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非结核分枝杆菌:伊拉克临床样本中的分离情况

Nontuberculosis Mycobacteria: Isolation from clinical samples in Iraq.

作者信息

Ahmed Shatha T, Alsudani Ahmed A, Ali Ruqaya M, Shihab Batool A, Hussein Sana A

机构信息

University of Baghdad, Science College for Women, Department of Biology, Baghdad, Iraq.

Ministry of Health, Chest and Respiratory Disease Center, Baghdad, Iraq.

出版信息

Int J Mycobacteriol. 2016 Dec;5 Suppl 1:S79. doi: 10.1016/j.ijmyco.2016.09.028. Epub 2016 Nov 9.

Abstract

OBJECTIVE/BACKGROUND: Nontuberculosis mycobacteria (NTM), defined as any mycobacterial strain other than Mycobacterium tuberculosis complex, are a diverse group of pathogens that cause a substantive, but often unappreciated worldwide burden of illness. NTM cause illness similar to M. tuberculosis, but generally do not respond to classic tuberculosis (TB) drug regimens. Here, we evaluated GenoType Mycobacterium CM/AS (Hain Lifesciences) for rapid identification of NTM and compared its results with those of other biochemical tests.

METHODS

During the study interval from February 2015 to August 2015, samples were tested by GenoType Mycobacterium tuberculosis complex (MTBC) for differentiation of MTB complex, and NTM isolates obtained from patients were analyzed with the GenoType Mycobacterium CM assays for common mycobacteria.

RESULTS

All samples tested were M. tuberculosis (typical), except samples from sputum that was negative according to Geno Type MTBC results. All isolates were analyzed with the Geno Type Mycobacterium CM (for common mycobacteria) assays, which correctly identified the species as Mycobacterium chelonae, Mycobacterium intracellulare, Mycobacterium kansasii, and Mycobacterium simiae.

CONCLUSION

GenoType testing of Mycobacteria species using GenoType MTBC and GenoType Mycobacterium CM constitutes a reliable, rapid, simple, and easy-to-interpret assay. Moreover, it appears suitable for use in our region, since it identified all mycobacterial species.

摘要

目的/背景:非结核分枝杆菌(NTM)被定义为除结核分枝杆菌复合群之外的任何分枝杆菌菌株,是一类多样的病原体,在全球范围内造成了相当大但往往未得到充分认识的疾病负担。NTM引起的疾病与结核分枝杆菌相似,但通常对经典的结核病(TB)药物治疗方案无反应。在此,我们评估了GenoType分枝杆菌CM/AS(海因生命科学公司)用于快速鉴定NTM的性能,并将其结果与其他生化检测结果进行比较。

方法

在2015年2月至2015年8月的研究期间,通过GenoType结核分枝杆菌复合群(MTBC)检测样本以区分MTB复合群,并使用GenoType分枝杆菌CM检测法对从患者中分离出的NTM进行常见分枝杆菌分析。

结果

除根据GenoType MTBC结果显示为阴性的痰液样本外,所有检测样本均为结核分枝杆菌(典型)。所有分离株均使用GenoType分枝杆菌CM(用于常见分枝杆菌)检测法进行分析,该方法正确鉴定出龟分枝杆菌、胞内分枝杆菌、堪萨斯分枝杆菌和猿分枝杆菌。

结论

使用GenoType MTBC和GenoType分枝杆菌CM对分枝杆菌进行GenoType检测构成了一种可靠、快速、简单且易于解读的检测方法。此外,由于它能鉴定所有分枝杆菌种类,似乎适用于我们所在地区。

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