR. J Clin Microbiol. 1994 Jul;32(7):1634–1638. doi: 10.1128/jcm.32.7.1634-1638.1994. [DOI] [PMC free article] [PubMed] [Google Scholar]
- De Luca A., Tamburrini E., Ortona E., Mencarini P., Margutti P., Antinori A., Visconti E., Siracusano A. Variable efficiency of three primer pairs for the diagnosis of Pneumocystis carinii pneumonia by the polymerase chain reaction. Mol Cell Probes. 1995 Oct;9(5):333–340. doi: 10.1016/s0890-8508(95)91636-9. [DOI] [PubMed] [Google Scholar]
- King J. A., Ball J. K. Detection of HIV-1 by digoxigenin-labelled PCR and microtitre plate solution hybridisation assay and prevention of PCR carry-over by uracil-N-glycosylase. J Virol Methods. 1993 Sep;44(1):67–76. doi: 10.1016/0166-0934(93)90008-f. [DOI] [PubMed] [Google Scholar]
- Leigh T. R., Kangro H. O., Gazzard B. G., Jeffries D. J., Collins J. V. DNA amplification by the polymerase chain reaction to detect sub-clinical Pneumocystis carinii colonization in HIV-positive and HIV-negative male homosexuals with and without respiratory symptoms. Respir Med. 1993 Oct;87(7):525–529. doi: 10.1016/0954-6111(93)90008-n. [DOI] [PubMed] [Google Scholar]
- Ng V. L., Gartner I., Weymouth L. A., Goodman C. D., Hopewell P. C., Hadley W. K. The use of mucolysed induced sputum for the identification of pulmonary pathogens associated with human immunodeficiency virus infection. Arch Pathol Lab Med. 1989 May;113(5):488–493. [PubMed] [Google Scholar]
- Qiao Z., Miles M. A., Wilson S. M. Detection of parasites of the Leishmania donovani-complex by a polymerase chain reaction-solution hybridization enzyme-linked immunoassay (PCR-SHELA). Parasitology. 1995 Apr;110(Pt 3):269–275. doi: 10.1017/s0031182000080859. [DOI] [PubMed] [Google Scholar]
- Tamburrini E., Mencarini P., De Luca A., Antinori A., Visconti E., Ammassari A., Ortona L., Ortona E., Siracusano A., Vicari G. Simple and rapid two-step polymerase chain reaction for diagnosis of Pneumocystis carinii infection. J Clin Microbiol. 1993 Oct;31(10):2788–2789. doi: 10.1128/jcm.31.10.2788-2789.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tamburrini E., Mencarini P., De Luca A., Maiuro G., Ventura G., Antinori A., Ammassari A., Visconti E., Ortona L., Siracusano A. Diagnosis of Pneumocystis carinii pneumonia: specificity and sensitivity of polymerase chain reaction in comparison with immunofluorescence in bronchoalveolar lavage specimens. J Med Microbiol. 1993 Jun;38(6):449–453. doi: 10.1099/00222615-38-6-449. [DOI] [PubMed] [Google Scholar]
- Tamburrini E., Mencarini P., Visconti E., De Luca A., Zolfo M., Siracusano A., Ortona E., Murri R., Antinori A. Imbalance between Pneumocystis carinii cysts and trophozoites in bronchoalveolar lavage fluid from patients with pneumocystosis receiving prophylaxis. J Med Microbiol. 1996 Aug;45(2):146–148. doi: 10.1099/00222615-45-2-146. [DOI] [PubMed] [Google Scholar]
- Tamburrini E., Mencarini P., Visconti E., Zolfo M., De Luca A., Siracusano A., Ortona E., Wakefield A. E. Detection of Pneumocystis carinii DNA in blood by PCR is not of value for diagnosis of P. carinii pneumonia. J Clin Microbiol. 1996 Jun;34(6):1586–1588. doi: 10.1128/jcm.34.6.1586-1588.1996. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wakefield A. E., Pixley F. J., Banerji S., Sinclair K., Miller R. F., Moxon E. R., Hopkin J. M. Amplification of mitochondrial ribosomal RNA sequences from Pneumocystis carinii DNA of rat and human origin. Mol Biochem Parasitol. 1990 Nov;43(1):69–76. doi: 10.1016/0166-6851(90)90131-5. [DOI] [PubMed] [Google Scholar]
- Wakefield A. E., Pixley F. J., Banerji S., Sinclair K., Miller R. F., Moxon E. R., Hopkin J. M. Detection of Pneumocystis carinii with DNA amplification. Lancet. 1990 Aug 25;336(8713):451–453. doi: 10.1016/0140-6736(90)92008-6. [DOI] [PubMed] [Google Scholar]
- Wilson S. M., McNerney R., Nye P. M., Godfrey-Faussett P. D., Stoker N. G., Voller A. Progress toward a simplified polymerase chain reaction and its application to diagnosis of tuberculosis. J Clin Microbiol. 1993 Apr;31(4):776–782. doi: 10.1128/jcm.31.4.776-782.1993. [DOI] [PMC free article] [PubMed] [Google Scholar]
