Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis

This study investigates the association of the AFB stain with the cycle threshold (Ct) value of the Cobas TaqMan MTB test (CTM test, Roche Diagnostics, Basel, Switzerland), and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. CTM test were simulta...

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Main Authors: Taewon Jung, Sang-Ha Kim, Sunghyun Kim, Jae-Sun Choi, Young-Kwon Kim
Format: Article
Language:English
Published: The Korean Society for Clinical Laboratory Science 2020-12-01
Series:Korean Journal of Clinical Laboratory Science
Subjects:
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author Taewon Jung
Sang-Ha Kim
Sunghyun Kim
Jae-Sun Choi
Young-Kwon Kim
author_facet Taewon Jung
Sang-Ha Kim
Sunghyun Kim
Jae-Sun Choi
Young-Kwon Kim
author_sort Taewon Jung
collection DOAJ
description This study investigates the association of the AFB stain with the cycle threshold (Ct) value of the Cobas TaqMan MTB test (CTM test, Roche Diagnostics, Basel, Switzerland), and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. CTM test were simultaneously conducted on 8,389 specimens submitted to the Samsung Medical Center from January 2015 to December 2015, and the results were analyzed and compared retrospectively investigates the association of the AFB stain with the Ct value of the CTM test, and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. The Ct values for 135 positive specimens of the CTM were inversely correlated with the AFB stain (rs=−0.545, P<0.01). When the Ct value of the CTM test and the time to positivity (TTP) of the mycobacteria cultures were verified based on the AFB stain, they were found to have a positive correlation (rs=0.136, P<0.01). The negative correlation between the CTM test and the AFB stain grade was demonstrated. The clinical significance was verified by applying these criteria to the clinical results. The semi- quantitative criteria of this study can be used to facilitate the rapid isolation of patients with active tuberculosis and infection control in the hospital.
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spelling doaj.art-5e04a07ba17c424caf2a324208ead8d62022-12-21T23:30:05ZengThe Korean Society for Clinical Laboratory ScienceKorean Journal of Clinical Laboratory Science1738-35442288-16622020-12-0152433534110.15324/kjcls.2020.52.4.335Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary TuberculosisTaewon Jung0Sang-Ha Kim1Sunghyun Kim2Jae-Sun Choi3Young-Kwon Kim4https://orcid.org/0000-0002-5029-4962Department of Laboratory Medicine, Samsung Medical Center, Seoul, KoreaDepartment of Laboratory Medicine, Konyang University Hospital, Daejeon, KoreaDepartment of Clinical Laboratory Science, College of Health Sciences, Catholic University of Pusan, Busan, KoreaDepartment of Biomedical Laboratory Science, Far East University, Eumseong, KoreaDepartment of Health Sciences, The Graduate School of Konyang University, Daejeon, Korea This study investigates the association of the AFB stain with the cycle threshold (Ct) value of the Cobas TaqMan MTB test (CTM test, Roche Diagnostics, Basel, Switzerland), and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. CTM test were simultaneously conducted on 8,389 specimens submitted to the Samsung Medical Center from January 2015 to December 2015, and the results were analyzed and compared retrospectively investigates the association of the AFB stain with the Ct value of the CTM test, and it establishes the base data for semi-quantitative identification of M. tuberculosis by the Ct value. The Ct values for 135 positive specimens of the CTM were inversely correlated with the AFB stain (rs=−0.545, P<0.01). When the Ct value of the CTM test and the time to positivity (TTP) of the mycobacteria cultures were verified based on the AFB stain, they were found to have a positive correlation (rs=0.136, P<0.01). The negative correlation between the CTM test and the AFB stain grade was demonstrated. The clinical significance was verified by applying these criteria to the clinical results. The semi- quantitative criteria of this study can be used to facilitate the rapid isolation of patients with active tuberculosis and infection control in the hospital.cycle threshold valuemycobacterium tuberculosisreal-time pcrsmear positivity grade
spellingShingle Taewon Jung
Sang-Ha Kim
Sunghyun Kim
Jae-Sun Choi
Young-Kwon Kim
Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis
Korean Journal of Clinical Laboratory Science
cycle threshold value
mycobacterium tuberculosis
real-time pcr
smear positivity grade
title Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis
title_full Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis
title_fullStr Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis
title_full_unstemmed Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis
title_short Comparison of Quantitative Relationship between Real-Time PCR and Acid Fast Bacilli Staining for Diagnosis of Pulmonary Tuberculosis
title_sort comparison of quantitative relationship between real time pcr and acid fast bacilli staining for diagnosis of pulmonary tuberculosis
topic cycle threshold value
mycobacterium tuberculosis
real-time pcr
smear positivity grade
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AT sunghyunkim comparisonofquantitativerelationshipbetweenrealtimepcrandacidfastbacillistainingfordiagnosisofpulmonarytuberculosis
AT jaesunchoi comparisonofquantitativerelationshipbetweenrealtimepcrandacidfastbacillistainingfordiagnosisofpulmonarytuberculosis
AT youngkwonkim comparisonofquantitativerelationshipbetweenrealtimepcrandacidfastbacillistainingfordiagnosisofpulmonarytuberculosis