首页|高分辨率熔解曲线快速检测结核分枝杆菌对链霉素耐药情况的研究

高分辨率熔解曲线快速检测结核分枝杆菌对链霉素耐药情况的研究

扫码查看
探讨高分辨率熔解曲线(HRM)技术检测结核分枝杆菌对链霉素耐药性的可行性。用传统药物敏感性试验进行结核分枝杆菌链霉素耐药性检测;以Rpsl和rrs的耐药决定区为靶点设计引物进行HRM分析,判断菌株是否对链霉素耐药;以药敏结果为标准,应用SPSS17。0分析两种检测结果之间的符合率;Kappa检验分析两种结果的一致性。药敏结果显示,84株菌株中有20株对链霉素耐药,64株为敏感株;HRM检测结果显示,24株菌株对链霉素耐药,60株为敏感株;以药敏结果为参照,HRM检测结核分枝杆菌对链霉素耐药性的敏感性为75%,特异性为85。9%,经Kappa检验显示,两种方法检测结果具有中度一致性。本研究结果表明HRM可快速检测结核分枝杆菌对链霉素的耐药性,具有较好的灵敏度,在耐药结核病的早期辅助诊断方面具有一定的应用价值。
A Study of Rapid Detection of Streptomycin-Resistant Mycobacterium tuberculosis with High-Resolution Melting Curves
The purpose of the present study was to explore the feasibility of high-resolution melting curve(HRM)technology in detecting streptomycin resistance of Mycobacterium tuberculosis using the traditional drug susceptibility test(DST).Meanwhile,the RpsL and the rrs genes consisting of RRDR was chosen to design primers for HRM analysis.SPSS17.0 software was used for statistical analysis and the coincidence of these two methods was calculated based on the results of DST.Kappa analysis was used to compare the difference and the consistency of the two methods.The results of DST showed that 20 strains were resistant to streptomycin and 64 strains were susceptible to streptomycin.HRM results showed that 24 strains were resistant to streptomycin,60 strains were susceptible to streptomycin.With the DST results by the proportion method as controls,the sensitivity and specificity of HRM in detection of streptomycin-resistance was 75%and 85.9%,respectively.The Kappa test showed moderate consistency between the two methods.The results of this study indicated that HRM quickly detected streptomycin resistance of M.tuberculosis with high sensitivity,which might be used in the early auxiliary diagnosis of drug-resistant tuberculosis.

Mycobacterium tuberculosisdrug resistancehigh resolution melting curve analysisstreptomycin

杨彩虹、张萍、买买提艾力·艾合木提、黄巧玲、王震、曹旭东

展开 >

武威市畜牧兽医总站,武威 733000

新疆喀什地区结核病防治所,喀什 844000

石河子大学动物科技学院,石河子 832002

河西学院医学院,张掖 734000

展开 >

结核分枝杆菌 耐药性 高分辨率熔解曲线 链霉素

国家重点研发计划河西学院博士启动基金

2018YFD0500902KYQD2020001

2024

中国动物传染病学报
中国农业科学院上海兽医研究所

中国动物传染病学报

CSTPCD北大核心
影响因子:0.651
ISSN:1674-6422
年,卷(期):2024.32(1)
  • 15