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J Hosp Infect ; 57(1): 52-8, 2004 May.
Artículo en Inglés | MEDLINE | ID: mdl-15142716

RESUMEN

Universal or 'broad-range' eubacterial polymerase chain reaction (PCR) was performed on 53 isolates from environmental water-associated sites in a haematology unit (N = 22) and the outer surfaces of cleaning lotion containers sited throughout a tertiary referral hospital (N = 31) 16 S rDNA PCR was performed using two sets of universal primers, including the novel reverse primer, XB4, to generate a composite amplicon of 1068 bp, which was sequenced to obtain each isolate's identity. Sequence analysis was able to identify 51 isolates. Most (75% from the haematology unit and 81% from cleaner containers) were Gram-positive. Nine different genera were identified from the haematology unit and 13 from the cleaning lotion containers. This study provides the first reports of Terrabacter spp. and Brachybacterium paraconglomeratum isolated from a hospital environment. As unusual and difficult-to-identify environmental organisms are unlikely to be clinically significant, and molecular identification is costly and labour-intensive, we recommend that molecular methods are only used as an adjunct to first-line phenotypic identification schemes where a definitive identification is required. Where molecular identification methods are justified, partial 16 S rDNA PCR and sequencing employing the novel universal primer XB4, is a valuable and reliable technique.


Asunto(s)
Bacterias/genética , ADN Bacteriano/genética , Contaminación de Equipos/estadística & datos numéricos , Equipos y Suministros de Hospitales/microbiología , Unidades Hospitalarias , ARN Ribosómico 16S/genética , Análisis de Secuencia de ADN/métodos , Actinomycetales/genética , Actinomycetales/aislamiento & purificación , Bacterias/aislamiento & purificación , Bacterias Grampositivas/genética , Bacterias Grampositivas/aislamiento & purificación , Hematología , Hospitales Municipales , Humanos , Irlanda del Norte , Reacción en Cadena de la Polimerasa , Microbiología del Agua
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