Standardization of in-house polymerase chain reaction for the identification of Mycobacterium tuberculosis at the reference tropical disease hospital in the State of Goiás, Brazil

This study compares smear, growth in Lowenstein-Jensen medium, and in-house polymerase chain reaction (PCR) techniques for the detection of Mycobacterium tuberculosis. A total of 72 specimens from 72 patients with clinical symptoms of tuberculosis, including 70 sputum and two bronchial aspirate samp...

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Main Authors: Márcia Alves Vasconcelos Rodrigues, Álvaro Bisol Serafini, Marieta de Souza Pereira, Thathiane Dias da Silva, Marcelo Fouad Rabahi, Suely Lemes de Alves, André Kipnis
Format: Article
Language:English
Published: Fundação Oswaldo Cruz (FIOCRUZ) 2004-06-01
Series:Memorias do Instituto Oswaldo Cruz
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000400012
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author Márcia Alves Vasconcelos Rodrigues
Álvaro Bisol Serafini
Marieta de Souza Pereira
Thathiane Dias da Silva
Marcelo Fouad Rabahi
Suely Lemes de Alves
André Kipnis
author_facet Márcia Alves Vasconcelos Rodrigues
Álvaro Bisol Serafini
Marieta de Souza Pereira
Thathiane Dias da Silva
Marcelo Fouad Rabahi
Suely Lemes de Alves
André Kipnis
author_sort Márcia Alves Vasconcelos Rodrigues
collection DOAJ
description This study compares smear, growth in Lowenstein-Jensen medium, and in-house polymerase chain reaction (PCR) techniques for the detection of Mycobacterium tuberculosis. A total of 72 specimens from 72 patients with clinical symptoms of tuberculosis, including 70 sputum and two bronchial aspirate samples, were tested in parallel by smear, culture, and in-house PCR techniques. From these, 48 (66.6%) were negative by the 3 methods, 2 (2.8%) were smear positive and negative by culture and in-house PCR, 11 (15.3%) were both smear and culture negative, and in-house PCR positive, 7 (9.7%) were positive by the 3 methods, 2 (2.8%) were positive by smear and culture, and negative by PCR, 2 (2.8%) were positive by culture and PCR, but smear negative. After the resolution of discrepancies in PCR results, the sensitivity and specificity for in-house PCR technique to M. tuberculosis relative to the culture, were 81.8% and 81.9%, respectively. These results confirm that this method, in-house PCR, may be a sensitive and specific technique for M. tuberculosis detection, occurring in both positive and negative smear and negative cultures.
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spelling doaj.art-6ada84a146e44cba81f1b5ff1944c9e22023-09-02T19:06:58ZengFundação Oswaldo Cruz (FIOCRUZ)Memorias do Instituto Oswaldo Cruz0074-02761678-80602004-06-0199441541910.1590/S0074-02762004000400012Standardization of in-house polymerase chain reaction for the identification of Mycobacterium tuberculosis at the reference tropical disease hospital in the State of Goiás, BrazilMárcia Alves Vasconcelos RodriguesÁlvaro Bisol SerafiniMarieta de Souza PereiraThathiane Dias da SilvaMarcelo Fouad RabahiSuely Lemes de AlvesAndré KipnisThis study compares smear, growth in Lowenstein-Jensen medium, and in-house polymerase chain reaction (PCR) techniques for the detection of Mycobacterium tuberculosis. A total of 72 specimens from 72 patients with clinical symptoms of tuberculosis, including 70 sputum and two bronchial aspirate samples, were tested in parallel by smear, culture, and in-house PCR techniques. From these, 48 (66.6%) were negative by the 3 methods, 2 (2.8%) were smear positive and negative by culture and in-house PCR, 11 (15.3%) were both smear and culture negative, and in-house PCR positive, 7 (9.7%) were positive by the 3 methods, 2 (2.8%) were positive by smear and culture, and negative by PCR, 2 (2.8%) were positive by culture and PCR, but smear negative. After the resolution of discrepancies in PCR results, the sensitivity and specificity for in-house PCR technique to M. tuberculosis relative to the culture, were 81.8% and 81.9%, respectively. These results confirm that this method, in-house PCR, may be a sensitive and specific technique for M. tuberculosis detection, occurring in both positive and negative smear and negative cultures.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000400012Mycobacterium tuberculosispolymerase chain reactiontuberculosisculturesmear
spellingShingle Márcia Alves Vasconcelos Rodrigues
Álvaro Bisol Serafini
Marieta de Souza Pereira
Thathiane Dias da Silva
Marcelo Fouad Rabahi
Suely Lemes de Alves
André Kipnis
Standardization of in-house polymerase chain reaction for the identification of Mycobacterium tuberculosis at the reference tropical disease hospital in the State of Goiás, Brazil
Memorias do Instituto Oswaldo Cruz
Mycobacterium tuberculosis
polymerase chain reaction
tuberculosis
culture
smear
title Standardization of in-house polymerase chain reaction for the identification of Mycobacterium tuberculosis at the reference tropical disease hospital in the State of Goiás, Brazil
title_full Standardization of in-house polymerase chain reaction for the identification of Mycobacterium tuberculosis at the reference tropical disease hospital in the State of Goiás, Brazil
title_fullStr Standardization of in-house polymerase chain reaction for the identification of Mycobacterium tuberculosis at the reference tropical disease hospital in the State of Goiás, Brazil
title_full_unstemmed Standardization of in-house polymerase chain reaction for the identification of Mycobacterium tuberculosis at the reference tropical disease hospital in the State of Goiás, Brazil
title_short Standardization of in-house polymerase chain reaction for the identification of Mycobacterium tuberculosis at the reference tropical disease hospital in the State of Goiás, Brazil
title_sort standardization of in house polymerase chain reaction for the identification of mycobacterium tuberculosis at the reference tropical disease hospital in the state of goias brazil
topic Mycobacterium tuberculosis
polymerase chain reaction
tuberculosis
culture
smear
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0074-02762004000400012
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