Increased sensitivity of a direct fluorescent antibody test for Legionella pneumophila in bronchoalveolar lavage samples by immunomagnetic separation based on BioMags

作者: Shneh Sethi , Mitchell T. Gore , Krishan K. Sethi

DOI: 10.1016/J.MIMET.2007.05.006

关键词: Legionella pneumophilaBacteriaImmunoglobulin GBronchoalveolar lavageMicrobiologyStainingBiologyPositive patientChromatographyDirect fluorescent antibodyImmunomagnetic separationMicrobiology (medical)Molecular biology

摘要: Abstract In the present study, immunomagnetic separation of Legionella pneumophila from mock bronchoalveolar lavage (BAL) fluid samples, which were artificially spiked with L. pneumophila, and culture positive patient BAL was achieved using BioMags (superparamagnetic particles) loaded purified rabbit immunoglobulin G specific for pneumophila. Bacteria binding onto BioMag-immunomatrix directly stained a species-specific DFA reagent examined under fluorescence microscope. BioMag-based (BIMS) followed by staining (BIMS–DFA) could correctly identify all 20 (100%) samples low numbers (2 × 102 CFU) Cultures be recovered 15 (75%) these 5 (25%) failed to yield cultures. Both BIMS–DFA methods showed 100% results when containing high bacterial load (104 CFU) tested. The findings true specimens retrospectively indicated that is significantly more sensitive detecting than conventional cytospin method (cytospin–DFA). Out 25 tested, 7 (28%) proved negative cytospin–DFA whereas detected specimens. It suggested procedure increases sensitivity testing in large volume such as fluids.

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