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使用FluoroType系统快速检测耐多药结核病患者——最新病例报告

Use of a FluoroType System for the Rapid Detection of Patients with Multidrug-Resistant Tuberculosis-State of the Art Case Presentations.

作者信息

Zabost Anna, Filipczak Dorota, Kupis Włodzimierz, Szturmowicz Monika, Olendrzyński Łukasz, Winiarska Agnieszka, Jagodziński Jacek, Augustynowicz-Kopeć Ewa

机构信息

Department of Microbiology, National Tuberculosis and Lung Diseases Research Institute, 01-138 Warsaw, Poland.

Department of Thoracic Surgery, National Tuberculosis and Lung Diseases Research Institute, 01-138 Warsaw, Poland.

出版信息

Diagnostics (Basel). 2022 Mar 15;12(3):711. doi: 10.3390/diagnostics12030711.

DOI:10.3390/diagnostics12030711
PMID:35328264
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8947722/
Abstract

According to the World Health Organization (WHO), there were 465,000 cases of tuberculosis caused by strains resistant to at least two first-line anti-tuberculosis drugs: rifampicin and isoniazid (MDR-TB). In light of the growing problem of drug resistance in across laboratories worldwide, the rapid identification of drug-resistant strains of the complex poses the greatest challenge. Progress in molecular biology and the development of nucleic acid amplification assays have paved the way for improvements to methods for the direct detection of in specimens from patients. This paper presents two cases that illustrate the implementation of molecular tools in the recognition of drug-resistant tuberculosis.

摘要

根据世界卫生组织(WHO)的数据,有46.5万例结核病是由至少对两种一线抗结核药物(利福平及异烟肼)耐药的菌株引起的(耐多药结核病)。鉴于全球各实验室耐药问题日益严重,快速鉴定结核分枝杆菌复合群的耐药菌株构成了最大挑战。分子生物学的进展及核酸扩增检测方法的开发为改进直接检测患者标本中结核分枝杆菌的方法铺平了道路。本文介绍了两个案例,阐述了分子工具在耐药结核病识别中的应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d3e/8947722/b49202ff5a21/diagnostics-12-00711-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d3e/8947722/39eb08dd8a5d/diagnostics-12-00711-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d3e/8947722/b49202ff5a21/diagnostics-12-00711-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d3e/8947722/39eb08dd8a5d/diagnostics-12-00711-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9d3e/8947722/b49202ff5a21/diagnostics-12-00711-g002.jpg

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本文引用的文献

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Isoniazid (INH) mono-resistance and tuberculosis (TB) treatment success: analysis of European surveillance data, 2002 to 2014.异烟肼(INH)单耐药与结核病(TB)治疗效果:2002 年至 2014 年欧洲监测数据分析。
Euro Surveill. 2019 Mar;24(12). doi: 10.2807/1560-7917.ES.2019.24.12.1800392.
2
Diagnostic Accuracy and Utility of FluoroType MTBDR, a New Molecular Assay for Multidrug-Resistant Tuberculosis.氟喹诺酮耐药实时 MTBDRplus 检测试剂(一种新的耐多药结核分枝杆菌分子检测方法)的诊断准确性和实用性。
J Clin Microbiol. 2018 Aug 27;56(9). doi: 10.1128/JCM.00531-18. Print 2018 Sep.
3
Validation of the FluoroType MTBDR Assay for Detection of Rifampin and Isoniazid Resistance in Mycobacterium tuberculosis Complex Isolates.
氟喹诺酮耐药性测定 MTBDR assay 对结核分枝杆菌复合群分离株中利福平及异烟肼耐药性的检测。
J Clin Microbiol. 2018 May 25;56(6). doi: 10.1128/JCM.00072-18. Print 2018 Jun.
4
Isoniazid-resistant tuberculosis: a cause for concern?耐异烟肼结核病:值得关注的一个原因?
Int J Tuberc Lung Dis. 2017 Feb 1;21(2):129-139. doi: 10.5588/ijtld.16.0716.
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Development, roll-out and impact of Xpert MTB/RIF for tuberculosis: what lessons have we learnt and how can we do better?用于结核病的Xpert MTB/RIF检测的开发、推广及影响:我们学到了哪些经验教训,如何才能做得更好?
Eur Respir J. 2016 Aug;48(2):516-25. doi: 10.1183/13993003.00543-2016. Epub 2016 Jul 13.
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