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Performance of TaqMan array card to detect TB drug resistance on direct specimens
Banu S. - ไม่ระบุหน่วยงาน
ชื่อเรื่อง (EN): Performance of TaqMan array card to detect TB drug resistance on direct specimens
ผู้แต่ง / หัวหน้าโครงการ (EN): Banu S.
บทคัดย่อ (EN): Culture based phenotypic drug susceptibility testing (DST) for Mycobacterium tuberculosis (TB) is time consuming therefore rapid genotypic methods are increasingly being utilized. We previously developed and evaluated on TB isolates a rapid genotypic TaqMan array card (TAC) that detects mutations in several resistance-associated genes using dozens of primer pairs, probes, and high resolution melt analysis, with >96% accuracy versus Sanger sequencing. In this study we examined the performance of TAC on sputum, comparing results between 71 paired sputum and TB isolates of which 62 were MDR-TB. We also adapted the TAC to include wild-type probes and broadened coverage for rpoB and gyrA mutations. TAC was 89% successful at detecting wild-type or mutations within inhA, katG, rpoB, eis, gyrA, rplC, and pncA on smear positive sputa and 33% successful on smear negative sputa. The overall accuracy of these detections as compared to the TAC results of the paired isolate was 95% ± 7 (average sensitivity 98% ± 3; specificity 92% ± 14). Accuracy of sputum TAC results versus phenotypic DST for isoniazid, rifampin, ofloxacin/moxifloxacin, and pyrazinamide was 85% ± 12. This was similar to that of the isolate TAC results (accuracy 88% ± 13), thus inaccuracies primarily reflected intrinsic genotypic-phenotypic discordance. The TAC is a rapid, modular, comprehensive, and accurate TB DST for the major first and second line TB drugs and could be used for supplemental testing of GeneXpert resistant smear positive sputum. © 2017 Banu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
บทคัดย่อ: ไม่พบข้อมูลจากหน่วยงานต้นทาง
ภาษา (EN): en
เอกสารแนบ (EN): https://www.scopus.com/inward/record.uri?eid=2-s2.0-85019131030&doi=10.1371%2fjournal.pone.0177167&partnerID=40&md5=16090ba41b13a7e499c2ce63bd8100b5
เผยแพร่โดย (EN): มหาวิทยาลัยมหิดล
คำสำคัญ (EN): Reverse Transcriptase Polymerase Chain Reaction
เจ้าของลิขสิทธิ์ (EN): มหาวิทยาลัยมหิดล
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Performance of TaqMan array card to detect TB drug resistance on direct specimens
Banu S.
มหาวิทยาลัยมหิดล
ไม่ระบุวันที่เผยแพร่
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