Evaluation of a Multitarget Real-Time PCR Assay for Detection of Bordetella Species during a Pertussis Outbreak in New Hampshire in 2011
Author(s) -
Fengxiang Gao,
Jennifer C. Mahoney,
Elizabeth R. Daly,
Wendy Lamothe,
Daniel Tullo,
Christine Bean
Publication year - 2013
Publication title -
journal of clinical microbiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.349
H-Index - 255
eISSN - 1070-633X
pISSN - 0095-1137
DOI - 10.1128/jcm.01656-13
Subject(s) - bordetella pertussis , outbreak , pertussis toxin , microbiology and biotechnology , whooping cough , polymerase chain reaction , biology , bordetella , virology , real time polymerase chain reaction , bacteria , g protein , genetics , gene , vaccination , receptor
A multitarget real-time PCR assay with three targets, including insertion sequence481 (IS481 ), IS1001 , and an IS1001 -like element, as well as pertussis toxin subunit S1 (ptxS1 ), for the detection ofBordetella species was evaluated during a pertussis outbreak. The sensitivity and specificity were 77 and 88% (PCR) and 66 and 100% (culture), respectively. All patients with an IS481 CT of <30 also tested positive byptxS1 assay and were clinical pertussis cases. No patients with IS481 CT values of ≥40 tested positive by culture. Therefore, we recommend that culture be performed only for specimens with IS481 CT values of 30 ≤CT <40.
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