Comparing Polymerase Chain Reaction Testing of Nasopharyngeal Swab and Lower Respiratory Tract Specimens for the Diagnosis of Pneumocystis jirovecii Pneumonia

Author:

Chew Rusheng123ORCID,Tozer Sarah4,Ulett Kimberly5,Paterson David L467,Whiley David6,Sloots Theo3,Fielding David38,Zappala Christopher38,Bashirzadeh Farzad8,Hundloe Justin8,Bletchley Cheryl4,Woods Marion L37

Affiliation:

1. Centre for Tropical Medicine and Global Health, University of Oxford , Oxford , United Kingdom

2. Mathematical and Economic Modelling Department, Mahidol Oxford Tropical Medicine Research Unit , Bangkok , Thailand

3. Faculty of Medicine, University of Queensland , Brisbane , Australia

4. Central Laboratory, Pathology Queensland, Central Laboratory , Brisbane , Australia

5. Department of Medicine, Gold Coast Hospital and Health Service , Gold Coast , Australia

6. UQ Centre for Clinical Research, University of Queensland , Brisbane , Australia

7. Infectious Diseases Unit, Royal Brisbane and Women's Hospital , Brisbane , Australia

8. Department of Thoracic Medicine, Royal Brisbane and Women's Hospital , Brisbane , Australia

Abstract

Abstract Using nasopharyngeal (NP) swab samples instead of lower respiratory tract specimens for polymerase chain reaction (PCR) to diagnose Pneumocystis jirovecii pneumonia (PJP) may be better tolerated and improve diagnostic accessibility. In this 2-year Australian retrospective cohort study of patients with clinically suspected PJP, P jirovecii PCR on NP swab samples had perfect specificity but low sensitivity (0.66).

Publisher

Oxford University Press (OUP)

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