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中国防痨杂志 ›› 1999, Vol. 21 ›› Issue (3): 159-161.

• 论著 • 上一篇    下一篇

结核分枝杆菌药敏试验方法改进的探讨

孙桂芝; 张培元; 康丽军; 何庆明;   

  1. 北京胸科医院 100095;
  • 收稿日期:1998-10-29 修回日期:1999-03-05 出版日期:1999-03-10 发布日期:1999-03-10

Exploration on the reform ed m ethod of drug sensitivity test for Mycobacteriu mtuberculosis

Sun Guizhi , Zhang Peiyuan , Kang Lijun ,et al .   

  1. Beijing Chest Hospital 100095
  • Received:1998-10-29 Revised:1999-03-05 Online:1999-03-10 Published:1999-03-10

摘要: 目的 探讨改进结核分枝杆菌药敏试验方法?方法 以 B A C T E C 法7 H12 B 液体培基分离出50例临床结核分枝杆菌菌株,经不同稀释后,直接接种于改良罗氏药敏培基上,与 B A C T E C 法药敏结果对比,观察其耐药性?结果 1 .7 H12 B 液体培基中结核分枝杆菌菌液 G I 值500 ~900 时,1 ml 相当于1 mg 结核分枝杆菌湿重的活菌( 菌数106 ~7) ?2 .取7 H12 B 液体培基的菌液直接接种于罗氏药敏培养基,其耐药结果与 B A C T E C 法相比,无显著性差异( P> 0.05) ?结论 此法可弥补 B A C T E C 通常只有四种药敏的不足,与常规罗氏药敏方法比较,可提前报告13 ~15 天?

关键词: BACTEC, 药敏试验

Abstract: Objective To explore the reformation on the m ethod of drug sensitivity test for Mycobacteriu m tu berculosis . Method 50 M . T B was separated from the clinic by the 7 H12 Bliquid mediu m used for B A C T E C. Afterdiluted at different density ,directly vaccinated on the reform ed L珔o wenstein Jensen medium . Com paring with thedrug sensitivity results of B A C T E C,the reform ed drug sensitivity method could be valued . Result 1 . The nu mberof M . T Bin 1 ml 7 H12 Bliquid m ediu m( G I500 ~900)is equal to that of 1 m g wet weight of M . T B(106 ~7) .2 . Thebacteria liquid draw n fro m 7 H12 B liquid medium was directly vaccinated on the traditional L珔o wenstein Jensenmedium . With the drug sensitivity result co mparing with that of B A C T E C,there is no significant difference( P>0.05) . Conclusion The m ethod of B A C T E Cdrug sensitivity testis usually used for only 4 kinds of anti tuberculo sis drugs . The reform ed method could be used for more and remedy the defect of B A C T E C. Com paring with themethod of L珔o wenstein Jensen drug sensitivity test ,the time the new method used was short of 13 to 15 days .

Key words: BACTEC, Drug susceptibility test