Towards improved accuracy of Bordetella pertussis nucleic acid amplification tests

J Clin Microbiol. 2012 Jul;50(7):2186-90. doi: 10.1128/JCM.00612-12. Epub 2012 Mar 21.

Abstract

In many clinical microbiology laboratories, nucleic acid amplification tests such as PCR have become the routine methods for the diagnosis of pertussis. While PCR has greatly increased the ability of laboratories to detect Bordetella pertussis infections, it has also been associated with false-positive results that can, given the tendency of B. pertussis to cause outbreaks, result in unnecessary and costly control measures. The species specificity of Bordetella gene targets and their number of copies per genome greatly impact the performance characteristics of nucleic acid amplification tests for B. pertussis. It is crucial that laboratorians recognize these characteristics, to limit false-positive test results and prevent pseudo-outbreaks.

Publication types

  • Review

MeSH terms

  • Bacteriological Techniques / methods
  • Biomedical Research / trends
  • Bordetella pertussis / isolation & purification*
  • False Positive Reactions
  • Humans
  • Molecular Diagnostic Techniques / methods*
  • Nucleic Acid Amplification Techniques / methods*
  • Sensitivity and Specificity
  • Whooping Cough / diagnosis*
  • Whooping Cough / microbiology