首页|DNA微阵列芯片法在非结核分枝杆菌菌种鉴定的应用探讨

DNA微阵列芯片法在非结核分枝杆菌菌种鉴定的应用探讨

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目的 为临床工作中非结核分枝杆菌(NTM)的感染和防治提供科学依据.方法 收集疑似结核分枝杆菌感染患者标本(包括呼吸道标本痰液、灌洗液以及非呼吸道标本无菌体液)共 1089 例,采用DNA微阵列芯片法进行检测,分析分枝杆菌菌种的分布特点.结果 1089 份标本中检出结核分枝杆菌 878 份(80.62%),NTM211 份(19.38%).其中非结核分枝杆菌菌种分布有 5 种,胞内分枝杆菌 153 例(72.51%),鸟分枝杆菌 28 例(13.27%),龟脓分枝杆菌复合群 19 例(9%),堪萨斯分枝杆菌10 例(4.74%),耻垢分枝杆菌1例(0.48%).非结核分枝杆菌感染人员分布男性 127 例(60.19%),女性84 例(39.81%),年龄分布以老年为主,60 岁以上 103 例(48.82%),男性 71 例(68.93%),女性 32 例(31.07%).结论 疑似结核分枝杆菌患者检出NTM共有5 种,排名前三的NTM种类是胞内分枝杆菌、鸟分枝杆菌和龟脓分枝杆菌复合群,感染人群以老年男性为主.
Application of DNA Microarray Chip Method in the Identification of Non-Tuberculous Mycobacterium Species
Objective To investigate the isolation of non-tuberculous mycobacterium(NTM)in Henan Provincial Chest Hos-pital,and to provide a scientific basis for the infection and prevention of NTM in clinical work in this region.Methods 1089 du-plicate specimens(including sputum,lavage solution and sterile bodily fluids of non-respiratory specimens)of suspected my-cobacterium tuberculosis infection in Henan Chest Hospital were detected by DNA microarray chip method,and the distribu-tion characteristics of Mycobacterium species were analyzed.Results In 1089 specimens,878(80.62%)of Mycobacterium tubercu-losis were detected,and 211(19.38%)were detected in NTM.Among them,there were 5 species of non-tuberculous Mycobacteri-um species,153 cases(72.51%)were detected in Intracellular Mycobacteria,28 cases(13.27%)of Mycobacterium avium or-nithus,19 cases(9%)of Mycobacterium purpureum complex,10 cases(4.74%)of Mycobacterium Kansas,and 1 case(0.48%)of Mycobacterium diureum.Among the 211 specimens,127 males(60.19%),84 female patients(39.81%),and the age distribution was mainly elderly,103 cases over 60 years old(48.82%),including 71 male patients(68.93%)and 32 female patients(31.07%);Conclusions 5 kinds of NTM were detected in patients with suspected Mycobacterium tuberculosis admitted to Henan Chest Hospital,and the top three NTM species were Mycobacterium intracellular,Mycobacterium avium and Mycobac-terium turtle complex,and the infected population was mainly elderly men.

Non-mycobacterium tuberculosisStrain identificationDNA microarray chip technology

谭蛟、王亚春、王亚丽、夏爽、程美锦、王伟

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河南省胸科医院医学检验科,郑州大学附属胸科医院,河南省传染病(结核病)临床医学研究中心,河南郑州 450003

非结核分枝杆菌 菌种鉴定 DNA微阵列芯片技术

2024

哈尔滨医药
哈尔滨市医学会

哈尔滨医药

影响因子:0.697
ISSN:1001-8131
年,卷(期):2024.44(1)
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