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KMID : 1100720120320010044
Annals of Laboratory Medicine
2012 Volume.32 No. 1 p.44 ~ p.49
Evaluation of the Seeplex? Meningitis ACE Detection Kit for the Detection of 12 Common Bacterial and Viral Pathogens of Acute Meningitis
Shin So-Youn

Kwon Kye-Chul
Park Jong-Woo
Kim Ji-Myung
Shin So-Young
Koo Sun-Hoe
Abstract
Background: Bacterial meningitis is an infectious disease with high rates of mortality and high frequency of severe sequelae. Early identification of causative bacterial and viral pathogens is important for prompt and proper treatment of meningitis and for prevention of life-threatening clinical outcomes. In the present study, we evaluated the value of the Seeplex Meningitis ACE Detection kit (Seegene Inc., Korea), a newly developed multiplex PCR kit employing dual priming oligonucleotide methods, for diagnosing acute meningitis.

Methods: Analytical sensitivity of the kit was studied using reference strains for each pathogen targeted by the kit, while it¡¯s analytical specificity was studied using the human genome DNA and 58 clinically well-identified reference strains. For clinical validation experiment, we used 27 control cerebrospinal fluid (CSF) samples and 78 clinical CSF samples collected from patients at the time of diagnosis of acute meningitis.

Results: The lower detection limits ranged from 101 copies/¥ìL to 5¡¿101 copies/¥ìL for the 12 viral and bacterial pathogens targeted. No cross-reaction was observed. In the validation study, high detection rate of 56.4% was obtained. None of the control samples tested positive, i.e., false-positive results were absent.

Conclusions: The Seeplex Meningitis ACE Detection kit showed high sensitivity, specificity, and detection rate for the identification of pathogens in clinical CSF samples. This kit may be useful for rapid identification of important acute meningitis-causing pathogens.
KEYWORD
Meningitis, Multiplex PCR, Dual priming oligonucleotide
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