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Journal of Clinical Microbiology, June 1999, p. 1980-1984, Vol. 37, No. 6
Division of Vector-Borne Infectious Diseases,
Centers for Disease Control and Prevention, Public Health Service,
U.S. Department of Health and Human Services, Fort Collins, Colorado
80522
Received 3 November 1998/Returned for modification 25 January
1999/Accepted 4 March 1999
The "gold standard" for identifying Yersinia
pestis-infected fleas has been inoculation of mice with pooled
flea material. Inoculated mice are monitored for 21 days, and those
that die are further analyzed for Y. pestis infection by
fluorescent-antibody assay and/or culture. PCR may provide a more rapid
and sensitive alternative for identifying Y. pestis in
fleas. To compare these assays, samples were prepared from 381 field-collected fleas. Each flea was analyzed individually by both PCR
and mouse inoculation. Sixty of the 381 flea samples were positive for
Y. pestis by PCR; 48 of these PCR-positive samples caused
death in mice (80.0% agreement). None of the 321 PCR-negative samples
caused death. Among the 12 mice that survived inoculation with
PCR-positive samples, 10 were later demonstrated by serology or culture
to have been infected with Y. pestis. This suggests that
death of inoculated mice is less reliable than PCR as an indicator of
the presence of Y. pestis in flea samples. Mouse
inoculation assays produce results that are comparable to PCR only when
surviving as well as dead mice are analyzed for infection. The rapidity
and sensitivity (10 to 100 CFU of Y. pestis) of PCR suggest
that it could serve as a useful alternative to mouse inoculation for
routine plague surveillance and outbreak investigations.
0095-1137/99/$04.00+0
PCR Detection of Yersinia pestis in
Fleas: Comparison with Mouse Inoculation
*
Corresponding author. Mailing address: DVBID/CDC, PHS,
U.S. Dept. of Health & Human Services, P. O. Box 2087, Fort
Collins, CO 80522. Phone: (970) 221-6450. Fax: (970) 221-6476. E-mail: klg0{at}cdc.gov.
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