Direct identification of mycobacteria from smear-positive samples using real-time polymerase chain reaction

被引:3
作者
Marekovic, I. [1 ,2 ]
Bosnjak, Z. [2 ]
Plecko, V. [1 ,2 ]
机构
[1] Univ Zagreb, Sch Med, Zagreb 41001, Croatia
[2] Univ Hosp Ctr Zagreb, Dept Clin & Mol Microbiol, Zagreb 10000, Croatia
关键词
acid-fast bacilli grade; bronchoalveolar lavage; tuberculosis; SPUTUM SAMPLES; PCR; TUBERCULOSIS;
D O I
10.5588/ijtld.13.0042
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
The aim of the present study was to investigate whether real-time polymerase chain reaction (PCR) has a low identification rate for samples with low acid-fast bacilli (AFB) grades, including those obtained using bronchoscopy. When 50 smear-positive samples were compared by AFB score and PCR result, PCR was 100% successful in identifying AFB 2+ and AFB 3+ samples. However, only 14 of 26(52%) AFB 1+ samples were identified. In paucibacillary smear-positive samples, PCR is not reliable enough to exclude tuberculosis, but in smear-positive patients with high AFB grades PCR can immediately change the clinical management of the disease.
引用
收藏
页码:978 / 980
页数:3
相关论文
共 10 条
[1]  
Anonymous, 2009, Morbidity and Mortality Weekly Report, V58, P7
[2]   Direct identification of mycobacteria from smear-positive sputum samples using an improved multiplex polymerase chain reaction assay [J].
Chia, Ju-Hsin ;
Wu, Tsu-Lan ;
Su, Lin-Hui ;
Kuo, An-Jing ;
Lai, Hsin-Chih .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2012, 72 (04) :340-349
[3]   Comparison of Diagnostic Performance of Three Real-Time PCR Kits for Detecting Mycobacterium Species [J].
Cho, Sun Young ;
Kim, Min Jin ;
Suh, Jin-Tae ;
Lee, Hee Joo .
YONSEI MEDICAL JOURNAL, 2011, 52 (02) :301-306
[4]  
Heginbothom ML, 2003, INT J TUBERC LUNG D, V7, P78
[5]   Rapid and Simultaneous Detection of Mycobacterium tuberculosis Complex and Beijing/W Genotype in Sputum by an Optimized DNA Extraction Protocol and a Novel Multiplex Real-Time PCR [J].
Leung, Eric T. Y. ;
Zheng, L. ;
Wong, Rity Y. K. ;
Chan, Edward W. C. ;
Au, T. K. ;
Chan, Raphael C. Y. ;
Lui, Grace ;
Lee, Nelson ;
Ip, Margaret .
JOURNAL OF CLINICAL MICROBIOLOGY, 2011, 49 (07) :2509-2515
[6]  
Min JW, 2010, INT J TUBERC LUNG D, V14, P852
[7]  
Nagdev KJ, 2010, INT J TUBERC LUNG D, V14, P1032
[8]  
Procop GW, 2011, TUBERCULOSIS AND NONTUBERCULOUS MYCOBACTERIAL INFECTIONS, 6TH EDITION, P66
[9]   Value of smear and PCR in bronchoalveolar lavage fluid in culture positive pulmonary tuberculosis [J].
Tueller, C ;
Chhajed, PN ;
Buitrago-Teliez, C ;
Frei, R ;
Frey, M ;
Tamm, M .
EUROPEAN RESPIRATORY JOURNAL, 2005, 26 (05) :767-772
[10]   Rapid Identification of Mycobacteria from Smear-Positive Sputum Samples by Nested PCR-Restriction Fragment Length Polymorphism Analysis [J].
Wu, Tsu-Lan ;
Chia, Ju-Hsin ;
Kuo, An-Jing ;
Su, Lin-Hui ;
Wu, Ting-Shu ;
Lai, Hsin-Chih .
JOURNAL OF CLINICAL MICROBIOLOGY, 2008, 46 (11) :3591-3594