A consensus report on the diagnosis, treatment and prevention of infective endocarditis was published by the relevant specialist organizations connected to infective endocarditis in Turkey in January 2020. Performing multiplex or broad-range PCR is recommended for samples with negative cultures or from patients with previous antibiotic therapy.
In the UK, midstream urine culture is the gold standard for the diagnosis of urinary tract infections. This method was compared to 16S rRNA gene sequencing with a focus on the recommended threshold and dismissal of mixed-growth cultures by default leading to a critical view on the diagnostic value regarding positivity and microbial diversity.
Timely diagnosis and treatment are important for successful patient recovery from infections. But in routine microbiology, some results are available with a significant time delay only. Real-time nanopore sequencing was used for rapid pathogen detection in two cases, one of tuberculosis and the other of brucellosis.
Guidelines recommend preoperative urine cultivation and antibiotic treatment. In their study including 94 patients, Zumstein et al. showed that preoperative urine cultures are not predictive for intraoperative urine- and stent culture and qPCR. The authors doubt the role of enterococci, streptococci and staphylococci found in preoperative cultures.
Diagnosis of etiologies of ventilator-associated pneumonia is based on culturing which can result in false negative findings. In a recent evaluation of 67 bronchoalveolar lavage samples, metagenomic shotgun sequencing confirmed culture-proven pathogens, revealed additional species and identified pathogens in most culture-negative samples.
Patients with infective endocarditis should immediately receive antibiotic treatment. However, the treatment can hamper the identification of the etiological agents by valve culture. The impact of pre-operatively administered antibiotics was evaluated in a study over six years comparing results of valve culture and direct 16S rRNA gene PCR analysis.
Depletion of host DNA from low microbial load samples is recognized as an effective means for increased target reads and thus deeper analysis of microbiomes. Only a single protocol for diverse liquid and tissue specimens provides standardization and reduction of workload. Get a closer look onto the Ultra-Deep Microbiome Prep kit and its diverse applications.
Urinary tract infections and bacterial biofilms on urinary stents are typically diagnosed by culture. Buhmann et al.  analysed the bacterial communities of encrustations on urinary stents after indwelling of 3-6 weeks by molecular methods and could reveal different urotypes at, in general, low bacterial loads.
PCR and sequencing analysis of pathogens without cultivation is an integral part of routine diagnosis. It rapidly uncovers microorganisms that do not grow in culture because of inhibition by antibiotics or fastidious growth requirements. Thereby, PCR/sequencing significantly contributes to the management of patients with bone and joint infections.
Abood  used whole genome metagenomic sequencing to precisely characterize microbial populations and their metabolic functions involved in the transition to caries. By reduction of up to 99 % human DNA background bioinformatic characterization of a complex bacterial and fungal microbiome and its change was possible.
We had a great time exhibiting at this year’s ASM Microbe Meeting held from 20th to 24th of June 2019 in San Francisco, CA. Here we want to share two of our highlights from the poster sessions demonstrating the outstanding performance of Molzym’s solutions for deep microbiome/metagenomics analysis.
Molecular analysis of low microbial load samples is challenging because of the risk of contamination from ubiquitous bacterial DNA. In a recent publication, a workflow for molecular analysis was applied to fingerprint community changes in carious dentine samples before and after dental therapy.
Infections of sterile body sites are caused by a great variety of microorganisms, including common as well as rare and unusual bacteria. This whitepaper discusses advantages of rRNA gene sequencing diagnosis performed directly on clinical materials in view of obstacles connected with the identification of infrequent pathogens by phenotypic markers.
Contaminations by bacterial DNA in DNA extraction kits and amplification reagents can disturb 16S rRNA PCR and shotgun metagenomics analysis of samples with low loads of bacteria. Read about how to reduce contaminations, why negative controls are important and when ultra-clean reagents are indispensible for proper analysis.
The 29th European Congress on Clinical Microbiology and Infectious Diseases attracts specialists from all over the world to discuss the latest results in clinical diagnostics. Our Molzym experts will present solutions for the culture-independent molecular diagnosis of pathogens and the unique automated pathogen enrichment and DNA extraction robot SelectNA™plus.
At the approaching REMMDI Meeting in Regensburg from 11th to 13th of April 2019, the Molzym experts invite you to our workshop covering in-depth insights of implementation of culture-independent analysis of pathogens by broad-range PCR in clinical routine. Learn about the benefit of Micro-Dx™ and SepsiTest™-UMD in exciting case studies. Safe your seat!
Next Generation Sequencing approaches for pathogen identification in clinical diagnostic routine lack FDA-cleared test systems so far. But technological improvements made in the last years are promising. One hurdle is the vast excess of human DNA compared to microbial DNA. Learn more about the problem and possible solutions.
Cultures of clinical specimens often are negative due to prior antibiotic treatment, fastidious growth requirements or viable but non-culturable pathogens. Stavnsbjerg et al. compared two commercial broad-range 16S rDNA PCR assays, MicroSeq® ID and UMD-SelectNA™, regarding their capacity of identifying bacteria in culture-negative samples.
Salmonella enterica causes high morbidity and mortality worldwide. Culture detection is limited and affects timely antibiotic treatment. Masek et al. differentiated 9 serovars by 16S rDNA PCR and melt analysis. This and the high analytic sensitivity of the method (<10 cfu/ml) directly in blood promise to enhance current diagnosis of S. enterica.
