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Bacteriology

Rapid Detection of Penicillin-Resistant Streptococcus pneumoniae in Cerebrospinal Fluid by a Seminested-PCR Strategy

Mignon du Plessis, Anthony M. Smith, Keith P. Klugman
Mignon du Plessis
MRC, SAIMR, WITS, Pneumococcal Diseases Research Unit, Department of Medical Microbiology and School of Pathology, South African Institute for Medical Research, Johannesburg, 2000, South Africa
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Anthony M. Smith
MRC, SAIMR, WITS, Pneumococcal Diseases Research Unit, Department of Medical Microbiology and School of Pathology, South African Institute for Medical Research, Johannesburg, 2000, South Africa
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Keith P. Klugman
MRC, SAIMR, WITS, Pneumococcal Diseases Research Unit, Department of Medical Microbiology and School of Pathology, South African Institute for Medical Research, Johannesburg, 2000, South Africa
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DOI: 10.1128/JCM.36.2.453-457.1998
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    Fig. 1.

    Agarose gel electrophoresis of PCR-amplified DNA fragments of the pbp2B gene from S. pneumoniae. Lane M, molecular size markers (in base pairs). The penicillin MICs for the isolates are as follows: 0.03 μg/ml (lane 1), 0.125 μg/ml (lane 2), 0.5 μg/ml (lane 3), 1 μg/ml (lane 4), and 2 μg/ml (lane 5).

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    Fig. 2.

    Primer binding sites in the S. pneumoniae pbp2B gene. P5 and P6 represent species-specific primers. R1 to R4 represent the four resistance primers.

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    Fig. 3.

    Agarose gel electrophoresis of PCR-amplified DNA fragments of the pbp2B gene from S. pneumoniae. Lane M, molecular size marker (in base pairs). Lane 1, negative control; lane 2, penicillin-susceptible S. pneumoniae. Primer combinations are as follows: R1 + P5 + P6 (lane 3), R3 + P5 + P6 (lane 4), R1 + R3 + P5 + P6 (lane 5), R2 + P5 + P6 (lane 6), R4 + P5 + P6 (lane 7), and R2 + R4 + P5 + P6 (band C is poorly visible) (lane 8). (A) A 682-bp species-specific product arising from amplification with primers P5 and P6. (B) A 328- to 334-bp products arising from amplification with primers R1 to R3 and P6. (C) A 214-bp product arising from amplification with primers R4 and P6. (D) Amplification products produced as a result of annealing between a resistance product(s) and the 682-bp product and which are subsequently extended by Taq DNA polymerase to produce a larger product (±900 to 1,000 bp).

Tables

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  • Table 1.

    Properties of pneumococcal isolatesa

    IsolateHospitalSpecimenSerotypeYr of isolationPenicillin MIC (μg/ml)
    69602RXHT/Asp619872
    50800RXHB/C619902
    45525BHB/C1419922
    47937RXHSpt1919920.125
    47921RXHSpt1419922
    47926RXHE/S619920.125
    14309RXHE/S1419870.03
    24984RXHE/S2319902
    20396RXHB/C619960.25
    20482BHB/C1919960.125
    20713BHB/C2319962
    20402RXHB/C619960.25
    20685NJHB/C1419960.125
    12569BHB/C2319912
    22453BHCSF1419894
    85697BHB/C1919882
    48478BHCSF1919894
    4916THG/juice2319882
    17283MCTSpt1419871
    65372THG/juice1919872
    23252BHB/C119960.03
    23253BHB/C119960.03
    23255BHB/C119960.03
    23254BHB/C119960.03
    23241HHB/C1019960.03
    23312BBHE/S1919960.125
    23474NJHB/C1519960.03
    23475NJHB/C1219960.03
    23380NJHB/C519960.03
    23328BHB/C319960.03
    9833ErmeloB/C1919954
    8303VDSpt2319954
    10036BHCSF2319950.5
    • ↵a Abbreviations: B/C, blood culture; T/Asp, tracheal aspirate; G/juice, gastric juice; E/S, ear swab; Spt, sputum; BH, Baragwanath Hospital; HH, Hillbrow Hospital; NJH, New Johannesburg Hospital; MCT, Medical School Observatory, Cape Town; BBH, Boksburg Benoni Hospital; VD, Van Drimmelen Laboratories; RXH, Red Cross Hospital; TH, Tshepong Hospital.

  • Table 2.

    Sequences of oligonucleotide primers

    PrimeraSequence (5′→3′)Position in pbp2B genebProduct length (bp) following PCR with downstream primer P6
    R1 GCCTTTTCTAGGCCAATGCCGATTAC 697–722331
    R2 GCCTACGATTCATTCCCGATT 700–720328
    R3 AAATTGGCATATGGATCTTTTCCT 694–717334
    R4 GTTTTAACTAACAATTTAGAATCC 814–837214
    P5 CTGACCATTGATTTGGCTTTCCAA 346–369682
    P6 TTTGCAATAGTTGCTACATACTG 1006–1028
    • ↵a Primers P5 and P6 are specific for pneumococci. Primers R1 to R4 are specific for penicillin-resistant pneumococci only.

    • ↵b According to the published sequences of Smith and Klugman (31).

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Rapid Detection of Penicillin-Resistant Streptococcus pneumoniae in Cerebrospinal Fluid by a Seminested-PCR Strategy
Mignon du Plessis, Anthony M. Smith, Keith P. Klugman
Journal of Clinical Microbiology Feb 1998, 36 (2) 453-457; DOI: 10.1128/JCM.36.2.453-457.1998

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Rapid Detection of Penicillin-Resistant Streptococcus pneumoniae in Cerebrospinal Fluid by a Seminested-PCR Strategy
Mignon du Plessis, Anthony M. Smith, Keith P. Klugman
Journal of Clinical Microbiology Feb 1998, 36 (2) 453-457; DOI: 10.1128/JCM.36.2.453-457.1998
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KEYWORDS

Aminoacyltransferases
Bacterial Proteins
Carrier Proteins
Hexosyltransferases
Muramoylpentapeptide Carboxypeptidase
Penicillin Resistance
Peptidyl Transferases
Pneumococcal Infections
polymerase chain reaction
Streptococcus pneumoniae

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