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Journal of Clinical Microbiology, July 2003, p. 3293-3298, Vol. 41, No. 7
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.7.3293-3298.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.

Rapid Detection of Candida albicans in Clinical Blood Samples by Using a TaqMan-Based PCR Assay

Younes Maaroufi,1 Corine Heymans,1 Jean-Marc De Bruyne,1 Valerie Duchateau,1 Hector Rodriguez-Villalobos,2 Michel Aoun,1 and Françoise Crokaert1*

Department of Microbiology and Infectious Diseases, Institut Jules Bordet, 1000 Brussels,1 Department of Microbiology, Hôpital Erasme, 1070 Brussels, Belgium2

Received 31 May 2002/ Returned for modification 24 July 2002/ Accepted 14 March 2003

We describe a rapid and reproducible PCR assay for quantitation of the Candida albicans ribosomal DNA (rDNA) in clinical blood samples based on the TaqMan principle (Applied Biosystems), in which a signal is generated by cleavage of a template-specific probe during amplification. We used two fluorogenic probes based on universal, fungus-specific primers, one for the detection of C. albicans species DNA and one for the detection of all Candida genus DNA. C. albicans blastoconidia mixed with whole blood in a titration experiment yielded a linear PCR signal over a range of 3 orders of magnitude. The TaqMan-based PCR assay for C. albicans exhibited a low limit of detection (5 CFU/ml of blood) and an excellent reproducibility (96 to 99%). While the C. albicans species-specific probe had 100% specificity for C. albicans, all Candida genus-specific probes cross-reacted with other organisms likely to coinfect patients with C. albicans infections. On the basis of these data, we determined the C. albicans loads with a species-specific probe from 122 blood samples from 61 hematology or oncology patients with clinically proven or suspected systemic Candida infections. Eleven positive samples exhibited a wide range of C. albicans loads, extending from 5 to 100,475 CFU/ml of blood. The sensitivity and specificity of the present assay were 100 and 97%, respectively, compared with the results of blood culture. These data indicate that the TaqMan-based PCR assay for quantitation of C. albicans with a species-specific probe provides an attractive alternative for the identification and quantitation of C. albicans rDNA in pure cultures and blood samples.


* Corresponding author. Mailing address: Department of Microbiology and Infectious Diseases, Institut Jules Bordet, Rue Héger-Bordet 1, 1000 Brussels, Belgium. Phone: 322 541 3700. Fax: 322 541 3295. E-mail: francoise.crokaert{at}bordet.be.


Journal of Clinical Microbiology, July 2003, p. 3293-3298, Vol. 41, No. 7
0095-1137/03/$08.00+0     DOI: 10.1128/JCM.41.7.3293-3298.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.




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