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Journal of Clinical Microbiology, July 2000, p. 2488-2493, Vol. 38, No. 7
Departments of Medical Microbiology and
Infectious Diseases, Leiden University Medical Center, Leiden, The
Netherlands
Received 2 November 1999/Returned for modification 16 February
2000/Accepted 10 April 2000
Five typing methods, including biotyping (API ID32;
BioMérieux, Marcy l'Etoile, France), quantitative antibiogram
typing based on actual zone sizes, plasmid typing, randomly amplified polymorphic DNA (RAPD) analysis (with primer M13 and primer set ERIC-2-1026), and pulsed-field gel electrophoresis (PFGE), were compared with a previously performed method of DNA fingerprinting by
AFLP (amplified fragment length polymorphism analysis) for their
performance in the typing of blood isolates of Staphylococcus epidermidis. Sixteen epidemiologically unrelated strains and 11 sets of four blood culture isolates from 11 patients with septicemia were used. The stabilities and reproducibilities of the patterns, the
discriminatory capacities of the methods, and the ability to apply the
methods to blood culture isolates were used as performance criteria.
All strains tested were typeable by each method, and the patterns were
stable and reproducible. The numbers of different types within the
collection of 16 epidemiologically different isolates were 5 by
biotyping, 14 by antibiogram typing, 4 by plasmid typing, 9 by the RAPD
assay (combination of results with primer M13 and primer set
ERIC-2-1026), and 16 by PFGE. Within the 11 sets of four blood culture
isolates the types found by quantitative antibiogram typing, plasmid
typing, and PFGE were unique for each set, whereas by biotyping and
RAPD analysis some types were observed in more than one set. The
results of biotyping did not correspond with the results of the other
methods or the results of AFLP. For 6 of the 11 sets, the results of
all methods except those of biotyping corresponded completely.
Quantitative antibiogram typing, PFGE, and AFLP proved to be the most
accurate of the six typing methods tested.
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Performance of Phenotypic and Genotypic Methods To
Determine the Clinical Relevance of Serial Blood Isolates of
Staphylococcus epidermidis in Patients with
Septicemia
*
Corresponding author. Present address: Laboratory for
Clinical Microbiology, Medical Center Alkmaar, P.O. Box 501, 1800 AM Alkmaar, The Netherlands. Phone: 31 72 548 3671. Fax: 31 72 548 2186. E-mail: j.h.sloos{at}mca.alkmaar.nl.
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