Table 2. Comparison of results obtained by culture, direct sequencing with a single universal primer pair and direct sequencing with the group-specific primer pairs.
ID | Sample type | Culture* | Universal primer | Group-specific primers | Antibiotic† |
1 | Abscess brain | Fusobacterium nucleatum | CX, RI | ||
Gemella haemolysans/morbillorum | |||||
Parvimonas sp.‡ | Parvimonas sp. | ||||
Streptococcus constellatus | Streptococcus intermedius | S. intermedius | |||
2 | Abscess brain | F. nucleatum | CX, RI | ||
S. constellatus | S. intermedius | S. intermedius | |||
3 | Abscess brain | Aggregatibacter aphrophilus | CX, MZ | ||
Eikenella sp. | |||||
F. nucleatum‡ | F. nucleatum | ||||
F. nucleatum subsp. polymorphum | |||||
Neisseria elongata | |||||
Peptostreptococcus sp. | Parvimonas micra | P. micra | |||
Streptococcus milleri group | S. intermedius | S. intermedius | |||
4 | Abscess brain | No growth | Actinomyces meyeri | CT, MZ | |
Campylobacter gracilis | |||||
F. nucleatum‡ | F. nucleatum | ||||
Prevotella pleuritidis | |||||
S. intermedius | S. intermedius | ||||
5 | Abscess brain | A. meyeri | A. meyeri | – | |
C. gracilis | C. gracilis | ||||
Eikenella sp. | |||||
F. nucleatum | Fusobacterium sp. | Fusobacterium sp. | |||
Peptostreptococcus sp. | Peptostreptococcus sp. | ||||
6 | Abscess liver | E. coli | E. coli/Shigella spp. | E. coli/Shigella spp. | AM |
Enterococcus faecium | E. faecium/durans | E. faecium/durans | |||
Klebsiella sp. | |||||
Lactobacillus rhamnosus | |||||
Staphylococcus haemolyticus | S. haemolyticus | ||||
7 | Abscess liver | G. haemolysans | PT | ||
Prevotella melaninogenica | P. melaninogenica | ||||
Streptococcus mitis group | S. mitis group | ||||
Streptococcus parasanguinis | |||||
S. haemolyticus | |||||
8 | Abscess liver§ | No growth | Clostridium perfringens | C. perfringens | CT |
E. coli/Shigella spp. | E. coli/Shigella spp. | ||||
9 | Abscess muscle | Eikenella corrodens | – | ||
F. nucleatum‡ | F. nucleatum | ||||
P. micra | |||||
Porphyromonas circumdentaria | |||||
Porphyromonas endodontalis | P. endodontalis | ||||
Streptococcusmilleri group | S. constellatus/intermedius | ||||
10 | Abscess ovarian§ | F. nucleatum | F. nucleatum | F. nucleatum | – |
Peptostreptococcus sp. | Parvimonas sp. | Parvimonas sp. | |||
11 | Abscess pancreas | Bacteroides fragilis | B. fragilis | B. fragilis | IP |
E. faecium | E. faecium | ||||
12 | Abscess pancreas | A. meyeri | IP | ||
Campylobacter concisus | |||||
P. melaninogenica | P. melaninogenica/histicola | ||||
Prevotella histicola | |||||
CNS | Staphylococcus epidermidis | S. epidermidis | |||
13 | Abscess para-aortic | Corynebacterium appendicis | – | ||
Diphtheroid | Corynebacterium tuberculostearicum | C. tuberculostearicum | |||
CNS | S. haemolyticus | S. haemolyticus | |||
14 | Abscess psoas | No growth | Enterobacter hormaechei | E. hormaechei | MP |
E. faecium | |||||
15 | Abscess spleen | Enterococcus sp. | Enterococcus casseliflavus/gallinarum‡ | E. casseliflavus/gallinarum | Unknown |
E. coli/Shigella spp. | |||||
E. faecalis | E. faecalis | ||||
F. nucleatum | |||||
S. anginosus | |||||
Staphylococcus epidermidis | S. epidermidis | ||||
16 | Abscess subcut.§ | E. faecium | E. faecium | E. faecium | CI, OX |
Finegoldia magna | F. magna | F. magna | |||
17 | Abscess retro-peritoneal§ | E. faecium | E. faecium/hirae | E. faecium/hirae | CI, MZ, LZ |
Klebsiella pneumoniae | K. pneumoniae | ||||
18 | Bile§ | E. coli | E. coli/Shigella spp. | E. coli/Shigella spp. | CT, MZ |
F. nucleatum | F. nucleatum | ||||
19 | Bile | E. caccae | IP | ||
Enterococcus sp. | E. casseliflavus/gallinarum | E. casseliflavus/gallinarum | |||
E. faecalis | |||||
CNS | S. epidermidis | S. epidermidis | |||
20 | Empyema | No growth | P. micra‡ | P. micra | PT |
Prevotella nigrescens | |||||
Peptostreptococcus stomatis | P. stomatis | ||||
S. anginosus | S. anginosus | ||||
21 | Empyema§ | C. gracilis | C. gracilis | CT, GE, PC | |
Fusobacterium sp. | Fusobacterium sp. | ||||
S. intermedius | S. intermedius | S. intermedius | |||
22 | Empyema | F. nucleatum | F. nucleatum | CT, PC | |
C. gracilis | |||||
P. micra | P. micra | ||||
S. intermedius | S. intermedius | S. intermedius | |||
23 | Empyema | C. gracilis | CI, CL | ||
F. nucleatum | |||||
Haemophilus parainfluenzae | |||||
P. melaninogenica‡ | P. melaninogenica | ||||
P. micra | |||||
S. constellatus | S. constellatus | ||||
diphtheroid | |||||
CNS | |||||
24 | Empyema | C. gracilis | C. gracilis | PC | |
E. corrodens | E. corrodens | ||||
P. micra | |||||
Prevotella pleuritidis | P. pleuritidis | ||||
S. intermedius | |||||
S. parasanguinis | |||||
25 | Empyema | Prevotella sp. | P. nigrescens | P. nigrescens | CT |
Prevotella veroralis | P. veroralis | ||||
Anaerobic Gram+ve rod | Dialister invisus | ||||
Dialister micraerophilus | |||||
P. micra |
CNS, coagulase negative Staphylococcus.
Antibiotics: –, no treatment; AM, amoxicillin; CI, ciprofloxacin; CL, clindamycin; CT, cefotaxime; CX, ceftriaxone; GE, gentamicin; IP, imipenem; LZ, linezolid; MP, meropenem; MZ, metronidazole; OX, oxacillin; PC, penicillin-G; PT, piperacillin-tazobactam; RI, rifampicin; VA, vancomycin.
Chromatogram too complex to allow for complete analysis. Only dominant peaks included.
Samples with identical results for standard direct sequencing and group-specific direct sequencing.