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Bacteriology

Evaluation of a Rapid PCR Assay for Diagnosis of Meningococcal Meningitis

David C. Richardson, Lisa Louie, Marie Louie, Andrew E. Simor
David C. Richardson
Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
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Lisa Louie
Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
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Marie Louie
Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
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Andrew E. Simor
Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
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  • For correspondence: andrew.simor@sw.ca
DOI: 10.1128/JCM.41.8.3851-3853.2003
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Tables

  • TABLE 1.

    Primer sets used for detection of the meningococcus-specific insertion sequence IS 1106, the meningococcal capsular transfer gene (ctrA), and the meningococcal sialyltransferase gene (siaD)

    Primer (reference)Primer sequence (5′ -3′)Amplicon size(s) (bp)
    IS1106-F (13)ATT ATT CAG ACC GCC GGC AG
    IS1106-RTGC CGT CCT GCA ACT GAT GT331
    ctrA-F (11)GCT GCG GTA GGT GGT TCA A
    ctrA-RTTG TCG CGG ATT TGC AAC TA111
    siaD B-F (11)CTC TCA CCC TCA ACC CAA TGT C
    siaD B-RTGT CGG CGG AAT AGT AAT AAT GTT457
    siaD C-F (11)GCA CAT TCA GGC GGG ATT AG
    siaD C-RTCT CTT GTT GGG CTG TAT GGT GTA442
    siaD W-135/Y-F (11)CAA ACG GTA TCT GAT GAA ATG CTG GAA G698a
    siaD W-135/Y-RTTA AAG CTG CGC GGA AGA ATA GTG AAA T438, 260b
    16S-FAGA GTT TGA TCA TGG CTC AG
    16S-RGGA CTA CCA GGG TAT CTA AT798
    • ↵ a Following restriction with XbaI. Size given is for primer W-135.

    • ↵ b Following restriction with XbaI. Sizes given are for primer Y.

  • TABLE 2.

    Test characteristics of Gram staining, culture, and PCR of CSF for diagnosis of meningococcal meningitis in 38 infected patients

    TestNo. of samplesSensitivity (%)Specificity (%)NPVa (%)PPVb (%)
    PositiveNegative
    Gram staining25136610095100
    Culture21175510093100
    Gram staining culture3358710098100
    PCR3719799.699.697
    • ↵ a Negative predictive value.

    • ↵ b Positive predictive value.

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Evaluation of a Rapid PCR Assay for Diagnosis of Meningococcal Meningitis
David C. Richardson, Lisa Louie, Marie Louie, Andrew E. Simor
Journal of Clinical Microbiology Aug 2003, 41 (8) 3851-3853; DOI: 10.1128/JCM.41.8.3851-3853.2003

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Evaluation of a Rapid PCR Assay for Diagnosis of Meningococcal Meningitis
David C. Richardson, Lisa Louie, Marie Louie, Andrew E. Simor
Journal of Clinical Microbiology Aug 2003, 41 (8) 3851-3853; DOI: 10.1128/JCM.41.8.3851-3853.2003
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KEYWORDS

Meningitis, Meningococcal
Neisseria meningitidis
polymerase chain reaction

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