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Journal of Clinical Microbiology, 03 1996, 575-578, Vol 34, No. 3
SW Hla, KP Hui, WC Tan and B Ho
The respiratory tracts of bronchiectasis patients may be persistently
colonized with Pseudomonas aeruginosa, despite intensive chemotherapy. The
organism may undergo phenotypic changes in these patients, providing
misleading typing results by conventional methods. We prospectively studied
eight bronchiectasis patients without cystic fibrosis over a period of 1
year. A high microbial load of P. aeruginosa was found in 70% of sputum
samples collected. Of these, 55 sequential P. aeruginosa isolates were
characterized by a genotyping method, pulsed-field gel electrophoresis, to
overcome the problem of differentiating the P. aeruginosa strains during
chemotherapy. Genome macrorestriction fingerprinting patterns were analyzed
after digestion with XbaI restriction endonuclease. Of the eight patients,
six harbored a single dominant strain of P. aeruginosa, with an
intrapatient macrorestriction similarity pattern range of 96 to 100%. The
other two patients were infected with mixed bacterial isolates including P.
aeruginosa. However, diversity was observed in the P. aeruginosa isolates
from all eight patients, with a relatedness of only 55 to 65%. The study
further strengthens the fact that pulsed-field gel electrophoresis can be
used efficiently and effectively to differentiate P. aeruginosa strains in
bronchiectasis patients without cystic fibrosis.
Copyright © 1996 by the American Society for Microbiology. All rights reserved.
Genome macrorestriction analysis of sequential Pseudomonas aeruginosa isolates from bronchiectasis patients without cystic fibrosis
Department of Medicine and Department of Microbiology, National University of Singapore.
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