The Small Membrane Filter Method of Microscopy to Diagnose Pulmonary Tuberculosis

被引:21
作者
Fennelly, Kevin P. [1 ]
Morais, Carlos Gustavo [2 ]
Hadad, David Jamil [2 ]
Vinhas, Solange [2 ]
Dietze, Reynaldo [2 ]
Palaci, Moises [2 ]
机构
[1] Univ Med & Dent New Jersey, New Jersey Med Sch, Dept Med, Ctr Emerging Pathogens, Newark, NJ 07103 USA
[2] Univ Fed Espirito Santo, Nucleo Doencas Infecciosas, Vitoria, ES, Brazil
关键词
D O I
10.1128/JCM.00572-12
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We modified microscopy for acid-fast bacilli to diagnose tuberculosis (TB) using small membrane filters (SMFs) after special processing and prefiltration. With the first specimen obtained from each of 335 persons suspected of having TB, the sensitivity of the new SMF method using fluorescence microscopy (FM) was 89% (95% confidence interval [CI]: 80%, 95%). This was significantly better (P = 0.0001) than the sensitivity of routine FM of centrifuged specimens of 60% (95% CI: 49%, 71%) or that of direct sputum smears of 56% (95% CI: 40%, 72%).
引用
收藏
页码:2096 / 2099
页数:4
相关论文
共 6 条
[1]   Rapid Molecular Detection of Tuberculosis and Rifampin Resistance [J].
Boehme, Catharina C. ;
Nabeta, Pamela ;
Hillemann, Doris ;
Nicol, Mark P. ;
Shenai, Shubhada ;
Krapp, Fiorella ;
Allen, Jenny ;
Tahirli, Rasim ;
Blakemore, Robert ;
Rustomjee, Roxana ;
Milovic, Ana ;
Jones, Martin ;
O'Brien, Sean M. ;
Persing, David H. ;
Ruesch-Gerdes, Sabine ;
Gotuzzo, Eduardo ;
Rodrigues, Camilla ;
Alland, David ;
Perkins, Mark D. .
NEW ENGLAND JOURNAL OF MEDICINE, 2010, 363 (11) :1005-1015
[2]   Evaluation of Processing Methods To Equitably Aliquot Sputa for Mycobacterial Testing [J].
Hadad, David Jamil ;
Vieira Morais, Carlos Gustavo ;
Vinhas, Solange A. ;
Fennelly, Kevin P. ;
Dietze, Reynaldo ;
Nascimento, Cristina Paula ;
Palaci, Moises .
JOURNAL OF CLINICAL MICROBIOLOGY, 2012, 50 (04) :1440-1442
[3]   EFFICACY OF CENTRIFUGATION AS A METHOD OF CONCENTRATING TUBERCLE BACILLI [J].
KLEIN, GC ;
MALTZ, M ;
CUMMINGS, MM ;
FISH, CH .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1952, 22 (06) :581-585
[4]   LABORATORY-ASSOCIATED INFECTIONS AND BIOSAFETY [J].
SEWELL, DL .
CLINICAL MICROBIOLOGY REVIEWS, 1995, 8 (03) :389-405
[5]   ACID-FAST MICROSCOPY ON POLYCARBONATE MEMBRANE-FILTER SPUTUM SEDIMENTS [J].
SMITHWICK, RW ;
STRATIGOS, CB .
JOURNAL OF CLINICAL MICROBIOLOGY, 1981, 13 (06) :1109-1113
[6]   Rapid method for detection of gram-positive and -negative bacteria in milk from cows with moderate or severe clinical mastitis [J].
Yazdankhah, SP ;
Sorum, H ;
Larsen, HJS ;
Gogstad, G .
JOURNAL OF CLINICAL MICROBIOLOGY, 2001, 39 (09) :3228-3233