Nontuberculous mycobacteria - clinical and laboratory diagnosis: experiences from a TB endemic country

被引:5
作者
Sam, Ann Susan [1 ]
Ninan, Marilyn Mary [1 ]
Ranjani, R. [1 ]
Raghupathi, Naveen Kumar Devanga [1 ]
Balaji, Veeraraghavan [1 ]
Michael, Joy Sarojini [1 ]
机构
[1] Christian Med Coll & Hosp, Dept Clin Microbiol, Vellore 632004, Tamil Nadu, India
关键词
geographic distribution; identification; MALDI-TOF mass spectrometry; nontuberculous mycobacteria; prevalence; sequencing; VITEK(R)MS; DESORPTION IONIZATION-TIME; FLIGHT MASS-SPECTROMETRY; IDENTIFICATION; DISEASE; EPIDEMIOLOGY; INFECTION; COMPLEX; OREGON; USA;
D O I
10.2144/fsoa-2020-0023
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Aim:To evaluate the performance of VITEK(R)MS with DNA sequencing for laboratory diagnosis of non-tuberculous mycobacteria (NTM) species in a resource-limited setting.Methods:16SrRNAsequencing and MALDI-TOF mass spectrometry (VITEK(R)MS) was performed at a tertiary-care hospital in India. MALDI-TOF results were confirmed by 16S rRNA sequencing. In addition, sequencing of the internal transcribed spacer region was performed on slowly growing NTM.Results:Commonest species isolated wereM. abscessus, M. intracellulare,M. avium, M. fortuitumandM. simiae.16S rRNAsequencing and MALDI-TOF results had agreement of 94.5% for rapidly growing and 77.5% for slowly growing NTM.Conclusion:There is good correlation between VITEK(R)MS and sequencing for rapidly growing NTM. For slowly growing species, sequencing would be required in a third isolates.
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页数:10
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