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Carpegen® real‐time polymerase chain reaction vs. anaerobic culture for periodontal pathogen identification

Identifieur interne : 002F81 ( Istex/Corpus ); précédent : 002F80; suivant : 002F82

Carpegen® real‐time polymerase chain reaction vs. anaerobic culture for periodontal pathogen identification

Auteurs : C. Verner ; P. Lemaitre ; A. Daniel ; B. Giumelli ; N. Lakhssassi ; M. Sixou

Source :

RBID : ISTEX:6141400E75E73D6080B72D19A6832F5C774683E0

English descriptors

Abstract

Background/aims:  The aim of this study was to compare two methods of microbiological diagnosis, anaerobic bacterial culture and real‐time polymerase chain reaction (PCR), for the detection of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Fusobacterium nucleatum, and Treponema denticola.

Url:
DOI: 10.1111/j.1399-302X.2006.00297.x

Links to Exploration step

ISTEX:6141400E75E73D6080B72D19A6832F5C774683E0

Le document en format XML

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<div type="abstract">Background/aims:  The aim of this study was to compare two methods of microbiological diagnosis, anaerobic bacterial culture and real‐time polymerase chain reaction (PCR), for the detection of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Fusobacterium nucleatum, and Treponema denticola.</div>
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<hi rend="bold">Background/aims: </hi>
The aim of this study was to compare two methods of microbiological diagnosis, anaerobic bacterial culture and real‐time polymerase chain reaction (PCR), for the detection of
<hi rend="italic">Actinobacillus actinomycetemcomitans</hi>
,
<hi rend="italic">Porphyromonas gingivalis</hi>
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<hi rend="italic">Prevotella intermedia</hi>
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<hi rend="italic">Tannerella forsythia</hi>
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<hi rend="italic">Fusobacterium nucleatum</hi>
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<hi rend="italic">Treponema denticola</hi>
.</p>
<p>
<hi rend="bold">Methods: </hi>
Seventy‐two samples were collected from 18 patients who were suffering from aggressive periodontitis. The data obtained were compared for the two methods.</p>
<p>
<hi rend="bold">Results: </hi>
The results obtained with real‐time PCR were different from those obtained with bacterial culture. The detection differences were 3% for
<hi rend="italic">A. actinomycetemcomitans</hi>
, 8.33% for
<hi rend="italic">P. intermedia</hi>
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<hi rend="italic">F. nucleatum</hi>
. However, the differences for
<hi rend="italic">P. gingivalis</hi>
and
<hi rend="italic">T. forsythia</hi>
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<hi rend="italic">T. denticola</hi>
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<hi rend="italic">T. denticola</hi>
, which does not forming colonies and is oxygen sensitive. For
<hi rend="italic">F. nucleatum</hi>
,
<hi rend="italic">T. forsythia</hi>
and
<hi rend="italic">P. gingivalis</hi>
, the real‐time PCR technique was more sensitive than culture.</p>
<p>
<hi rend="bold">Conclusion: </hi>
Good results were obtained with the real‐time PCR technique for the six periopathogens targeted. This method seems to be indicated for its simplicity, rapidity and reproducibility but it cannot analyze data for an antibiotic susceptibility test. The periodontist must therefore choose one of these two methods according to his specific clinical objective: to obtain rapid, specific detection even with weak initial concentrations (but for targeted periopathogens only) or to be non‐specific and analyze the pathological activity with an antibiogram.</p>
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<correspondenceTo>Michel Sixou, Département d'Epidémiologie des Maladies Infectieuses, Laboratoire d'Ecosystème Buccal, Faculté de Chirurgie Dentaire, Université Paul‐Sabatier, 3, Chemin des Maraîchers, 31062 Toulouse, France
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<abstract type="main" xml:lang="en"><!-- Verner C, Lemaitre P, Daniel A, Giumelli B, Lakhssassi N, Sixou M. Carpegen® real-time polymerase chain reaction vs. anaerobic culture for periodontal pathogen identification.

