A new serotyping method for Klebsiella species: development of the technique.

Journal of Clinical Pathology - Tập 29 Số 4 - Trang 296-304 - 1976
Eve C. Riser1,2, Paul Noone1,2, T A Poulton1,2
1Department of Microbiology, Royal Free Hospital, London NW3
2From the Bacteriology Department, Middlesex Hospital Medical School, London WI, and the

Tóm tắt

A new serotyping method for Klebsiella species using indirect immunofluorescence is described. Nonspecific fluorescence has been minimized by carrying out the capsular antigen-antibody reaction at pH 9.0. Commercial antisera have been tested with the 72 antigenic types of Klebsiella, and appropriate dilutions of each pool and specific antisera have been proposed for use in routine typing. Dilutions were chosen to allow strong fluorescence with each type and its specific antiserum and minimal fluorescence with cross reacting antisera. Where the pool antisera gave a weak reaction for one or more of the component types, it is recommended that the specific antisera for these types be added to the pool dilution. The few remaining cross reactions, with the pool and specific antisera in test dilution, are listed in a table. The unique cross reacting patterns of particular types have been found to be useful in identification. Typing Klebsiella by the fluorescent antibody technique is easy to perform and interpret; the results are reproducible, and it is less expensive than the existing capsular swelling method as it is more sensitive and requires less concentrated antisera. This new method of typing should facilitate detailed epidemiological studies of the mode of transmission of Klebsiella species in hospitals and thus allow more effective infection control measures to be instituted.

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Casewell, M. W. (1972). Experiences in the use of commercial antisera for the capsular typing of Klebsiella species J. clin. Path., 25, 734-737.

Casewell, M. W. (1975). Titres and cross reactions of commercial antisera for the capsular typing of Klebsiella species. J. clin. Path., 28, 33-36.

Chessum, B. S. (1970). Examination of sera for toxoplasmosis antibody using immunofluorescence. J. med. Lab. Technol., 27, 49-54.

Choy, Y. M. and Dutton, G. G. S. (1972). Occurrence of 3-0(8-D-glucopyranosyluronic acid)-D-galactose in the capsular polysaccharide of Klebsiella K-type 20. J. Bact., 112, 635-636.

Edwards, P. R. and Ewing, W. H., Eds. (1968). Identification of Enterobacteriaceae, 2nd ed., pp. 217-218. Burgess Publishing Company, Atlanta.

Edwards, P. R. and Fife, M. A. (1955). Studies on the Klebsiella-Aerobacter group of bacteria. J. Bact., 70, 382390.

Eriksen, J. (1965). Immunochemical studies on some serological cross-reactions in the Klebsiella group.

Serological investigations of the cross-reaction of Klebsiella type 3 (C), Klebsiella aerogenes strain B. 1076/48 and 'Enterobacter' strain 349. Acta path. microbiol. scand., 64, 527533. Finland, M. (1971). In Bacterial Infections (Bayer Symposium III, 1970) edited by M. Finland, W. Marget, and K. Bartmann, p. 4.

Springer, Berlin and New York. Hall, F. A. (1971). Bacteriocine typing of Klebsiella spp. J.

Heidelberger, M. and Nimmich, W. (1972). Additional immunochemical relationships of capsular polysaccharides of Klebsiella and pneumococci. J. Immunol., 109, 1337-1344.

Heimer, G. V. and Taylor, C. E. D. (1972). Improved immunofluorescence obtained with a tungsten lamp in a modified inverted microscope. J. clin. Path., 25, 88-93.

Kauffmann, F. (1949). On the serology of the Klebsiella group. Acta path. microbiol. scand., 26, 381-406.

McKenzie, H. A. (1969). pH and buffers. In Data for Biochemical Research, edited by R. M. C. Dawson, D. Elliott, W. H. Elliott, and K. M. Jones, 2nd ed., p. 485. The Clarendon Press, Oxford.

Martin, C. M., Ikari, N. S., Zimmerman, J., and Waitz, J. A. (1971). A virulent nosocomial Klebsiella with a transferable R factor for gentamicin: emergence and suppression. J. infect. Dis., 124 suppl., S24-29.

Montgomerie, J. Z., Doak, P. B., Taylor, D. E. M., North, J. D. K., and Martin, W. J. (1970). Klebsiella in faecal flora of renal-transplant patients. Lancet, 2, 787-792. 0rskov, I. (1955a). Serological investigations in the Klebsiella group, 1. New capsule types. Acta path. microbiol. scand., 36,449-453.

Orskov, I. (1955b). Serological investigations in the Klebsiella group, 3. Occurrence of Klebsiella strains in the faeces of normal infants. Acta path. microbiol. scand., 36, 461-470.

Price, D. J. E. and Sleigh, J. D. (1970). Control of infection due to Klebsiella aerogenes in a neurosurgical unit by withdrawal of all antibiotics. Lancet, 2,1213-1215.

Schmidt, N. J. and Lennette, E. H. (1970). Variables of the Rubella hemagglutination-inhibition test system and their effect on antigen and antibody titers. Appl. Microbiol., 19, 491-504.

Selden, R., Lee, S., Wang, W. L. L., Bennett., J. V., and Eickhoff, T. C. (1971). Nosocomial Klebsiella infections: intestinal colonisation as a reservoir. Ann. intern. Med., 74, 657-664.

White, A., Handler, P., and Smith, E. L. (1968). The carbohydrates II. In Principles of Biochemistry, 4th ed., p. 45. McGraw-Hill, New York.

Williams, R. E. O., Blowers, R., Garrod, L. P., and Shooter, R. A. (1966). Hospital Infection, 2nd ed., pp. 231-260. Lloyd-Luke, London.

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