Using BOX-PCR to exclude a clonal outbreak of melioidosis
2007

Using BOX-PCR to Identify Melioidosis Outbreaks

Sample size: 54 publication Evidence: moderate

Author Information

Author(s): Currie Bart J, Gal Daniel, Mayo Mark, Ward Linda, Godoy Daniel, Spratt Brian G, LiPuma John J

Primary Institution: Northern Territory Clinical School, Flinders University, Royal Darwin Hospital, Darwin, Northern Territory, Australia

Hypothesis

Can BOX-PCR effectively distinguish between clonal and non-clonal outbreaks of melioidosis?

Conclusion

BOX-PCR can be used to exclude a clonal outbreak of melioidosis within 10 hours of receiving the bacterial strains.

Supporting Evidence

  • BOX-PCR typing compared favourably with MLST and PFGE.
  • BOX-PCR can usually discriminate between non-clonal isolates.
  • BOX-PCR can show relatedness within clonal groups.

Takeaway

Scientists found a quick way to tell if a group of melioidosis cases comes from the same source, which helps in stopping outbreaks faster.

Methodology

The study adapted BOX-PCR for typing B. pseudomallei and compared its results with MLST and PFGE on the same isolates.

Limitations

BOX-PCR may be less reproducible than PFGE and results can vary between different PCR machines.

Digital Object Identifier (DOI)

10.1186/1471-2334-7-68

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