The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Diagnosis of Streptococcus pneumoniae meningitis by polymerase chain reaction amplification of the gene for pneumolysin
Open accessAbstract
Diagnosis of bacterial meningitis has long been based on classical methods of Gram stain, serological tests, and culture of cerebrospinal fluid (CSF). The performance of these methods, especially culture and direct smear is thwarted by failure to detect bacteria following administration of antimicrobial agents and reluctance to performance lumbar punctures at admission. Indeed, patients with meningitis frequently receive antibiotics orally or by injection before the diagnosis is suspected or established Thus an alternative method has become necessary to help clinicians and epidemiologists to management and control of bacterial meningitis. We evaluate the application of a polymerase chain reaction-based (PCR) assay for amplification of pneumolysin gene (ply) to diagnosis of Streptococcus pneumoniae meningitis. The PCR assay sensitivity for CSF was 96% (95% confidence interval, CI, 90-99%) compared to a sensitivity of 59% for culture (95% CI 49-69%), 66% for Gram stain (95% CI 56-74%), and 78% for latex agglutination test (95% CI 69-86%); PCR specificity was 100% (95% CI 83-100%). PCR results were available within 4 h of the start of the assay. This molecular approach proved to be reliable and useful to identify this bacterium compared with other classical laboratory methods for identification of bacterial meningitis pathogens.
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“The reported sensitivity of PCR for pneumococcal meningitis is high and reached 100% in the majority of conducted studies (median of 100%, range 79%–100%) (Table 1; see also Table S1 in the supplemental material) (49–58).”
From Molecular diagnostics in cerebrospinal fluid for the diagnosis of central nervous system infections (2024) · cites this paper as [56]
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The role of pneumolysin in pneumococcal pneumonia and meningitis
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Chatelet, I. P. D., Traore, Y., Gessner, B. D., Antignac, A., Naccro, B., Njanpop-Lafourcade, B.-M., Ouedraogo, M. S., Tiendrebeogo, S. R., Varon, E., & Taha, M. K. (2005) · Clinical Infectious Diseases · doi:10.1086/426436 · Cited by 158
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Molecular diagnostics in cerebrospinal fluid for the diagnosis of central nervous system infections
Olie, S. E., Andersen, C. Ø., van de Beek, D., & Brouwer, M. C. (2024) · Clinical Microbiology Reviews · doi:10.1128/cmr.00021-24 · Cited by 38
“Controls usually consisted of bacterial meningitis cases due to other pathogens and reported specificity compared to culture was between 93% and 100% with a median of 98% (50, 52, 53, 55, 56).”
Metadata
- Authors
- Matos, J. D. A., Madureira, D. J., Rebelo, M. C., Hofer, C. B., & Barroso, D. E.
- Affiliations
- Universidade Federal do Rio de Janeiro (BR)
- Fundação Oswaldo Cruz (BR)
- Instituto Estadual de Infectologia São Sebastião, Brasil
- ORCID
- Hofer, Cristina B
- Venue
- Memórias do Instituto Oswaldo Cruz
- Publisher
- FapUNIFESP (SciELO)
- Published
- 2006-08
- Volume
- 101
- Issue
- 5
- Pages
- 559-563
- ISSN
- 0074-0276 (ISSN-L)
- OpenAlex
- W2060512313
- Cited by
- 12
- References
- 21
- Citations by year
- 2024: 2 · 2023: 1 · 2022: 1 · 2019: 1 · 2015: 1 · 2012: 2
- FWCI
- 0.46
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc
- Locations
- Memórias do Instituto Oswaldo Cruz (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (publishedVersion, other-oa)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, other-oa)
- Bioline International (Bioline International) (submittedVersion)
- Americanae (AECID Library) (submittedVersion, other-oa)
- Arca - Repositório Institucional da Fiocruz (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Microbiology (medical) › Bacterial Identification and Susceptibility Testing
- Life Sciences › Immunology and Microbiology › Microbiology › Bacterial Infections and Vaccines
- Health Sciences › Medicine › Epidemiology › Pneumonia and Respiratory Infections
- Keywords
- Streptococcus pneumoniae, bacterial meningitis, PCR diagnosis, cerebrospinal fluid, molecular diagnosis, sensitivity and specificity, latex agglutination test, antibiotic pretreatment
- MeSH terms
- Adolescent, Adult, Aged, Bacterial Proteins, Child, Child, Preschool, DNA, Bacterial, Female, Humans, Immunoenzyme Techniques, Infant, Male, Meningitis, Pneumococcal, Middle Aged, Predictive Value of Tests, Sensitivity and Specificity, Streptococcus pneumoniae, Streptolysins, Polymerase Chain Reaction, Culture Techniques
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