polymerase chain reaction versus conventional laboratory methods in the diagnosis of fungal keratitis

نویسندگان

محمود نجابت

m nejabat شیراز- خیابان پوستچی- مرکز تحقیقات چشم پزشکی پوستچی محمدرضا خلیلی

mr khalili شیراز- خیابان پوستچی- مرکز تحقیقات چشم پزشکی پوستچی پریسا بدیعی

p badiei شیراز- خیابان پوستچی- مرکز تحقیقات چشم پزشکی پوستچی فاطمه کشاورز فضل

f keshavarz fazl شیراز- خیابان پوستچی- مرکز تحقیقات چشم پزشکی پوستچی عبدالوهاب البرزی

چکیده

purpose: to compare the value of conventional laboratory methods and polymerase chain reaction (pcr) in the diagnosis of fungal keratitis. methods: this cross sectional study was conducted at khalili hospital, shiraz, iran. samples were taken from thirty-eight patients with findings suspicious for fungal keratitis. corneal scrapings were used for gram, giemsa and koh stains, culture and pcr analysis. results: of 38 enrolled eyes, 25 eyes (68.5%) were judged to have fungal infection based on positive cultures, staining, pcr or response to antifungal treatment. pcr detected fungi dna in 17 of 25 samples (68% sensitivity). staining (gram, giemsa and koh) and culture yielded a positive result in 40% and 24% of samples respectively. twenty one (84%) of 25 patients showed fungal elements in at least one laboratory work up and 4 patients were diagnosed as fungal keratitis only based on response to antifungal drugs. conclusion: compared to conventional laboratory methods, pcr based methods offer higher sensitivity and a faster diagnosis in fungal keratitis.

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