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Tuberculosis diagnosis after bleach processing for early stage tuberculosis laboratory capacity building

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Resumo(s)

The diagnosis of tuberculosis is seriously hampered in the absence of standard biosafety laboratory facilities for specimen concentration and Mycobacterium tuberculosis culture. Within a laboratory twinning arrangement, heat-fixed direct smear and sediment from 74 bleach-processed and 20 non-processed specimens from Cumura Hospital, Guinea-Bissau, were sent to Lisbon for molecular evaluation of rifampicin resistance. Sequence analysis of a 369 base-pair rpoB locus detected 3.2% (3/94) resistant specimens. To our knowledge, this represents the first report on the molecular analysis of M. tuberculosis from bleach-processed sputum, an alternative to current diagnostic practice in low-resource settings.

Descrição

Palavras-chave

Mycobacterium Tuberculosis rpoB Sputum Smear Microscopy Sodium Hypochlorite Denaturing High-performance liquid chromatography (DHPLC) Sequencing Infecções Respiratórias Resistência aos Antimicrobianos

Contexto Educativo

Citação

Int J Tuberc Lung Dis. 2012 Nov;16(11):1535-7. doi: 10.5588/ijtld.11.0658

Projetos de investigação

Unidades organizacionais

Fascículo

Editora

International Union Against Tuberculosis and Lung Disease

Licença CC