Abstract
An attempt was made to improve laboratory diagnosis ofChalmydia trachomatis and to validate the Abbott Chlamydiazyme confirmatory test used at present by comparing the polymerase chain reaction (PCR) procedure and the Abbott enzyme immunoassay. A total of 275 routine clinical specimens representing a range of positive and negative findings by Chlamydiazyme were retested by PCR. The procedures demonstrated 99 % concordance for specimens with optical density (OD) readings above the Chlamydiazyme cut-off of 0.1, but PCR was confirmed to be significantly more sensitive (p<0.025) for specimens with OD values between 0.05 and 0.09. Specimens in this range should be retested routinely by PCR.
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Stamm W, Tam M, Koester M, Cles L: Detection ofChlamydia trachomatis inclusions in McCoy cell cultures with fluorescein-conjugated monoclonal antibodies. Journal of Clinical Microbiology 1983, 17: 666–668.
Binns B, Williams T, McDowell J, Brunham RC: Screening forChlamydia trachomatis infection in a pregnancy counseling clinic. American Journal of Obstetrics and Gynecology 1988, 159: 1144–1149.
Moncada J, Schacter J, Bolan G, Engelman J, Howard L, Mushahwar I, Ridgway G, Mumtaz G, Stamm W, Clark A: Confirmatory assay increases specificity of the Chlamydiazyme test forChlamydia trachomatis infection of the cervix. Journal of Clinical Microbiology 1990, 28: 1770–1773.
Mardh P, Paavonen J, Puolakkainen M: Diagnosis of chlamydial infections. In: Mardh P, Paavonen J, Puolakkainen M (ed.): Chlamydia. Plenum Publishing, New York, 1988, p. 89–91.
Ostergaard L, Birkelund S, Christiansen G: Use of polymerase chain reaction for detection ofChlamydia trachomatis. Journal of Clinical Microbiology 1990, 28: 1254–1260.
Dutilh B, Bebar C, Rodriquez P, Vihris A, Bonnet J, Garret M: Specific amplification of a DNA sequence common to allChlamydia trachomatis serovars using the polymerase chain reaction. Research in Microbiology 1989, 140: 7–16.
Bobo L, Coutter F, Yolken R, Quinn T, Viscidi R: Diagnosis ofChlamydia trachomatis cervical infection by detection of amplified DNA with an enzyme immunoassay. Journal of Clinical Microbiology 1990, 28: 1968–1973.
Holland S, Gaydos C, Quinn T: Detection and differentiation ofChlamydia trachomatis, Chlamydia psittaci andChlamydia pneumoniae by DNA amplification. Journal of Infectious Diseases 1990, 162: 984–987.
Pollard DR, Tyler SD, Ng GW, Rozee KR: A polymerase chain reaction (PCR) protocol for the specific detection ofChlamydia spp. Molecular and Cellular Probes 1989, 3: 383–389.
Claas H, Hagenvoort J, Niesters H, Tio J, Van Rejsoort-Vos, Quint W: Diagnostic value of polymerase chain reaction forChlamydia detection as determined in a follow-up study. Journal of Clinical Microbiology 1991, 29: 42–45.
Uyeda CT, Welborn P, Ellison-Birang N, Skunk K, Tsaouse B: Rapid diagnosis of chlamydial infections with the Microtrak Direct Test. Journal of Clinical Microbiology 1984, 20: 948–950.
McNicol PJ, Dodd JG: Detection of human papillomavirus DNA in prostate gland tissue using the polymerase chain reaction amplification assay. Journal of Clinical Microbiology 1990, 28: 409–412.
Kwok S, Higuchi R: Avoiding false positives with PCR. Nature 1989, 339: 237–238.
de Franchis R, Cross N, Foulkes N, Cox T: A Potent inhibitor of Taq polymerase copurifies with human genomic DNA. Nucleic Acids Research 1988, 16: 10355.
Erlich H, Bugawan T: HLA DNA typing. In: Innis M, Gelfand D, Sninsky J, White T (ed): PCR protocols. A guide to methods and applications. Academic Press, New York, 1990, p. 261–271.
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Williams, T.W., Tyler, S.D., Giercke, S. et al. Comparison of polymerase chain reaction and Chlamydiazyme for the detection ofChlamydia trachomatis in clinical specimens. Eur. J. Clin. Microbiol. Infect. Dis. 11, 233–236 (1992). https://doi.org/10.1007/BF02098085
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DOI: https://doi.org/10.1007/BF02098085