|
2017 |
Development of a Panel of Recombinase Polymerase Amplification Assays for Detection of Common Bacterial Urinary Tract Infection Pathogens |
Balakrishnan Raja,Heather J. Goux, Archana Marapadaga, Sri Rajagopalan, Katerina Kourentzi, and Richard C. Willson |
Journal of Applied Microbiology |
28510991 |
10.1111/jam.13493 |
Development of a Panel of Recombinase Polymerase Amplification Assays for Detection of Common Bacterial Urinary Tract Infection Pathogens
Author(s):
Balakrishnan Raja,Heather J. Goux, Archana Marapadaga, Sri Rajagopalan, Katerina Kourentzi, and Richard C. Willson
Journal:
Journal of Applied Microbiology
Year:
2017
Abstract:
Aims
To develop and evaluate the performance of a panel of isothermal real-time recombinase polymerase amplification (RPA) assays for detection of common bacterial urinary tract infection (UTI) pathogens.
Methods and Results
The panel included RPAs for Escherichia coli, Klebsiella pneumoniae, Proteus mirabilis, Pseudomonas aeruginosa, and Enterococcus faecalis. All five RPAs required reaction times of under 12 minutes to reach their lower limit of detection of 100 genomes per reaction or less, and did not cross-react with high concentrations of non-target bacterial genomic DNA. In a 50-sample retrospective clinical study, the five-RPA assay panel was found to have a specificity of 100% (95% CI, 78%-100%) and a sensitivity of 89% (95% CI, 75%-96%) for UTI detection.
Conclusions
The analytical and clinical validity of RPA for the rapid and sensitive detection of common UTI pathogens was established.
Significance and Impact
Rapid identification of the causative pathogens of urinary tract infections (UTIs) can be valuable in preventing serious complications by helping avoid the empirical treatment necessitated by traditional urine culture’s 48–72 hour turnaround time. The routine and widespread use of RPA to supplement or replace culture-based methods could profoundly impact UTI management and the emergence of multidrug-resistant pathogens.
|