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疑似分枝杆菌病患者的新型检测/应用。

Novel Assays/Applications for Patients Suspected of Mycobacterial Diseases.

机构信息

Stanford University School of Medicine, Room 1602, 3375 Hillview Avenue, Palo Alto, CA 94304, USA.

Wadsworth Center, New York State Department of Health, 120 New Scotland Avenue, Albany, NY 12208, USA.

出版信息

Clin Lab Med. 2020 Dec;40(4):535-552. doi: 10.1016/j.cll.2020.08.010. Epub 2020 Oct 6.

Abstract

Although tuberculosis is slowly decreasing, nontuberculous mycobacterial lung disease is significantly increasing. We describe new methods and applications for faster turnaround times in the diagnosis of tuberculosis and nontuberculous mycobacterial lung disease and have included the latest mycobacterial taxonomy. Although the focus is mainly on molecular assays, we also discuss improvements of acid-fast bacilli smear microscopy and stress the need for performing minimal inhibitory concentration determinations especially for tuberculosis. Additionally, important considerations for negative nucleic acid amplification assay results used for releasing tuberculosis suspects from airborne infection isolation rooms saving precious resources for the health care system, are also included.

摘要

虽然结核病的发病率正在缓慢下降,但非结核分枝杆菌肺病的发病率却显著上升。我们介绍了一些新的方法和应用,用于更快地诊断结核病和非结核分枝杆菌肺病,并纳入了最新的分枝杆菌分类学。虽然重点主要是分子检测,但我们也讨论了改进抗酸杆菌涂片镜检,并强调了特别是结核病需要进行最低抑菌浓度测定的必要性。此外,还包括了用于解除结核病疑似患者空气传播感染隔离室隔离的核酸扩增检测阴性结果的重要考虑因素,从而为医疗保健系统节省了宝贵的资源。

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