Evaluation of factors influencing Mycobacterium tuberculosis complex recovery and contamination rates in MGIT960
| Autor: | Jane Pleskunas, Muthaiah Muthuraj, Saka Vinod Kumar, Padmini Salgame, Kalaiarasan Ellappan, Subitha Lakshminarayanan, Jerrold J. Ellner, Suvrankar Datta, Sonali Sarkar, Gautam Roy, Noyal Mariya Joseph, Natasha S. Hochberg, Charles R. Horsburgh, Maria Jose |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Tuberculosis HIV Infections Specimen Handling 03 medical and health sciences Internal medicine HIV Seropositivity medicine Humans In patient Mycobacteria growth indicator tube Tuberculosis Pulmonary 0303 health sciences Antigens Bacterial biology 030306 microbiology business.industry Sputum Mycobacterium tuberculosis Contamination Middle Aged biology.organism_classification medicine.disease Culture Media Contamination rate Infectious Diseases Early Diagnosis Mycobacterium tuberculosis complex Cohort Female medicine.symptom business |
| Zdroj: | The Indian journal of tuberculosis. 67(4) |
| ISSN: | 0019-5707 |
| Popis: | Tuberculosis (TB) is a major public health problem worldwide. Contamination rate and poor recovery of Mycobacterium tuberculosis complex (MTBC) in MGIT960 culture may affect the early diagnosis of TB. Evidence is needed to determine the factors associated with contamination rates and MTBC recovery in MGIT960. Hence, we undertook this study to compare the factors influencing MTBC culture positivity and contamination rates in MGIT960 in patients with Pulmonary tuberculosis (PTB).A total of 849 sputum samples from newly diagnosed smear-positive TB cases enrolled into the Regional Prospective Observational Research for Tuberculosis India cohort between May 2014 to March 2017 were analyzed. Samples were inoculated into MGIT960 and positive cultures were examined for the presence of MTBC by immunochromatographic test for detection of MPT64 antigen.Of the 849 cases, 811 (95.5%) were culture positive for MTBC, 23 (2.7%) were culture negative and 15 (1.8%) were contaminated. Salivary sputum showed significantly less culture yield compared to mucopurulent/blood stained samples (p = 0.021). Sputum from individuals20 or ≥60 years showed lower culture yield of 93.9%, compared to those aged 20-59years (98.2%) (p = 0.002). Based on smear grading, culture isolation of MTBC by MGIT960 was 86.1%, 93.6% and 99.5% for negative, scanty and positive (1+/2+/3+) samples, respectively (p ≤ 0.0001). Sputum from HIV negative patients showed higher culture yield, compared to HIV positive patients (p ≤ 0.0001). Chest X-Ray revealed that patient with cavity showed higher culture isolation of MTBC compared to patients without cavity (p = 0.035). Contamination rates were higher in smear negatives (6.0%), compared to scanty (2.1%) and smear positives (1.1%) (p = 0.007). However, delay in transport of the specimen to the laboratory was the only independent factor significantly associated with increase in culture contamination.Our results highlight that extremes of age, smear negativity, HIV infection, sputum quality and cavitation significantly influence the culture yield of MTBC, whereas transport duration and smear grading affected the contamination rates in MGIT960. Hence, addressing these factors may improve the diagnostic performance of MGIT960. |
| Databáze: | OpenAIRE |
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