中华皮肤科杂志 ›› 2018, Vol. 51 ›› Issue (6): 434-436.doi: 10.3760/cma.j.issn.0412-4030.2018.06.008

• 论著 • 上一篇    下一篇

菌落PCR在快速鉴定头癣病原菌中的临床应用

赖美玲1,葛小丽1,张海平1,周成龙1,张晓利1,杨莉佳2   

  1. 1. 无锡市第二人民医院
    2. 无锡市第二人民医院皮肤科
  • 收稿日期:2017-07-03 修回日期:2018-03-16 发布日期:2018-05-30
  • 通讯作者: 张晓利 E-mail:zxl415@163.com
  • 基金资助:
    无锡市医管中心面上项目;国家自然科学基金

Clinical application of colony PCR in rapid detection of pathogenic fungi causing tinea capitis

  • Received:2017-07-03 Revised:2018-03-16 Published:2018-05-30
  • Contact: Xiao-Li ZHANG E-mail:zxl415@163.com
  • Supported by:
    Wuxi Medical Management Center Project;National Natural Science Foundation of China

摘要: 目的 评价菌落PCR在快速鉴定头癣病原菌中的可靠性及临床实用性。方法 于2016年1月至2017年3月在无锡市第二人民医院皮肤科门诊收集儿童头癣病例17例,采用菌落PCR技术检测病原菌,同时与常规PCR及形态学鉴定结果进行比较,评价菌落PCR应用于头癣病原菌鉴定的可靠性。结果 17例儿童头癣患者临床标本经培养收集菌种、菌落PCR均扩增成功,从断发或皮屑标本中取材至DNA模板制备成功耗时(3.82 ± 0.50) d,较传统形态学鉴定(14 d)明显缩短。以常规PCR鉴定结果为标准,菌落PCR菌种鉴定正确率为100%,优于传统的形态学鉴定(正确率88.2%)。结论 菌落PCR可用于临床头癣病原菌的检测,是一种快速、经济、可靠的分子检测技术。

关键词: 头癣, 聚合酶链反应, 小孢子菌属, 发癣菌属, 菌落PCR

Abstract: Lai Meiling, Ge Xiaoli, Zhang Haiping, Zhou Chenglong, Zhang Xiaoli, Yang Lijia Department of Dermatology, Wuxi No.2 People′s Hospital, Wuxi 214000, China (Lai ML, Zhang HP, Zhou CL, Zhang XL, Yang LJ); Department of Pediatrics, Wuxi No. 2 People′s Hospital, Wuxi 214000, China (Ge XL) Corresponding authors: Zhang Xiaoli, Email: zxl415@163.com; Yang Lijia, Email: yanglijia726@163.com 【Abstract】 Objective To evaluate the reliability and clinical practicality of colony PCR in rapid detection of pathogenic fungi causing tinea capitis. Methods Totally, 17 children with tinea capitis were enrolled from the Department of Dermatology of Wuxi No. 2 People′s Hospital between January 2016 and March 2017. Colony PCR was performed to detect pathogenic fungi. The results of colony PCR were compared with those of routine PCR and morphological identification, so as to evaluate the reliability of colony PCR in the identification of pathogenic fungi causing tinea capitis. Results After clinical specimens (broken hairs and scales) from the 17 patients were subjected to fungal culture, the mycelia were collected and successfully amplified by colony PCR. The time of clony PCR (mean, 3.82 ± 0.50 days) for DNA template preparation was short than that of traditional morphological identification (14 days). Based on the results of conventional PCR, the accuracy of colony PCR for fungal identification was 100%, which was superior to that of conventional PCR (88.2%). Conclusions Colony PCR can be applied to the clinical detection of pathogenic fungi causing tinea capitis at specy level, and is a kind of rapid, economic and reliable molecular detection technique.

Key words: Tinea capitis, Polymerase chain reaction, Microsporum, Trichophyton, Colony PCR

中图分类号: 

  • R751

引用本文

赖美玲 葛小丽 张海平 周成龙 张晓利 杨莉佳. 菌落PCR在快速鉴定头癣病原菌中的临床应用[J]. 中华皮肤科杂志, 2018,51(6):434-436. doi:10.3760/cma.j.issn.0412-4030.2018.06.008