Abstract
The purpose of the survey was the routine assessment of the MTBDRplus(®) kit performance in the determination and characterization of Mycobacterium tuberculosis resistance to rifampicin. The survey was carried out on a collection of 144 strains (126 of which were resistant to rifampicin) isolated on patients from 15 countries. Sensitivity to antituberculosis drugs was determined by a liquid culture system and the reference method was the amplification and sequencing of a target region of the rpoB gene whose mutations are responsible for rifampicin resistance (codons 507 to 533). The assessed kit was based on a reverse hybridization technique using eight overlapping probes covering the target region and four probes representing the most-frequently observed mutations. The assay performance was found excellent, specificity: 100%, sensitivity: 99.2%; 17 mutations affecting 10 codons were reported, two of which were newly identified.
Copyright © 2010 Elsevier Masson SAS. All rights reserved.
MeSH terms
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Antitubercular Agents / pharmacology*
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Bacterial Proteins / genetics
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Codon / genetics
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DNA, Bacterial / genetics
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DNA-Directed RNA Polymerases
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Data Collection
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Djibouti / epidemiology
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Drug Resistance, Microbial / genetics
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Drug Resistance, Multiple, Bacterial / genetics
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France / epidemiology
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Genotype
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Isoniazid / pharmacology
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Mutation, Missense
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Mycobacterium tuberculosis / drug effects*
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Mycobacterium tuberculosis / genetics
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Oxidoreductases / genetics
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Point Mutation
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Polymerase Chain Reaction / methods*
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Reagent Kits, Diagnostic*
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Rifampin / pharmacology*
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Sensitivity and Specificity
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Sequence Analysis, DNA
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Thailand / epidemiology
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Tuberculosis / epidemiology
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Tuberculosis / microbiology*
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Tuberculosis, Multidrug-Resistant / epidemiology
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Tuberculosis, Multidrug-Resistant / microbiology
Substances
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Antitubercular Agents
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Bacterial Proteins
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Codon
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DNA, Bacterial
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Reagent Kits, Diagnostic
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rpoB protein, Mycobacterium tuberculosis
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Oxidoreductases
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InhA protein, Mycobacterium
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DNA-Directed RNA Polymerases
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Isoniazid
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Rifampin