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Chinese Journal of Antituberculosis ›› 2013, Vol. 35 ›› Issue (12): 988-991.

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A preliminary study of clinical specimens pretreated by magnetic nanoparticle in mycobacteria culture

WANG Xiang-dong, SHAO Ji-bao, SHI Xu-dong   

  1. Department of Clinical Laboratory, Nanjing Chest Hospital, Jiangsu 210029, China
  • Received:2013-09-20 Online:2013-12-10 Published:2014-03-04
  • Contact: SHI Xu-dong E-mail:sxdnj@hotmail.com

Abstract: Objective  In the course of culture, adopting a way of using magnetic nanoparticle to concentrate mycobacteria, and evaluated its feasibility. Methods  Ninety-four clinical specimens from outpatients and inpatients with pulmonary tuberculosis were collected during December 2012 to March 2013 in Nanjing Chest Hospital and were concentrated by PEG600 magnetic nanoparticle self-made or centrifugation (3000×g, 20 min), and inoculated. After incubating, we compared their results of positive rate, contamination rate and average culture time with the way of direct inoculation. For count data, the chi-square test was used for statistical analysis. Kolmogorov-Smirnov normality test was performed, and data non-normally distributed was analyzed by using the Wilcoxon rank sum test, P<0.05 was considered statistically significant. Results  The positive rates of direct, centrifugal, bead enrichment method were 29.79%(28/94), 43.62%(41/94) and 41.49%(39/94) respectively; Contamination rates were 2.91%(3/103), 4.85%(5/103) and 3.88%(4/103) respectively; Average culture time(day)[Median(upper and lower quartile)] were 28(21,40), 21(21,35), 21(21,35), respectively. The positive rates of bead enrichment and centrifugal method were statistically higher than simple method, their values ofχ2 were 9.09, 11.08 respectively, both P<0.01. The average culture times of bead enrichment and centrifugal method were statistically shorten than simple method, their values of Z were -3.983 and -3.980 respectively, both P<0.01. There did not show significantly difference between centrifugal and bead enrichment method about their positive rates and average culture times(about positive rate:χ2=0.25,P=0.62;about average culture times:Z=-0.557,P=0.577). Conclusion  The bead enrichment method had a higher positive rate and a shorten average culture time than simple method, and had the similar results gotten from the centrifugal method, little contamination to environment and easy batch processing; therefore had good prospects for clinical application.

Key words: Mycobacterium, Specimen handling, Iron compounds, Nanoparticles, Bacteriological techniques