The diagnostic value of rDNA PCR and sequencing is discussed referring to clinical evaluations of infective endocarditis. The overall positivity of PCR/sequencing was notably higher than culture, in particular of heart valves. Common and rare aetiologies were similar with both systems, whereas mixed infections were more diverse by PCR/sequencing.
Rapid pathogen detection is essential for timely patient treatment. In contrast to culture, molecular methods provide results within hours. Molzym’s highly sensitive approach combines a unique DNA extraction technique with 16S and 18S rRNA gene PCR and amplicon sequencing for the identification of bacterial and fungal infections. See how it works.
Direct molecular diagnosis of pathogens is a helpful adjunct to culturing. An important factor influencing assay performance is the isolation of microbial DNA. Notable differences in Real-Time PCR assay sensitivity were observed with DNAs extracted from mock blood samples of bacteria and yeast using 7 manual and 3 automated DNA isolation kits.
Structures of microbial communities can be distorted by reagent contaminations, especially in samples with low microbial loads as the placenta. Leon et al. used 16S targeted amplicon sequencing to examine the impact of potential contaminations on the microbiome analysis of spontaneous preterm, non-spontaneous preterm and term delivered placenta.
Pyomyositis is a bacterial infection of skeletal muscles, and antibiotic treatment leads to delayed or negative culture results. Gabas et al.  identified bacteria in all 10 patients by 16S rDNA PCR and sequencing, while culture was positive with 4 patients only. Antibiotic treatment was changed in all cases resulting in 90% recovery of patients.
In pathogen diagnosis, establishment of DNA isolation systems needs extensive validation processes. Usually, the eluate contains a mixture of microbial and host DNA, whereby the latter negatively influences downstream analysis, especially at low load samples. Molzym’s MolYsis™ Basic kits deplete host DNA in samples prior to standard DNA extraction.
Metagenomic sequencing is used to recover information regarding clinically relevant infections. In their report, Ruppé & Schrenzel summarise last year’s 2nd International Conference on Clinical Metagenomics (ICCMg2). This post focusses on the current status, experiences, diagnostic use and clinical impact of sample treatment.
Identification of aetiologies of infective endocarditis is crucial for initiation of targeted antibiotic treatment and patient outcome, but culture often fails. Marsch and his colleagues analysed 46 heart valves with negative or inconsistent culture results by 16S/18S rDNA PCR. In 7 patients, PCR results led to the change of the antibiotic regime.
The 70th AACC Annual Scientific Meeting & Clinical Lab Expo is the largest global scientific conference in laboratory medicine. Molzym will be exhibiting their innovative products for rapid culture-independent molecular diagnosis of microbes focussing on unique solutions for microbial DNA enrichment from clinical specimens and DNA-free PCR assays.
Rapid diagnosis of sepsis pathogens is crucial for an early targeted antibiotic treatment and improved outcome of patients. Blood culture needs days until pathogen identification and often stays negative. Tkadlec et al. discuss the pros and cons of broad-range 16S rDNA PCR and sequencing on the basis of blood sample results of 330 patients.
Invasive fungal disease is a major cause of morbidity and mortality in immuno-compromised patients. In a FP7 project of the European Commission, Molzym partners with 5 institutions from 4 countries to develop and evaluate in multi-centre clincial studies fast DNA, enzymatic and protein-based assays.
SelectNA™plus is the ‘Selective extraction of microbial Nucleic Acids’ from mixtures including host and microbial cells providing a ‘plus’ benefit by walk-away automated processing of clinical samples. This highly enriched microbial DNA guarantees highest analytical performance in research and routine diagnosis.
Molzym turns 15 years this month. Over the years, Molzym won reputation as a specialist in the fast molecular diagnosis of microbial pathogens without the need of cultivation. Our expertise in unique DNA extraction solutions and the supply of DNA-free amplification reagents supports the standardisation of qPCR, gene clone library and NGS assaying.
Molzym partners EU Horizon 2020 project “Fast Assay for Pathogen Identification and Characterization” (FAPIC). Ten members from 7 countries joined to develop and clinically evaluate fast molecular assays for the identification of bacterial pathogens. Health system-relevant issues led to the prototyping of new automated diagnostic systems.
Remove your host DNA for increased sensitivity for detection of microbes in a great variety of specimens, e.g body fluids and tissues. Here, we provide a collection of applications of MolYsis™ sample pre-treatment in combination with various analytical methods, including NGS, PCR and Real-time PCR, DNA arrays and amplicon cloning.
Efficient cell destruction is a key problem of microbial DNA isolation. As a component of Molzym's DNA extraction kits, the BugLysis reagent ensures degradation of the very different cell walls among prokaryotes and fungi. The high efficiency of BugLysis becomes obvious when considering that 1,330 species have been identified in studies and assaying so far.
The Molzym-Team was delighted to participate and exhibit at the European Congress of Clinical Microbiology and Infectious Diseases (ECCMID) that took place in Madrid, Spain, from 21st to 24th of April 2018. Here we want to share some impressions and highlights of this year’s ECCMID with you.
In a poster presentation at ECCMID 2018 congress, Edelmann et al.  compared 4 DNA extraction kits and the influence of human DNA removal for use in microbiome analysis. Additionally, two master mixes were tested for bacterial DNA contamination. An efficient workflow towards a standardised use of NGS in infection diagnosis was proposed.
Micro-Dx™ combines automated pathogen enrich-ment and DNA extraction with broad-range PCR and sequencing ID of species. A multi-centre analysis of 409 routine samples of tissues, fluids and swabs indicated acceptable diagnostic performance in comparison to other molecular tests and culture. Additional pathogens could be identified by Micro-Dx™.