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聚合酶链反应在检测脑脊液病原菌中的应用
引用本文:张仙森,喻长法,段达荣,任应鹏,阮荣华,应小明.聚合酶链反应在检测脑脊液病原菌中的应用[J].中华医院感染学杂志,2009,19(22).
作者姓名:张仙森  喻长法  段达荣  任应鹏  阮荣华  应小明
作者单位:台州市第一人民医院检验科,浙江,台州,318020
基金项目:浙江省黄岩科技局资助 
摘    要:目的 应用聚合酶链反应(PCR)建立快速检查方法来检测脑脊液中是否含有病原菌.方法 对138例脑脊液标本,以病原菌16S rRNA基因为靶序列,采用1对通用引物对其进行PCR扩增检测,并同时作细菌培养.结果 138例脑脊液标本中,PCR方法检测出55例,阳性率为39.86%,培养法检出24例,阳性率为17.39%,PCR方法检出率明显高于培养法(P<0.01).结论 该方法具有快速、敏感、特异、准确等优点,是一种可靠的实验手段.

关 键 词:聚合酶链反应  脑脊液  病原菌

Application of Polymerase Chain Reaction in Detection of Pathogens in Cerebrospinal Fluid
ZHANG Xian-sen,YU Chang-fa,DUAN Da-rong,REN Ying-peng,RUAN Rong-hua,YING Xiao-ming.Application of Polymerase Chain Reaction in Detection of Pathogens in Cerebrospinal Fluid[J].Chinese Journal of Nosocomiology,2009,19(22).
Authors:ZHANG Xian-sen  YU Chang-fa  DUAN Da-rong  REN Ying-peng  RUAN Rong-hua  YING Xiao-ming
Abstract:OBJECTIVE To set up a quick method to detect pathogens in cerebrospinal fluid. METHODS The method of polymerase chain reaction (PCR), using a pair of universal primers targeted at the 16S rRNA gene, was adopted to amplify the DNA of bacterium. 138 clinical specimens obtained from patients were examined by PCR method and bacterial culture method. RESULTS The positive rate was 39.86% of PCR and 17.39% of culture, the outcomes had statistical significance (P<0.01). CONCLUSIONS The method of PCR is fast,sensitive, specific and accurate for detecting pathogens.
Keywords:Polymerase chain reaction  Cerebrospinal fluid  Pathogens
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