Evaluation of the practicability of direct PCR versus multiple real-time PCR for testing clinical specimens
Objective To evaluate the clinical applicability of direct PCR and DG multiplex real-time PCR in the identifica-tion of dermatophytes strains compared with traditional methods.Methods A total of 184 samples of skin or nail scraps suspected of dermatophytosis were collected and divided into 4 samples.They were examined by direct microscopy,cul-tured,direct PCR and DG multiple real-time PCR,respectively.Using microscopic examination and culture as the gold standard,the efficacy of two skin PCR methods for identifying dermatomycosis was compared.Results The sensitivity of direct PCR and DG-PCR were 64%and 99.2%,respectively.The specificity was 99.6%and 88.1%,respectively.The positive predictive values were 97.5%and 94.7%,respectively.The negative predictive values were 55.9%and 98.1%,re-spectively.Among the 125 positive samples,71 cases(56.8%)were detected by culture,81 cases(64.8%)by direct PCR,and 99 cases(79.2%)by DG-PCR.Conclusion DG-PCR and direct PCR have high practical value in detecting dermatophy-ton infection.