Actinobaculum schaalii, a Common Uropathogen in Elderly Patients, Denmark

Actinobaculum schaalii can cause urinary tract infections and septicemia but is difficult to identify by cultivation. To obtain a fast diagnosis and identify A. schaalii, we developed a TaqMan real-time quantitative PCR. Routine urine samples were obtained from 177 hospitalized patients and 75 outpa...

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Main Authors: Steffen Bank, Anders Jensen, Thomas M. Hansen, Karen M. Søby, Jørgen Prag
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2010-01-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/16/1/09-0761_article
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author Steffen Bank
Anders Jensen
Thomas M. Hansen
Karen M. Søby
Jørgen Prag
author_facet Steffen Bank
Anders Jensen
Thomas M. Hansen
Karen M. Søby
Jørgen Prag
author_sort Steffen Bank
collection DOAJ
description Actinobaculum schaalii can cause urinary tract infections and septicemia but is difficult to identify by cultivation. To obtain a fast diagnosis and identify A. schaalii, we developed a TaqMan real-time quantitative PCR. Routine urine samples were obtained from 177 hospitalized patients and 75 outpatients in Viborg County, Denmark, in 2008–2009. The PCR detected A. schaalii in 22% of samples from patients >60 years of age. This assay showed that A. schaalii is more common than implied by routine cultivation. In 90% of PCR-positive urine samples, other common uropathogens were identified. This finding suggests that A. schaalii is a common, undetected, bacterial pathogen. Our results suggest that A. schaalii may be a more common pathogen than previously thought, especially in patients with unexplained chronic urinary tract infections, who are often treated with trimethoprim or ciprofloxacin, to which A. schaalii is resistant.
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spelling doaj.art-2a6783babfd24cf8abd24e720cae6e4d2022-12-22T00:16:11ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592010-01-01161768010.3201/eid1601.090761Actinobaculum schaalii, a Common Uropathogen in Elderly Patients, DenmarkSteffen BankAnders JensenThomas M. HansenKaren M. SøbyJørgen PragActinobaculum schaalii can cause urinary tract infections and septicemia but is difficult to identify by cultivation. To obtain a fast diagnosis and identify A. schaalii, we developed a TaqMan real-time quantitative PCR. Routine urine samples were obtained from 177 hospitalized patients and 75 outpatients in Viborg County, Denmark, in 2008–2009. The PCR detected A. schaalii in 22% of samples from patients >60 years of age. This assay showed that A. schaalii is more common than implied by routine cultivation. In 90% of PCR-positive urine samples, other common uropathogens were identified. This finding suggests that A. schaalii is a common, undetected, bacterial pathogen. Our results suggest that A. schaalii may be a more common pathogen than previously thought, especially in patients with unexplained chronic urinary tract infections, who are often treated with trimethoprim or ciprofloxacin, to which A. schaalii is resistant.https://wwwnc.cdc.gov/eid/article/16/1/09-0761_articleActinobaculum schaaliireal-time PCRuropathogenurinary tract infectionsbacteriaresearch
spellingShingle Steffen Bank
Anders Jensen
Thomas M. Hansen
Karen M. Søby
Jørgen Prag
Actinobaculum schaalii, a Common Uropathogen in Elderly Patients, Denmark
Emerging Infectious Diseases
Actinobaculum schaalii
real-time PCR
uropathogen
urinary tract infections
bacteria
research
title Actinobaculum schaalii, a Common Uropathogen in Elderly Patients, Denmark
title_full Actinobaculum schaalii, a Common Uropathogen in Elderly Patients, Denmark
title_fullStr Actinobaculum schaalii, a Common Uropathogen in Elderly Patients, Denmark
title_full_unstemmed Actinobaculum schaalii, a Common Uropathogen in Elderly Patients, Denmark
title_short Actinobaculum schaalii, a Common Uropathogen in Elderly Patients, Denmark
title_sort actinobaculum schaalii a common uropathogen in elderly patients denmark
topic Actinobaculum schaalii
real-time PCR
uropathogen
urinary tract infections
bacteria
research
url https://wwwnc.cdc.gov/eid/article/16/1/09-0761_article
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AT andersjensen actinobaculumschaaliiacommonuropathogeninelderlypatientsdenmark
AT thomasmhansen actinobaculumschaaliiacommonuropathogeninelderlypatientsdenmark
AT karenmsøby actinobaculumschaaliiacommonuropathogeninelderlypatientsdenmark
AT jørgenprag actinobaculumschaaliiacommonuropathogeninelderlypatientsdenmark