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Chinese Journal of Antituberculosis ›› 2015, Vol. 37 ›› Issue (3): 291-294.doi: 10.3969/j.issn.1000-6621.2015.03.014

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Comparative study between the traditional culture method and PCR-fluorescent probe method in the identification of mycobacterium species

ZHANG Jie*, XING Qing, WANG Su-min, YI Jun-li, YANG Xin-yu, DING Bei-chuan, SU Jian-rong   

  1. *Laboratory of Beijing Friendship Hospital affiliated to Capital Medical University(on-the-job postgraduate student of Benjing Research Institute for Tuberculosis Control), Beijing 100050, China
  • Received:2014-08-29 Online:2015-03-10 Published:2015-04-03
  • Contact: SU Jian-rong E-mail:youyilab@163.com

Abstract: Objective To compare the traditional culture method with PCR-fluorescence probe method for the identification of mycobacteria.  Methods One thousand five hundred and fifty two mycobacterial strains from clinical isolates were tested by PNB-TCH growth test and PCR-fluorescent probe method, in which the strains with different testing results were confirmed by 16S rRNA gene sequencing method.  Results Between two methods, the coincidence rate of non-tuberculosis mycobacteria (NTM) was 75.4% (46/61), the coincidence rate of Mycobacterium tuberculosis complex (MTBC) was 99.0% (1491/1506), and the overall coincidence rate was 99.0% (1537/1552). 15 strains with different testing results were sequenced with 16S rRNA gene, in which 14 were consistent with the results of PCR-probe method, and 1 was isolated and cultured, then confirmed with mixed bacteria of Mycobacterium tuberculosis and Mycobacterium Gordon. The sensitivity of PNB culture for NTM was 21.7% (13/60), and the PNB-resistant rate of MTBC was 0.1%(1/1492). Of 13 PNB-sensitive NTM stains, 10 (76.9%) were Mycobacterium kansasiiConclusion The identification of part NTM isolates was misjudged using the PNB-TCH growth tests, while the PCR-fluorescent probe method for the identification of MTBC and NTM strains had higher accuracy.

Key words: Nontuberculous mycobacteria, Mycobacterium tuberculosis, Bacteriological techniques, Polymerase chain reaction, Comp study