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利用疑似脊柱结核患者椎骨的DNA组织标本对GeneXpert MTB/RIF快速检测方法进行评估。

Evaluation of rapid GeneXpert MTB/RIF method using DNA tissue specimens of vertebral bones in patients with suspected spondylitis TB.

作者信息

Massi Muhammad Nasrum, Biatko Karya Triko, Handayani Irda, Pratama Muhammad Yogi, Septriani Sari, Nurdin Gaby Maulida, Ali Marina B

机构信息

Department of Medical Microbiology, Medical Faculty, Hasanuddin University, Makassar 90245, Indonesia.

Department of Orthopedic and Traumotology, Medical Faculty, Hasanuddin University, Makassar 90245, Indonesia.

出版信息

J Orthop. 2017 Jan 9;14(1):189-191. doi: 10.1016/j.jor.2016.12.003. eCollection 2017 Mar.

DOI:10.1016/j.jor.2016.12.003
PMID:28115796
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5226853/
Abstract

PURPOSE

To detect DNA and rifampicin resistance in vertebral bone tissue specimens from spondylitis TB suspects.

METHODS AND RESULTS

The rapid GeneXpert MTB/RIF and MGIT 960 liquid culture methods have been used in the specimens. Results from 70 suspects with spondylitis TB shown that 31.42% identified positive for spondylitis TB using culture method, while 88.57% shown positive results using rapid GeneXpert MTB/RIF method. The validity of GeneXpert MTB/RIF shown sensitivity value of 100%, specificity value of 16.6%, PPV of 35.48%, and NPV of 100%.

CONCLUSION

GeneXpert has a high sensitivity but low specificity value in this study.

摘要

目的

检测疑似脊柱结核患者椎骨组织标本中的DNA及利福平耐药情况。

方法与结果

对标本采用了快速GeneXpert MTB/RIF及MGIT 960液体培养方法。70例疑似脊柱结核患者的结果显示,培养法检测脊柱结核阳性率为31.42%,而快速GeneXpert MTB/RIF法阳性率为88.57%。GeneXpert MTB/RIF的有效性显示敏感性值为100%,特异性值为16.6%,阳性预测值为35.48%,阴性预测值为100%。

结论

在本研究中,GeneXpert敏感性高但特异性低。

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Tuberculous spondylodiscitis: epidemiology, clinical features, treatment, and outcome.结核性脊柱骨髓炎:流行病学、临床特征、治疗和预后。
Eur Rev Med Pharmacol Sci. 2012 Apr;16 Suppl 2:58-72.
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Can a simple flotation method lower the limit of detection of Mycobacterium tuberculosis in extrapulmonary samples analyzed by the GeneXpert MTB/RIF assay?一种简单的漂浮法能否降低 GeneXpert MTB/RIF 检测系统检测肺外样本中结核分枝杆菌的检测限?
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