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Journal of Clinical Microbiology, February 2000, p. 830-838, Vol. 38, No. 2
Max von Pettenkofer-Institut für
Hygiene und Medizinische Mikrobiologie, Ludwig Maximilians
Universität München, D-80336 Munich, Germany
Received 30 July 1999/Returned for modification 20 September
1999/Accepted 20 October 1999
Using fluorescent in situ hybridization (FISH) with rRNA-targeted
fluorescently labelled oligonucleotide probes, pathogens were rapidly
detected and identified in positive blood culture bottles without
cultivation and biotyping. In this study, 115 blood cultures with a
positive growth index as determined by a continuous-reading automated
blood culture system were examined by both conventional laboratory
methods and FISH. For this purpose, oligonucleotide probes that allowed
identification of approximately 95% of those pathogens typically
associated with bacteremia were produced. The sensitivity and
specificity of these probes were 100%. From all 115 blood cultures,
microorganisms were grown after 1 day and identification to the family,
genus, or species level was achieved after 1 to 3 days while 111 samples (96.5%) were similarly identified by FISH within 2.5 h.
Staphylococci were identified in 62 of 62 samples, streptococci and
enterococci were identified in 19 of 20 samples,
gram-negative rods were identified in 28 of 30 samples, and fungi were
identified in two of two samples. Thus, FISH is an appropriate
method for identification of pathogens grown in blood cultures from
septicemic patients.
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Fluorescent In Situ Hybridization Allows Rapid
Identification of Microorganisms in Blood Cultures
*
Corresponding author. Mailing address: Max von
Pettenkofer-Institut, Ludwig Maximilians Universität,
Pettenkoferstr. 9a, D-80336 Munich, Germany. Phone: 0049-89-51605280. Fax: 0049-89-51605223. E-mail:
Autenrieth{at}m3401.mpk.med.uni-muenchen.de.
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