实时荧光定量PCR法分析结核分枝杆菌对异烟肼耐药的分析

目的利用实时荧光定量PCR技术快速检测异烟肼耐药结核分枝杆菌。方法收集到医院就诊的结核病疑似患者痰液样本,提取痰液样本的总DNA,利用实时荧光定量PCR(Real-time PCR)技术对结核分枝杆菌感染进行快速筛查,并与传统药敏试验进行比较,对两者的灵敏度、特异性、一致性进行比较分析。结果检测346例结核病人临床分离培养样本,药敏试验检出257例异烟肼敏感标本,101例异烟肼耐药标本;实时荧光定量PCR法共检测出异烟肼敏感和耐药标本225例98例,灵敏度为86.64%,特异性为93.92%,一致率为93.12%。结论跟传统药物敏感性实验相比,实时荧光定量PCR法检测速度快速、特异性强、灵敏度较高,可用于结核分枝杆菌耐异烟肼突变的快速检测,适于耐多药结核病的快速筛查。

Analysis of Mycobacterium tuberculosis resistant to isoniazid by real-time quantitative PCR

Objective To rapid detect isoniazid resistant Mycobacterium tuberculosis by using real -time flu-orescence quantitative PCR technology .Methods The sputum samples of suspected TB patients to extract total DNA by real-time fluorescence quantitative PCR technique for rapid screening of Mycobacterium tuberculosis infection , and then it was compared with conventional drug susceptibility test in sensitivity , specificity , and consistency .Results There were 257 cases of isoniazid sensitive samples and 101 cases of isoniazid resistant samples by drug sensitivity test, and 225 cases of isoniazid sensitive samples and 98 cases of isoniazid resistant samples by real-time fluorescence quantitative PCR.The sensitivity was 86.64%, the specificity was 93.92%, and the concordance was 93.12%. Conclusion Compared with the traditional drug sensitivity test , real-time fluorescence quantitative PCR method has the advantages of quick detection and high specificity and sensitivity for Mycobacterium tuberculosis isoniazid resistant mutation detection , and it is also suitable for rapid screening of tuberculosis drug resistance .