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Collagen-coated Polyethylene Terephthalate 디스크 Plate와 Shell Vial을 이용한 Chlamydophila pneumoniae 배양법의 비교

Comparison of Collagen-coated Polyethylene Terephthalate Disc Plate and Shell Vial Culture Method for the Isolation of Chlamydophila pneumoniae

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초록

배경: 호흡기 감염의 중요한 원인 중 하나인 Chlamydophila pneumoniae의 정확한 진단을 위해서는 세포 배양을 통해 C. pneumoniae의 검출을 확인하는 것이 중요하다. 최근 콜라겐이 코팅된 polyethylene terephthalate 디스크(PET 디스크)를polyester plate 용기에 넣어 사용하는 제품(CorePath, Daegu, Korea)이 개발되어 세포 배양에 이용되고 있다. 이에 저자는PET 디스크 plate의 유용성을 평가하고 기존의 방법과 비교하기 위해 본 연구를 실시하였다. 방법: C. pneumoniae 배양이 의뢰된 환자 46명에서 채취한 29개의 객담과 17개의 혈액 검체를 대상으로 shell vial과 PET 디스크 plate (4-well)를 이용하여 배양하였고 결과가 상이한 경우 microimmunofluorescence (MIF) 결과를 비교하였다. 결과: HeLa-229 세포단층은 모든 shell vial과 PET 디스크 plate에서 관찰되었으며, 양성인 경우 C. pneumoniae 배양 결과세포질 내에 하나의 둥근 봉입체가 형광 염색되었다. 두 검사법에서 판정이 일치하는 경우는 양성 20예와 음성 22예,총 42예로 91.3%의 우수한 일치율(k=0.826)을 보였다. 결론: PET 디스크 plate 배양법은 shell vial법의 결과와 비교하여 우수한 결과 일치율을 보였으며, 또한 plate와 디스크를다루는 데에도 어려움이 없어 shell vial의 cover glass를 대신하여 PET 디스크 plate를 사용하여도 좋을 것으로 판단된다. [대한임상미생물학회지 2010;13:73-78]

Abstract

Background: Chlamydophila pneumoniae is one of the major respiratory infectious pathogens and can be accurately diagnosed by cell culturing. The author performed this study to compare the usefulness of the collagen-coated polyethylene terephthalate (PET)disc culture method and that of the shell vial method. Methods: Twenty-nine sputums and 17 blood specimens collected from 46 patients for C. pneumoniae culture were inoculated into HeLa-229 cell monolayers cultured in shell vials and polyester plates. After incubation, they were stained using the indirect immunofluorescent method with genus-specific FITC-conjugated anti-chlamydia antibody. When both results were inconsistent, microimmunofluorescence results were used. Results: HeLa-229 cells successfully formed monolayers in shell vials and collagen-coated PET plates in all cases. Positive inclusion bodies in HeLa-229cells of shell vials and PET plates for C. pneumoniae culture were similarly stained with the indirect immunofluorescent method. Both methods showed consistent results with 20 positive and 22 negative cases. The total agreement between the PET plate and shell vial was excellent (91.3%, k=0.826). Conclusion: The collagen-coated PET disc culture method showed highly consistent results with that of the shell vial method, and no technical differences were experienced between the two methods. Therefore, the author concluded that the shell vial method could be replaced by the PET plate method for detection of C. pneumoniae. (Korean J Clin Microbiol 2010;13:73-78)

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