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Clinical and Diagnostic Laboratory Immunology, March 1998, p. 219-224, Vol. 5, No. 2
Division of Otologic Research, Department of
Otolaryngology, College of Medicine, The Ohio State University,
Columbus, Ohio,1 and Departments of
Pathology2 and
Otolaryngology,
Received 29 May 1997/Returned for modification 18 July
1997/Accepted 11 December 1997
Multiplex PCR analyses for both bacterial and viral pathogens were
conducted in a blinded manner on 33 archival specimens, of known
culture status, procured from chinchilla models of both single- and
mixed-pathogen-induced otitis media and from a pediatric patient. These specimens had been maintained at
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
Blinded Multiplex PCR Analyses of Middle Ear and Nasopharyngeal
Fluids from Chinchilla Models of Single- and Mixed-Pathogen-Induced
Otitis Media
70°C for up to 6 years. Experimental specimens evaluated included middle-ear effusions,
nasopharyngeal lavage fluids and middle-ear lavage fluids from animals
which were immunologically naive, sham-immunized or actively immunized
with nontypeable Haemophilus influenzae antigens. Sampling
times used ranged from the day of bacterial or viral challenge to 42 days after challenge. Initial PCR analyses of the 33 specimens matched
the traditional culture data in 24 instances (73%), correctly
identifying nontypeable H. influenzae, Moraxella
catarrhalis, Streptococcus pneumoniae, or adenovirus as the causative agent. A PCR-positive signal for the microbe(s) inoculated was also obtained in four animal model specimens (12%) which were culture negative. One of two culture-negative human effusions was also PCR positive. Thus, overall, results obtained by
blinded PCR were 85% concordant with traditional culture methods or
correctly indicated the specific pathogen introduced in four specimens
that were sterile. In no instance was a false-positive signal obtained
for any of the five etiologic agents being evaluated. We conclude that
the multiplex PCR analyses are rapid and accurate methodologies when
they are used to retrospectively evaluate diverse archival specimens of
limited volume from experimental models of otitis media.
*
Corresponding author. Mailing address: Division of
Otologic Research, Microbial Pathogenesis Section, The Ohio State
University, Room 4331 UHC, 456 W. 10th Ave., Columbus, OH
43210-1282. Phone: (614) 293-8103. Fax: (614) 293-5506. E-mail:
lbakalet{at}pop.service.ohio-state.edu.
Clinical and Diagnostic Laboratory Immunology, March 1998, p. 219-224, Vol. 5, No. 2
1071-412X/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.
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