Measurement of microbial DNA polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures.

Surveillance of bloodstream infections (BSI) is a high priority within the hospital setting. Broth-based blood cultures are the current gold standard for detecting BSI, however they can require lengthy incubation periods prior to detection of positive samples. We set out to demonstrate the feasibili...

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Main Authors: Daniel R Zweitzig, Nichol M Riccardello, John Morrison, Jason Rubino, Jennifer Axelband, Rebecca Jeanmonod, Bruce I Sodowich, Mark J Kopnitsky, S Mark O'Hara
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2013-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC3796490?pdf=render
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author Daniel R Zweitzig
Nichol M Riccardello
John Morrison
Jason Rubino
Jennifer Axelband
Rebecca Jeanmonod
Bruce I Sodowich
Mark J Kopnitsky
S Mark O'Hara
author_facet Daniel R Zweitzig
Nichol M Riccardello
John Morrison
Jason Rubino
Jennifer Axelband
Rebecca Jeanmonod
Bruce I Sodowich
Mark J Kopnitsky
S Mark O'Hara
author_sort Daniel R Zweitzig
collection DOAJ
description Surveillance of bloodstream infections (BSI) is a high priority within the hospital setting. Broth-based blood cultures are the current gold standard for detecting BSI, however they can require lengthy incubation periods prior to detection of positive samples. We set out to demonstrate the feasibility of using enzymatic template generation and amplification (ETGA)-mediated measurement of DNA polymerase activity to detect microbes from clinical blood cultures. In addition to routine-collected hospital blood cultures, one parallel aerobic blood culture was collected and immediately refrigerated until being transported for ETGA analysis. After refrigeration holding and transport, parallel-collected cultures were placed into a BACTEC incubator and ETGA time-course analysis was performed. Of the 308 clinical blood cultures received, 22 were BACTEC positive, and thus were initially selected for ETGA time course analysis. The ETGA assay detected microbial growth in all 22 parallel-positive blood cultures in less time than a BACTEC incubator and also yielded genomic DNA for qPCR-based organism identification. In summary, feasibility of detecting microbes from clinical blood culture samples using the ETGA blood culture assay was demonstrated. Additional studies are being considered towards development of clinically beneficial versions of this methodology.
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spelling doaj.art-ed609ebdea3c43c183f294e70f08c9b52022-12-22T03:52:20ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-01810e7848810.1371/journal.pone.0078488Measurement of microbial DNA polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures.Daniel R ZweitzigNichol M RiccardelloJohn MorrisonJason RubinoJennifer AxelbandRebecca JeanmonodBruce I SodowichMark J KopnitskyS Mark O'HaraSurveillance of bloodstream infections (BSI) is a high priority within the hospital setting. Broth-based blood cultures are the current gold standard for detecting BSI, however they can require lengthy incubation periods prior to detection of positive samples. We set out to demonstrate the feasibility of using enzymatic template generation and amplification (ETGA)-mediated measurement of DNA polymerase activity to detect microbes from clinical blood cultures. In addition to routine-collected hospital blood cultures, one parallel aerobic blood culture was collected and immediately refrigerated until being transported for ETGA analysis. After refrigeration holding and transport, parallel-collected cultures were placed into a BACTEC incubator and ETGA time-course analysis was performed. Of the 308 clinical blood cultures received, 22 were BACTEC positive, and thus were initially selected for ETGA time course analysis. The ETGA assay detected microbial growth in all 22 parallel-positive blood cultures in less time than a BACTEC incubator and also yielded genomic DNA for qPCR-based organism identification. In summary, feasibility of detecting microbes from clinical blood culture samples using the ETGA blood culture assay was demonstrated. Additional studies are being considered towards development of clinically beneficial versions of this methodology.http://europepmc.org/articles/PMC3796490?pdf=render
spellingShingle Daniel R Zweitzig
Nichol M Riccardello
John Morrison
Jason Rubino
Jennifer Axelband
Rebecca Jeanmonod
Bruce I Sodowich
Mark J Kopnitsky
S Mark O'Hara
Measurement of microbial DNA polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures.
PLoS ONE
title Measurement of microbial DNA polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures.
title_full Measurement of microbial DNA polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures.
title_fullStr Measurement of microbial DNA polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures.
title_full_unstemmed Measurement of microbial DNA polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures.
title_short Measurement of microbial DNA polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures.
title_sort measurement of microbial dna polymerase activity enables detection and growth monitoring of microbes from clinical blood cultures
url http://europepmc.org/articles/PMC3796490?pdf=render
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