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Evaluation of a real-time method of simultaneous amplification and testing in diagnosis of Mycoplasma pneumoniae infection in children with pneumonia

Mycoplasma pneumoniae (M. pneumoniae) infection can cause community acquired pneumonia in children. A real-time method of simultaneous amplification and testing of M. pneumoniae (SAT-MP) was developed to diagnose M. pneumoniae targeting a region of the ribosomal RNA. The SAT-MP assay can accurately...

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Published in:PloS one 2017-05, Vol.12 (5), p.e0177842-e0177842
Main Authors: Li, Wei, Fang, You-Hong, Shen, Hong-Qiang, Yang, De-Hua, Shu, Qiang, Shang, Shi-Qiang
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description Mycoplasma pneumoniae (M. pneumoniae) infection can cause community acquired pneumonia in children. A real-time method of simultaneous amplification and testing of M. pneumoniae (SAT-MP) was developed to diagnose M. pneumoniae targeting a region of the ribosomal RNA. The SAT-MP assay can accurately identify M. pneumoniae with a detection range from 101 to 107 CFU/ml. In this study, the specimens from 315 children with pneumonia were collected and analyzed by SAT-MP in parallel with real-time PCR method and IgM ELISA assay. The positive rates of these specimens examined by SAT-MP assay, real-time PCR method and IgM ELISA assay were 16.51%, 15.56% and 12.70% respectively. While there was statistical significance (p = 0.04) between SAT-MP assay and IgM ELISA assay, no statistical significance (p = 0.25) was found between SAT-MP assay and real-time PCR method and these two methods had high consistency (kappa value = 0.97). These findings indicate that the newly developed SAT-MP assay is a rapid, sensitive and specific method for identifying M. pneumoniae with potential clinical application in the early diagnosis of M. pneumoniae infection.
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A real-time method of simultaneous amplification and testing of M. pneumoniae (SAT-MP) was developed to diagnose M. pneumoniae targeting a region of the ribosomal RNA. The SAT-MP assay can accurately identify M. pneumoniae with a detection range from 101 to 107 CFU/ml. In this study, the specimens from 315 children with pneumonia were collected and analyzed by SAT-MP in parallel with real-time PCR method and IgM ELISA assay. The positive rates of these specimens examined by SAT-MP assay, real-time PCR method and IgM ELISA assay were 16.51%, 15.56% and 12.70% respectively. While there was statistical significance (p = 0.04) between SAT-MP assay and IgM ELISA assay, no statistical significance (p = 0.25) was found between SAT-MP assay and real-time PCR method and these two methods had high consistency (kappa value = 0.97). These findings indicate that the newly developed SAT-MP assay is a rapid, sensitive and specific method for identifying M. pneumoniae with potential clinical application in the early diagnosis of M. pneumoniae infection.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0177842</identifier><identifier>PMID: 28520818</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Absorbance ; Age ; Amplification ; Antibodies ; Assaying ; Bacteria ; Beads ; Biology and Life Sciences ; Biotechnology ; Buffers ; Care and treatment ; Cell culture ; Centrifuging ; Child ; Child, Preschool ; Children ; Clinical medicine ; Colony-forming cells ; Computer programs ; Deoxyribonucleic acid ; Diagnosis ; Dilution ; DNA ; DNA probes ; DNA-directed RNA polymerase ; Enzyme-linked immunosorbent assay ; Evaluation ; Extraction ; Female ; Fluorescence ; Fluorescent indicators ; Health aspects ; Hepatitis ; Hepatitis C ; Humans ; Immunoglobulin M ; Infant ; Infections ; Influence ; Laboratories ; Leukemia ; Lymphocytes T ; Lysis ; Male ; Medical diagnosis ; Medicine ; Medicine and Health Sciences ; Methods ; Molecular Diagnostic Techniques - methods ; Mycoplasma pneumoniae ; Mycoplasma pneumoniae - genetics ; Mycoplasma pneumoniae - immunology ; Pathogens ; Pediatrics ; Pellets ; Pneumonia ; Pneumonia, Mycoplasma - blood ; Pneumonia, Mycoplasma - microbiology ; Political activity ; Political aspects ; Polymerase chain reaction ; Populations ; Probes ; Public health ; Real-Time Polymerase Chain Reaction - methods ; Reproducibility of Results ; Research and Analysis Methods ; Respiratory tract ; Ribonuclease ; Ribonucleic acid ; RNA ; RNA polymerase ; Samples ; Sensitivity and Specificity ; Serologic Tests - methods ; Serological tests ; Statistical analysis ; Thorax ; Tuberculosis ; Viruses</subject><ispartof>PloS one, 2017-05, Vol.12 (5), p.e0177842-e0177842</ispartof><rights>COPYRIGHT 2017 Public Library of Science</rights><rights>2017 Li et al. 