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Diagn Microbiol Infect Dis ; 72(3): 239-47, 2012 Mar.
Article in English | MEDLINE | ID: mdl-22209512

ABSTRACT

The clinical presentation of pulmonary tuberculosis by members of Mycobacterium tuberculosis complex (MTC) and nontuberculous mycobacteria (NTM) cannot be differentiated using the available standard diagnostic procedures. A single-tube tetraplex polymerase chain reaction (T-PCR) was designed to simultaneously amplify 4 well-known DNA targets of MTC. Taguchi's protocol was followed for the optimization of the conditions and was then tested on 288 pulmonary TB patient samples. The analytical sensitivity of the T-PCR was 100 fg of purified mycobacterial DNA, and specificity was found to be 100% in being able to distinguish MTC and NTM in all the cases tested. The results correlated well when validated with hsp65 PCR restriction analysis and sequencing of the 16S-23S internal transcribed spacer region, hsp65, and rpoB. The T-PCR described here is a quick, valuable, and cost-effective tool for determining whether the causative organism is MTC or NTM, and thus is useful for disease surveillance.


Subject(s)
Multiplex Polymerase Chain Reaction/methods , Multiplex Polymerase Chain Reaction/standards , Mycobacterium tuberculosis/isolation & purification , Nontuberculous Mycobacteria/isolation & purification , Tuberculosis, Pulmonary/diagnosis , Genes, Bacterial , Humans , Molecular Sequence Data , Mycobacterium tuberculosis/genetics , Nontuberculous Mycobacteria/genetics , RNA, Ribosomal, 16S/genetics , Retrospective Studies , Sensitivity and Specificity
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