Evaluation of MGIT 960™ and the colorimetric-based method for tuberculosis drug susceptibility testing
SETTING: Dr Cetrángolo Hospital, Buenos Aires Province, Argentina.OBJECTIVE: Evaluation of the BACTEC™ Mycobacteria Growth Indicator Tube (MGIT)™ 960 system and the colorimetric-based method (CMM) for first- and second-line drug susceptibility testing (FL-DST, SL-DST) against Mycobacterium tuberculo...
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Published in | The international journal of tuberculosis and lung disease Vol. 14; no. 9; pp. 1169 - 1175 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Paris, France
IUATLD
01.09.2010
International Union against Tuberculosis and Lung Disease |
Subjects | |
Online Access | Get full text |
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Summary: | SETTING: Dr Cetrángolo Hospital, Buenos Aires Province, Argentina.OBJECTIVE: Evaluation of the BACTEC™ Mycobacteria Growth Indicator Tube (MGIT)™ 960 system and the colorimetric-based method (CMM) for first- and second-line drug susceptibility testing (FL-DST,
SL-DST) against Mycobacterium tuberculosis.DESIGN: FL-DST was studied using SIRE MGIT 960. Minimal inhibitory concentrations (MICs) for isoniazid (INH), streptomycin, rifampicin (RMP), ethambutol (EMB) and levofloxacin (LVX) were also determined by CMM using 3-(4,5-dimethylthiazolyl-2)-2,5-diphenyltetrazolium
bromide (MTT). MICs for amikacin (AMK), kanamycin (KM), capreomycin (CPM), ethionamide (ETH), cycloserine, ofloxacin (OFX), linezolide (LZ) and moxifloxacin (MFX) were determined on 94 multidrug-resistant M. tuberculosis isolates by MGIT 960 and CMM. Statistical methods were applied
to define drug-susceptible and drug-resistant isolates on the basis of the comparison between results obtained by gold standards.RESULTS: A total of 1626 clinical isolates were studied. Critical drug concentrations could be defined in less than 10 days for both CMM and MGIT 960. CMM was
cheaper but more laborious than MGIT 960. The highest performances of both methods were achieved for AMK, RMP, OFX, LZ and MFX, followed by INH, ETH, KM, CPM and LVX (tested only by CMM).CONCLUSIONS: Both methods could be implemented as rapid diagnostic tools to detect drug-resistant isolates
in clinical practice. |
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Bibliography: | 1027-3719(20100901)14:9L.1169;1- (R) Medicine - General ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Article-2 ObjectType-Feature-1 |
ISSN: | 1027-3719 1815-7920 |