RT Journal Article
SR Electronic
T1 Quantitation of Chlamydia trachomatis by culture, direct immunofluorescence and competitive polymerase chain reaction.
JF Genitourinary Medicine
JO Genitourin Med
FD BMJ Publishing Group Ltd
SP 239
OP 243
DO 10.1136/sti.71.4.239
VO 71
IS 4
A1 Frost, E H
A1 Deslandes, S
A1 Bourgaux-Ramoisy, D
A1 Bourgaux, P
YR 1995
UL http://sti.bmj.com/content/71/4/239.abstract
AB OBJECTIVES--Methods to quantitate Chlamydia trachomatis have never been compared although it would be relevant to periodically evaluate the sensitivity of a detection system. We compared the sensitivity and reproducibility of culture, direct immunofluorescence and the polymerase chain reaction (PCR) to quantitate C trachomatis. METHODS--A competitive semiquantitative PCR procedure was developed. The number of inclusions in culture, particles by direct immunofluorescence and DNA copies by PCR were measured for 12 patient specimens. Variation was determined by measuring a sample 10 times for each method. RESULTS--Patient C trachomatis major outer membrane protein gene DNA was measured semiquantitatively by amplifying together with reference DNA. DNA molecules, particles and infectious units were quantitated in clinical samples with, on average, 595 DNA molecules and 87 immunofluorescent particles observed per inclusion-forming-unit. Similar coefficients of variation (47-52%) were observed for the 3 procedures. CONCLUSION--Competitive PCR and counting immunofluorescent particles provide reproducible and sensitive methods of quantitating C trachomatis.