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A real-time method of simultaneous amplification and testing of M. pneumoniae (SAT-MP) was developed to diagnose M. pneumoniae targeting a region of the ribosomal RNA. The SAT-MP assay can accurately identify M. pneumoniae with a detection range from 101 to 107 CFU/ml. In this study, the specimens from 315 children with pneumonia were collected and analyzed by SAT-MP in parallel with real-time PCR method and IgM ELISA assay. The positive rates of these specimens examined by SAT-MP assay, real-time PCR method and IgM ELISA assay were 16.51%, 15.56% and 12.70% respectively. While there was statistical significance (p = 0.04) between SAT-MP assay and IgM ELISA assay, no statistical significance (p = 0.25) was found between SAT-MP assay and real-time PCR method and these two methods had high consistency (kappa value = 0.97). 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A real-time method of simultaneous amplification and testing of M. pneumoniae (SAT-MP) was developed to diagnose M. pneumoniae targeting a region of the ribosomal RNA. The SAT-MP assay can accurately identify M. pneumoniae with a detection range from 101 to 107 CFU/ml. In this study, the specimens from 315 children with pneumonia were collected and analyzed by SAT-MP in parallel with real-time PCR method and IgM ELISA assay. The positive rates of these specimens examined by SAT-MP assay, real-time PCR method and IgM ELISA assay were 16.51%, 15.56% and 12.70% respectively. While there was statistical significance (p = 0.04) between SAT-MP assay and IgM ELISA assay, no statistical significance (p = 0.25) was found between SAT-MP assay and real-time PCR method and these two methods had high consistency (kappa value = 0.97). These findings indicate that the newly developed SAT-MP assay is a rapid, sensitive and specific method for identifying M. pneumoniae with potential clinical application in the early diagnosis of M. pneumoniae infection.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>28520818</pmid><doi>10.1371/journal.pone.0177842</doi><tpages>e0177842</tpages><oa>free_for_read</oa></addata></record>
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subjects Absorbance
Age
Amplification
Antibodies
Assaying
Bacteria
Beads
Biology and Life Sciences
Biotechnology
Buffers
Care and treatment
Cell culture
Centrifuging
Child
Child, Preschool
Children
Clinical medicine
Colony-forming cells
Computer programs
Deoxyribonucleic acid
Diagnosis
Dilution
DNA
DNA probes
DNA-directed RNA polymerase
Enzyme-linked immunosorbent assay
Evaluation
Extraction
Female
Fluorescence
Fluorescent indicators
Health aspects
Hepatitis
Hepatitis C
Humans
Immunoglobulin M
Infant
Infections
Influence
Laboratories
Leukemia
Lymphocytes T
Lysis
Male
Medical diagnosis
Medicine
Medicine and Health Sciences
Methods
Molecular Diagnostic Techniques - methods
Mycoplasma pneumoniae
Mycoplasma pneumoniae - genetics
Mycoplasma pneumoniae - immunology
Pathogens
Pediatrics
Pellets
Pneumonia
Pneumonia, Mycoplasma - blood
Pneumonia, Mycoplasma - microbiology
Political activity
Political aspects
Polymerase chain reaction
Populations
Probes
Public health
Real-Time Polymerase Chain Reaction - methods
Reproducibility of Results
Research and Analysis Methods
Respiratory tract
Ribonuclease
Ribonucleic acid
RNA
RNA polymerase
Samples
Sensitivity and Specificity
Serologic Tests - methods
Serological tests
Statistical analysis
Thorax
Tuberculosis
Viruses
title Evaluation of a real-time method of simultaneous amplification and testing in diagnosis of Mycoplasma pneumoniae infection in children with pneumonia
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