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Comparative Study
, 13 (8), 801-6

Comparison of One-Tube Multiplex PCR, Automated Ribotyping and Intergenic Spacer (ITS) Sequencing for Rapid Identification of Acinetobacter Baumannii

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Comparative Study

Comparison of One-Tube Multiplex PCR, Automated Ribotyping and Intergenic Spacer (ITS) Sequencing for Rapid Identification of Acinetobacter Baumannii

T-L Chen et al. Clin Microbiol Infect.

Abstract

Acinetobacter baumannii has emerged as a serious cause of nosocomial infections. Rapid identification of this pathogen is required so that appropriate therapy can be given and outbreaks controlled. This study evaluated a multiplex PCR and an automated ribotyping system for the rapid identification of Acinetobacter baumannii. In total, 22 different reference strains and 138 clinical isolates of Acinetobacter spp., identified by 16S-23S rRNA intergenic spacer (ITS) sequence analysis, were evaluated. All A. baumannii isolates (82 clinical isolates and one reference strain) were identified by the multiplex PCR method (specificity 100%). The sensitivity and specificity of the ribotyping system for identification of A. baumannii were 85.5% (71/83) and 93.5% (72/77), respectively. An additional 100 clinical isolates belonging to the Acinetobacter calcoaceticus-A. baumannii complex were used to compare these two methods for identification of A. baumannii, and this comparison revealed a level of disagreement of 14% (14 isolates). The accuracy of the multiplex PCR was 100%, which was confirmed by sequence analysis of the ITS and recA gene of these isolates. Thus, the multiplex PCR method dramatically increased the efficiency and speed of A. baumannii identification.

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