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Chinese Journal of Antituberculosis ›› 2012, Vol. 34 ›› Issue (6): 377-379.

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Diagnostic value of simultaneous amplification and testing in patients with pulmonary tuberculosis

SHA Wei, HE Ya, JIANG Rui-hua, FANG Yong, JING Ling-jie, HAN Min, XIAO He-ping   

  1. Department of Tuberculosis, Shanghai Key Laboratory of Tuberculosis, Shanghai Pulmonary Hospital, Tongji Universisty, Shanghai 200433,China
  • Received:2012-11-24 Online:2012-06-10 Published:2012-06-13
  • Contact: XIAO He-ping E-mail:xiaoheping_sars@163.com

Abstract: Objective  To evaluate the value of simultaneous amplification and testing(SAT)in diagnosis of patients with pulmonary tuberculosis.  Methods Sputum smear, culture with species identification, and TB-SAT were studied in 172 patients with suspected pulmonary tuberculosis. The samples, which had inconsistent results between culture and SAT, should be rechecked with fluorescent quantitative PCR(FQ-PCR).  Results 156 patients were clinically diagnosed with pulmonary tuberculosis. If taking the culture plus FQ-PCR as the gold standard, the sensitivity and specificity of TB-SAT were 97.8%(89/91)and 97.5%(79/81),respectively. However, the sensitivity and specificity of TB-SAT were 58.3% (91/156)and 100.0%(16/16)with the clinical diagnosis as standard. The positive rates of TB-SAT were 84.9%(79/93) for sputum positive patients and 19.0%(12/63) for sputum negative patients.  Conclusion  TB-SAT is an effective method for diagnosis of patients with pulmonary tuberculosis.

Key words: Tuberculosis, pulmonary/diagnosis, Nucleic acid amplification techniques, Molecular diagnostic techniques