Use of multiple methods for genotyping Fusarium during an outbreak of contact lens associated fungal keratitis in Singapore
2008

Genotyping Fusarium in Contact Lens Outbreak

Sample size: 65 publication Evidence: high

Author Information

Author(s): Jureen Roland, Koh Tse H, Wang Grace, Chai Louis YA, Tan Ai L, Chai Tracy, Wong Yong W, Wang Yue, Tambyah Paul A, Beuerman Roger, Tan Donald

Primary Institution: Department of Laboratory Medicine, Alexandra Hospital, Singapore

Hypothesis

What is the genetic diversity of Fusarium isolates during a fungal keratitis outbreak?

Conclusion

The study found high genomic heterogeneity among the Fusarium isolates, indicating it was not a point source outbreak.

Supporting Evidence

  • AFLP was the most discriminative typing scheme.
  • The study included isolates from both eye-related and non-eye-related infections.
  • There was a significant difference in grouping eye and non-eye related isolates.

Takeaway

Researchers looked at different ways to identify a fungus that caused eye infections from contact lenses, and they found a lot of different types of the fungus.

Methodology

The study used AFLP, Rep-PCR, and ERIC-PCR to assess genetic diversity and compare typing schemes.

Limitations

The ERIC-PCR method had low discriminatory power and did not distinguish between eye and non-eye isolates.

Participant Demographics

The study included 66 patients involved in the outbreak, primarily from Singapore.

Statistical Information

P-Value

p<0.05

Confidence Interval

0.98 ± 0.01 for AFLP, 0.91 ± 0.05 for Rep-PCR, 0.28 ± 0.14 for ERIC-PCR

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2334-8-92

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