Source:http://linkedlifedata.com/resource/pubmed/id/21613436
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
|
pubmed:dateCreated |
2011-7-1
|
pubmed:abstractText |
Drug resistance in tuberculosis (TB) is a matter of grave concern for TB control programs, as there is currently no cure for some extensively drug-resistant (XDR) strains. There is concern that this resistance could transmit, stressing the need for additional control measures, rapid diagnostic methods, and newer drugs for treatment. We developed an in-house assay that can rapidly detect resistance to drugs involved in the definition of XDR-TB directly from smear-positive specimens. Two hundred fifteen phenotypically XDR-TB isolates and 50 pansusceptible isolates were analyzed using a reverse line blot hybridization (RLBH) assay. The assay was also successfully applied to 73 smear-positive clinical specimens. The RLBH assay exhibited good sensitivity for the detection of resistance to isoniazid (99%), rifampin (99%), fluoroquinolones (95.3%), and second-line aminoglycosides (94.8%). The results from application of this assay on direct smear-positive clinical specimens revealed 93% concordance with the phenotypic drug susceptibility test (DST) results for the above-mentioned drugs. The time to accurate DST results was significantly reduced from weeks to 3 days. This molecular assay is a highly accurate tool for screening for XDR-TB, which achieves a substantial reduction in diagnostic delays.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Jul
|
pubmed:issn |
1098-660X
|
pubmed:author | |
pubmed:issnType |
Electronic
|
pubmed:volume |
49
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
2546-51
|
pubmed:meshHeading |
pubmed-meshheading:21613436-Antitubercular Agents,
pubmed-meshheading:21613436-Clinical Laboratory Techniques,
pubmed-meshheading:21613436-Drug Resistance, Multiple, Bacterial,
pubmed-meshheading:21613436-Extensively Drug-Resistant Tuberculosis,
pubmed-meshheading:21613436-Humans,
pubmed-meshheading:21613436-Microbial Sensitivity Tests,
pubmed-meshheading:21613436-Molecular Diagnostic Techniques,
pubmed-meshheading:21613436-Mycobacterium tuberculosis,
pubmed-meshheading:21613436-Sensitivity and Specificity
|
pubmed:year |
2011
|
pubmed:articleTitle |
Rapid diagnosis of extensively drug-resistant tuberculosis by use of a reverse line blot hybridization assay.
|
pubmed:affiliation |
Department of Research, PD Hinduja National Hospital and Medical Research Centre, Mumbai, India.
|
pubmed:publicationType |
Journal Article,
Evaluation Studies
|