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Journal of Clinical Microbiology, December 1999, p. 3860-3864, Vol. 37, No. 12
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
Large-Scale Survey of Campylobacter
Species in Human Gastroenteritis by PCR and PCR-Enzyme-Linked
Immunosorbent Assay
A. J.
Lawson,
J.
M. J.
Logan,
G. L.
O'neill,
M.
Desai, and
J.
Stanley*
Molecular Biology Unit, Virus Reference
Division, Central Public Health Laboratory, London NW9 5HT, United
Kingdom
Received 4 June 1999/Returned for modification 17 August
1999/Accepted 13 September 1999
A PCR-based study of the incidence of enteropathogenic
campylobacter infection in humans was done on the basis of a detection and identification algorithm consisting of screening PCRs and species
identification by PCR-enzyme-linked immunosorbent assay. This was
applied to DNA extracted from 3,738 fecal samples from patients with
sporadic cases of acute gastroenteritis, submitted by seven regional
Public Health Laboratories in England and Wales over a 2-year period.
The sending laboratories had cultured "Campylobacter spp." from 464 samples. The PCR methodologies detected 492 Campylobacter-positive samples, and the combination of
culture and PCR yielded 543 Campylobacter-positive samples.
There was identity (overlap) for 413 samples, but 79 PCR-positive
samples were culture negative, and 51 culture-positive samples were PCR
negative. While there was no statistically significant difference
between PCR and culture in detection of C. jejuni-C. coli
(PCR, 478 samples; culture, 461 samples), PCR provided unique data
about mixed infections and non-C. jejuni and
non- C. coli campylobacters. Mixed infections with
C. jejuni and C. coli were found in 19 samples,
and mixed infection with C. jejuni and C. upsaliensis was found in one sample; this was not apparent from culture. Eleven cases of gastroenteritis were attributed to C. upsaliensis by PCR, three cases were attributed to C. hyointestinalis, and one case was attributed to C. lari. This represents the highest incidence of C. hyointestinalis yet reported from human
gastroenteritis, while the low incidence of C. lari
suggests that it is less important in this context.
*
Corresponding author. Mailing address: Molecular
Biology Unit, Virus Reference Division, Central Public Health
Laboratory, 61 Colindale Ave., London NW9 5HT, United Kingdom. Phone:
0208 2004400, ext. 3090. Fax: 0208 2001569. E-mail:
sevenwoods{at}hotmail.com.
Journal of Clinical Microbiology, December 1999, p. 3860-3864, Vol. 37, No. 12
0095-1137/99/$04.00+0
Copyright © 1999, American Society for Microbiology. All rights reserved.
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