Oral Microbiol Immunol 2006: 21: 341–346.© Blackwell Munksgaard, 2006.
-->
<p>
<b>Background/aims: </b>
The aim of this study was to compare two methods of microbiological diagnosis, anaerobic bacterial culture and real‐time polymerase chain reaction (PCR), for the detection of
<i>Actinobacillus actinomycetemcomitans</i>
,
<i>Porphyromonas gingivalis</i>
,
<i>Prevotella intermedia</i>
,
<i>Tannerella forsythia</i>
,
<i>Fusobacterium nucleatum</i>
, and
<i>Treponema denticola</i>
.</p>
<p>
<b>Methods: </b>
Seventy‐two samples were collected from 18 patients who were suffering from aggressive periodontitis. The data obtained were compared for the two methods.</p>
<p>
<b>Results: </b>
The results obtained with real‐time PCR were different from those obtained with bacterial culture. The detection differences were 3% for
<i>A. actinomycetemcomitans</i>
, 8.33% for
<i>P. intermedia</i>
, and 12.5% for
<i>F. nucleatum</i>
. However, the differences for
<i>P. gingivalis</i>
and
<i>T. forsythia</i>
were 51.39% and 36.11%, respectively. No comparison was possible for
<i>T. denticola</i>
because it cannot be identified in culture. The variations found were the result of the better detection level (10
<sup>2</sup>
pathogens) of the PCR probe. Unlike bacterial culture, PCR allows the detection of
<i>T. denticola</i>
, which does not forming colonies and is oxygen sensitive. For
<i>F. nucleatum</i>
,
<i>T. forsythia</i>
and
<i>P. gingivalis</i>
, the real‐time PCR technique was more sensitive than culture.</p>
<p>
<b>Conclusion: </b>
Good results were obtained with the real‐time PCR technique for the six periopathogens targeted. This method seems to be indicated for its simplicity, rapidity and reproducibility but it cannot analyze data for an antibiotic susceptibility test. The periodontist must therefore choose one of these two methods according to his specific clinical objective: to obtain rapid, specific detection even with weak initial concentrations (but for targeted periopathogens only) or to be non‐specific and analyze the pathological activity with an antibiogram.</p>
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<abstract>Background/aims:  The aim of this study was to compare two methods of microbiological diagnosis, anaerobic bacterial culture and real‐time polymerase chain reaction (PCR), for the detection of Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Tannerella forsythia, Fusobacterium nucleatum, and Treponema denticola.</abstract>
<abstract>Methods:  Seventy‐two samples were collected from 18 patients who were suffering from aggressive periodontitis. The data obtained were compared for the two methods.</abstract>
<abstract>Results:  The results obtained with real‐time PCR were different from those obtained with bacterial culture. The detection differences were 3% for A. actinomycetemcomitans, 8.33% for P. intermedia, and 12.5% for F. nucleatum. However, the differences for P. gingivalis and T. forsythia were 51.39% and 36.11%, respectively. No comparison was possible for T. denticola because it cannot be identified in culture. The variations found were the result of the better detection level (102 pathogens) of the PCR probe. Unlike bacterial culture, PCR allows the detection of T. denticola, which does not forming colonies and is oxygen sensitive. For F. nucleatum, T. forsythia and P. gingivalis, the real‐time PCR technique was more sensitive than culture.</abstract>
<abstract>Conclusion:  Good results were obtained with the real‐time PCR technique for the six periopathogens targeted. This method seems to be indicated for its simplicity, rapidity and reproducibility but it cannot analyze data for an antibiotic susceptibility test. The periodontist must therefore choose one of these two methods according to his specific clinical objective: to obtain rapid, specific detection even with weak initial concentrations (but for targeted periopathogens only) or to be non‐specific and analyze the pathological activity with an antibiogram.</abstract>
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