Cited by 50Bacterial Infections and VaccinesBacterial Identification and Susceptibility TestingStreptococcal Infections and Treatments

The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.

Real-time PCR for detection of Streptococcus suis serotype 2 in cerebrospinal fluid of human patients with meningitis

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Abstract

Streptococcus suis serotype 2 is an emerging zoonotic pathogen and is the main cause of acute bacterial meningitis in adult patients in Vietnam. We developed an internally controlled real-time PCR for detection of S. suis serotype 2 in cerebrospinal fluid (CSF) samples targeted at the cps2J gene. Sensitivity and specificity in culture-confirmed clinical samples were 100%. The PCR detected S. suis serotype 2 infection in 101 of 238 (42.4%) prospectively collected CSF samples, of which 55 (23%) were culture positive. Culture-negative but PCR-positive CSF samples were significantly associated with the use of antimicrobial agents before admission. S. suis serotype 2 infection was more common than infections with Streptococcus pneumoniae and Neisseria meningitidis combined. Our results strikingly illustrate the additional diagnostic value of PCR in patients who are pretreated with antimicrobial agents and demonstrate the extremely high prevalence of S. suis infections among Vietnamese adult patients with bacterial meningitis.

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Metadata

Authors
Nga, T. V. T., Nghia, H. D. T., Tu, L. T. P., Diep, T. S., Mai, N. T. H., Chau, T. T. H., Sinh, D. X., Phu, N. H., Nga, T. T. T., Chau, N. V. V., Campbell, J., Hoa, N. T., Chinh, N. T., Hien, T. T., Farrar, J., & Schultsz, C.
Affiliations
  • Oxford University Clinical Research Unit (VN)
  • Pham Ngoc Thach University of Medicine (VN)
  • Amsterdam UMC Location University of Amsterdam (NL)
Corresponding author
Schultsz, Constance
Venue
Diagnostic Microbiology and Infectious Disease
Publisher
Elsevier BV
Published
2011-08
Volume
70
Issue
4
Pages
461-467
ISSN
0732-8893 (ISSN-L)
OpenAlex
W2006391185
Cited by
50
References
17
Citations by year
2026: 2 · 2025: 3 · 2024: 2 · 2023: 1 · 2022: 4 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 3 · 2017: 2 · 2016: 5 · 2015: 6 · 2014: 6 · 2013: 5 · 2012: 5
FWCI
5.34
Type
journal article
Language
en
Open access
Locations
  • Diagnostic Microbiology and Infectious Disease (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Pure Amsterdam UMC (publishedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Greater South Information System
Funders
Wellcome Trust
Topics
  • Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
  • Health Sciences › Medicine › Microbiology (medical) › Bacterial Identification and Susceptibility Testing
  • Health Sciences › Medicine › Infectious Diseases › Streptococcal Infections and Treatments
Keywords
Streptococcus suis serotype 2, bacterial meningitis, cerebrospinal fluid, real-time PCR, zoonotic pathogens, culture-negative meningitis, Streptococcus pneumoniae, Neisseria meningitidis, sensitivity and specificity, Vietnam
MeSH terms
Adult, Bacteriological Techniques, Cerebrospinal Fluid, Female, Humans, Male, Middle Aged, Sensitivity and Specificity, Streptococcal Infections, Vietnam, Prevalence, Polymerase Chain Reaction, Meningitis, Bacterial, Streptococcus suis

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