Detection of Bordetella pertussis in nasopharyngeal specimens is commonly performed by which method?

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Multiple Choice

Detection of Bordetella pertussis in nasopharyngeal specimens is commonly performed by which method?

Explanation:
Nucleic acid amplification by PCR is the most reliable way to detect Bordetella pertussis in nasopharyngeal specimens. This organism is fastidious and often present in low numbers, so culture can be slow and insensitive, and Gram staining of nasopharyngeal samples is not dependable for identification. PCR directly detects bacterial DNA, providing rapid and highly sensitive results, especially in the early phase of illness when the bacterial load is highest. Urine antigen testing and blood culture are not standard methods for pertussis detection.

Nucleic acid amplification by PCR is the most reliable way to detect Bordetella pertussis in nasopharyngeal specimens. This organism is fastidious and often present in low numbers, so culture can be slow and insensitive, and Gram staining of nasopharyngeal samples is not dependable for identification. PCR directly detects bacterial DNA, providing rapid and highly sensitive results, especially in the early phase of illness when the bacterial load is highest. Urine antigen testing and blood culture are not standard methods for pertussis detection.

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