Bridging the gap between PCR detection of Mycobacterium tuberculosis complex and tuberculosis diagnosis

被引:0
作者
Duarte, E. L. [2 ]
Paixao, E. [3 ]
David, S. [1 ]
机构
[1] Inst Nacl Saude Dr Ricardo Jorge, Dept Genet, P-1649016 Lisbon, Portugal
[2] Univ Evora, Inst Ciencias Agr & Ambientais Mediterranicas, Escola Ciencias & Tecnol, Evora, Portugal
[3] Inst Nacl Saude Dr Ricardo Jorge, Dept Epidemiol, P-1649016 Lisbon, Portugal
关键词
Mycobacterium tuberculosis complex; real-time PCR; acid-fast smear microscopy; diagnosis; tuberculosis; ACID AMPLIFICATION TESTS; PULMONARY TUBERCULOSIS; METAANALYSIS; MENINGITIS;
D O I
10.5588/ijtld.11.0239
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The growing demand for rapid diagnosis of tuberculosis (TB) has led to the incorporation of nucleic acid amplification (NAA) tests in case definitions. The objective of this study was to evaluate the contribution of a real-time polymerase chain reaction (PCR) assay in providing a result predictive of a confirmed TB case. Respiratory and extra-pulmonary specimens (n = 308) were subjected to NAA, culture and smear microscopy. Qualitative PCR assessment, translated by an increase in NAA cycles, disregarding template copy number, resulted in an increase in confirmed cases, helping to bridge the gap between the test's analytical performance and its actual performance in TB diagnosis.
引用
收藏
页码:391 / 393
页数:3
相关论文
共 11 条
[1]   Comparison of six methods of extracting Mycobacterium tuberculosis DNA from processed sputum for testing by quantitative real-time PCR [J].
Aldous, WK ;
Pounder, JI ;
Cloud, JL ;
Woods, GL .
JOURNAL OF CLINICAL MICROBIOLOGY, 2005, 43 (05) :2471-2473
[2]   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
[3]  
Escalante P, 2009, ANN INTERN MED, V150
[4]  
Escalante P, 2009, ANN INTERN MED, V150
[5]  
European Centre for Disease Prevention and Control/WHO Regional Office for Europe, 2010, TUB SURV EUR 2008
[6]   Diagnosis of smear-negative pulmonary tuberculosis in people with HIV infection or AIDS in resource-constrained settings: informing urgent policy changes [J].
Getahun, Haileyesus ;
Harrington, Mark ;
O'Brien, Rick ;
Nunn, Paul .
LANCET, 2007, 369 (9578) :2042-2049
[7]  
Hosoglu S, 1998, INT J TUBERC LUNG D, V2, P553
[8]   Commercial Nucleic-Acid Amplification Tests for Diagnosis of Pulmonary Tuberculosis in Respiratory Specimens: Meta-Analysis and Meta-Regression [J].
Ling, Daphne I. ;
Flores, Laura L. ;
Riley, Lee W. ;
Pai, Madhukar .
PLOS ONE, 2008, 3 (02)
[9]  
Montero J, 2009, SAN FRANC CA US AM T
[10]   Diagnostic accuracy of nucleic acid amplification tests for tuberculous meningitis: a systematic review and meta-analysis [J].
Pai, M ;
Flores, LL ;
Pai, N ;
Hubbard, A ;
Riley, LW ;
Colford, JM .
LANCET INFECTIOUS DISEASES, 2003, 3 (10) :633-643