Description
S. pneumoniae can prove difficult to culture in the laboratory due to its tendency to under go autolysis and susceptibility to a range of antibiotics. This is a particular a problem when attempting to diagnose S. pneumoniae infection in patients who have received empirical antibiotic therapy. Our laboratory has shown that diagnosis of S. pneumoniae infection can be improved by utilising molecular methods that detect bacterial genetic material in addition to culture. This real-time PCR assay targets the LytA gene that codes for Autolysin and is considered to be S. pneumoniae specific. The majority of S. pneumoniae strains are sensitive to penicillin, however resistance can occur. Sequence polymorphisms in the S. pneumoniae penicillin binding protein (pbp)- 2b confer penicillin resistance. PCR of a fragment of the S. pneumoniae pbp-2b gene can distinguish between susceptible and non-susceptible strains when performed on patient samples that are LytA PCR positive. The assay includes an internal control PCR.
Also known as
S. pneumo PCR, Strep. pneumo PCR, Pneumococcal PCR
Request a test
To request this test please send sample with a request providing patient ID (three identifiers), specimen information, assay required, relevant clinical details and sender information. Before sending sample please read details on requesting and labelling by clicking on the link. Please also refer to any additional information provided for this test.
Additional information
This assay can be performed as part of a multiplex with either N. meningitidis, S. agalactiae or K. kingae. Susceptibility to penicillin can be determined by amplification of a wild -type penicillin binding protein 2B (Pbp-2b) gene.
Sending address
Microbiology, Virology and Infection Control
Level 4, Camelia Botnar Laboratories
Great Ormond Street Hospital for Children
Great Ormond Street
London
WC1N 3JH
DX number: DX6640203
DX Exchange: Bloomsbury 91WC
Laboratory service
Microbiology, Virology and Infection Control
Sample requirements
Any sample from a normally sterile site. Respiratory samples. Minimum volume 200 microlitres
Reference range
Not applicable
Turnaround time
24 hours
Disease / group
Bacterial infection
Cost
Upon request
Call in advance?
Not required