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Journal of Clinical Microbiology, July 2000, p. 2683-2687, Vol. 38, No. 7
Infectious Diseases Research Laboratory,
Department of Pathology,1 and Laboratory
of Biochemistry, Department of Physiological
Sciences,5 Universidad Peruana Cayetano
Heredia, and A. B. PRISMA,3
Hospital Dos de Mayo,6 and
Hospital Arzobispo Loayza,7 Lima, Peru;
Department of Obstetrics and Gynecology, Mount Sinai School
of Medicine, New York, New York4; and
Department of International Health, Johns Hopkins University
School of Hygiene and Public Health, Baltimore,
Maryland2
Received 3 January 2000/Returned for modification 25 March
2000/Accepted 29 April 2000
Trichomonas vaginalis remains the most common sexually
transmitted parasite in the world and is considered a major risk factor in the transmission of the human immunodeficiency virus. A PCR technique using primers targeting a specific region of the 18S rRNA
gene of T. vaginalis was developed. The PCR test was
standardized using 15 reference strains, giving a single product of 312 bp in all strains. No amplification was observed when DNA from related organisms or human DNA was used as a target. The test was evaluated on
372 vaginal swab specimens and 361 urine samples from women attending
infertility and obstetric clinics at two separate hospitals in Lima,
Peru. Compared to T. vaginalis culture, the overall
sensitivity and specificity of PCR of vaginal swab samples was 100%
and 98%, respectively. The PCR of urine samples was 100% sensitive
and 99.7% specific compared to culture of vaginal swab, but the
sensitivity drops to 83.3% when compared to PCR of vaginal swabs. All
culture-positive samples were found to be positive by PCR in either
urine or vaginal secretion. None of the PCR-negative samples were
positive by culture. The origin of the amplification was confirmed by
digestion of PCR products with HaeIII. This PCR assay,
which is easy to perform and has a high sensitivity and specificity,
should be useful for routine diagnosis of T. vaginalis infection.
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
18S Ribosomal DNA-Based PCR for Diagnosis of
Trichomonas vaginalis
*
Corresponding author. Mailing address: Department of
International Health, Johns Hopkins University School of Hygiene and Public Health, 615 North Wolfe St., Baltimore, MD 21205. Phone: (410)
614-3959. Fax: (410) 614-5050. E-mail: Rgilman{at}jhsph.edu.
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