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中国防痨杂志 ›› 2022, Vol. 44 ›› Issue (7): 641-645.doi: 10.19982/j.issn.1000-6621.20220187

• 标准解读 • 上一篇    下一篇

世界卫生组织《优化肉汤微孔板法结核分枝杆菌复合群药物敏感性试验方法学》解读

夏辉(), 郑扬, 宋媛媛   

  1. 中国疾病预防控制中心结核病预防控制中心国家结核病参比实验室,北京 102206
  • 收稿日期:2022-05-20 出版日期:2022-07-10 发布日期:2022-07-06
  • 通信作者: 夏辉 E-mail:xiahui@chinacdc.cn
  • 基金资助:
    中央财政结核病预防控制项目-结核业务日常运转(228711)

Interpretation of the Optimized broth microdilution plate methodology for drug susceptibility testing of Mycobacterium tuberculosis complex issued by World Health Organization

XIA Hui(), ZHENG Yang, SONG Yuan-yuan   

  1. National Tuberculosis Reference Laboratory, National Center for Tuberculosis Control and Prevention, China CDC, Beijing 102206, China
  • Received:2022-05-20 Online:2022-07-10 Published:2022-07-06
  • Contact: XIA Hui E-mail:xiahui@chinacdc.cn
  • Supported by:
    Central Government Funds for Tuberculosis Prevention and Control Project-Daily Operation(228711)

摘要:

世界卫生组织(World Health Organization,WHO)之前关于表型药物敏感性试验(简称“药敏试验”)的应用及操作相关指南均针对改良罗氏培养基比例法药敏试验、液体药敏试验、Middle 7H10/7H11比例法药敏试验,从未就微孔板法药敏试验进行详细描述。考虑到利用肉汤微孔板法进行药物敏感性试验的优势,基于已有的研究基础和使用现状,WHO于2022年4月首次发布了《优化肉汤微孔板法结核分枝杆菌复合群药敏试验方法学》文件。笔者就该文件出台的背景、微孔板法药敏试验的优势、药物布局设计、方法学方面应考虑的事宜及对我国相关工作的启示等进行解读,以供我国相关科研、医疗人员及厂商参考。

关键词: 微生物敏感性试验, 分枝杆菌, 结核, 总结性报告(主题)

Abstract:

The previous guidelines on the application and operational procedure of phenotypic drug susceptibility testing issued by World Health Organization (WHO) are all relevant to the modified L-J medium-based proportion drug susceptibility test (DST), liquid medium DST, and Middle 7H10/7H11 DST; however, the microdilution plate method has never been described in detail. Because of the advantages of the microplate method for DST, and based on the previous research results and application, the WHO first released the Optimized broth microdilution plate methodology for drug susceptibility testing of Mycobacterium tuberculosis complex in April 2022. Here we interprets the background of the document, advantages of microplate DST, drug layout design, issues to be considered in methodology, and implications for relevant work in China, so as to provide the reference for relevant scientific research, medical staffs and manufacturers in China.

Key words: Microbial sensitivity tests, Mycobacterium tuberculosis, Consensus development conferences as topic

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