Detection of Pneumocystis jiroveci in respiratory specimens by four staining methods.

J Clin Microbiol

Section of Clinical Microbiology, Department of Clinical Pathology, The Cleveland Clinic Foundation, 9500 Euclid Ave., Cleveland, OH 44195, USA.

Published: July 2004

We examined four staining methods on replicate smears of 313 respiratory specimens submitted for Pneumocystis jiroveci examination. The sensitivity and specificity of Calcofluor white stain (CW) were 73.8 and 99.6%, respectively. The sensitivity and specificity of Grocott-Gomori methenamine silver stain (GMS) were 79.4 and 99.2%, respectively. The sensitivity and specificity of Diff-Quik stain were 49.2 and 99.6%, respectively. The sensitivity and specificity of Merifluor Pneumocystis stain were 90.8 and 81.9%, respectively. Only CW and GMS had positive and negative predictive values of >90%.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC446244PMC
http://dx.doi.org/10.1128/JCM.42.7.3333-3335.2004DOI Listing

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