1. Fluorescence In Situ Hybridization Assay Using Peptide Nucleic Acid Probes for Differentiation between Tuberculous and Nontuberculous Mycobacterium Species in Smears of Mycobacterium Cultures
- Author
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Henrik Stender, Kaare Lund, Poonpilas Hongmanee, Sven E. Godtfredsen, Håkan Miörner, Ole F. Rasmussen, and Kenneth H. Petersen
- Subjects
Peptide Nucleic Acids ,Microbiology (medical) ,Molecular Sequence Data ,DNA, Ribosomal ,Mycobacterium ,Microbiology ,Mycobacterium tuberculosis ,chemistry.chemical_compound ,medicine ,Humans ,Tuberculosis ,In Situ Hybridization, Fluorescence ,Base Sequence ,biology ,medicine.diagnostic_test ,Peptide nucleic acid ,Mycobacteriology and Aerobic Actinomycetes ,bacterial infections and mycoses ,biology.organism_classification ,Molecular biology ,Nucleic Acid Probes ,Mycobacterium tuberculosis complex ,chemistry ,Mycobacterium fortuitum ,Nontuberculous mycobacteria ,Molecular probe ,Fluorescence in situ hybridization - Abstract
TB PNA FISH is a new fluorescence in situ hybridization (FISH) method using peptide nucleic acid (PNA) probes for differentiation between species of the Mycobacterium tuberculosis complex (MTC) and nontuberculous mycobacteria (NTM) in acid-fast bacillus-positive (AFB+) cultures is described. The test is based on fluorescein-labelled PNA probes that target the rRNA of MTC or NTM species applied to smears of AFB+ cultures for microscopic examination. Parallel testing with the two probes serves as an internal control for each sample such that a valid test result is based on one positive and one negative reaction. TB PNA FISH was evaluated with 30 AFB+ cultures from Denmark and 42 AFB+ cultures from Thailand. The MTC-specific PNA probe showed diagnostic sensitivities of 84 and 97%, respectively, and a diagnostic specificity of 100% in both studies, whereas the NTM-specific PNA probe showed diagnostic sensitivities of 91 and 64%, respectively, and a diagnostic specificity of 100% in both studies. The low sensitivity of the NTM-specific PNA probe in the Thai study was due to a relatively high prevalence of Mycobacterium fortuitum , which is not identified by the probe. In total, 63 (87%) of the cultures were correctly identified as MTC ( n = 46) or NTM ( n = 17), whereas the remaining 9 were negative with both probes and thus the results were inconclusive. None of the samples were incorrectly identified as MTC or NTM; thus, the predictive value of a valid test result obtained with TB PNA FISH was 100%.
- Published
- 1999
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