Chikamatsu Kinuyo, Igarashi Yuriko, Aono Akio, Yamada Hiroyuki, Takaki Akiko, Mitarai Satoshi
Kekkaku. 2016 Oct;91(10):623-629.
[Objective] To evaluate the specificity of TRC- Ready® MTB and TRCReady® MAC (Tosoh Bioscience, Japan) for identifying M.tubercidosis complex (MTC), M.avium and M. intracellulare. [Method] We tested TRCReady® MTB and TRCReady® MAC using TRCReady®-80 (Tosoh Bioscience, Japan), which is an automated nucleic amplification test instrument, with 151 Mycobacterium species (4 MTC and 147 Non-tuberculosis Mycobacterium (NTM) type strains). [Results] The specificity of TRCReady® MTB was 100%, however, TkCReady® MAC misidentified a total of six NTMs, M.arosiense, M.chimaera, M.colombiense, M.marseillense, M. vulneris and M.yongonense, as M. intracellulare. Then, the specificity for TRCReady® MAC was 96.0% (145/151). [Discussion] TRCReady® MTB and TRCReady® MAC are highly specific for identifying MTC, M.avium and M. intracellulare. Six NTM species which have been rarely isolated in Japan showed false-positive results as M.intra- celludare. However, when a sample was identified as M.in- tracellulare, the phenotypic characteristics like colony mor- phology would be carefully examined.
[目的] 评估TRC-Ready® MTB和TRCReady® MAC(日本东曹生物科学公司)用于鉴定结核分枝杆菌复合群(MTC)、鸟分枝杆菌和胞内分枝杆菌的特异性。[方法] 我们使用TRCReady®-80(日本东曹生物科学公司)这一自动化核酸扩增检测仪器,采用TRCReady® MTB和TRCReady® MAC对151种分枝杆菌菌株(4种MTC和147种非结核分枝杆菌(NTM)标准菌株)进行检测。[结果] TRCReady® MTB的特异性为100%,然而,TRCReady® MAC总共将6种NTM,即aroiense分枝杆菌、chimaera分枝杆菌、colombiense分枝杆菌、marseillense分枝杆菌、vulneris分枝杆菌和yongonense分枝杆菌误鉴定为胞内分枝杆菌。因此,TRCReady® MAC的特异性为96.0%(145/151)。[讨论] TRCReady® MTB和TRCReady® MAC在鉴定MTC、鸟分枝杆菌和胞内分枝杆菌方面具有高度特异性。在日本很少分离到的6种NTM菌株呈现出胞内分枝杆菌的假阳性结果。然而,当一个样本被鉴定为胞内分枝杆菌时,应仔细检查其菌落形态等表型特征。