[Use of mycolic acids analysis in diagnosis of tuberculosis and mycobacteriosis--three-year experience]

Pneumonol Alergol Pol. 2002;70(9-10):444-9.
[Article in Polish]

Abstract

The aim of the study was to estimate the utility of the HPLC-based method of mycolic acids analysis to classify Mycobacterium species in routine diagnostic procedure on the basis of own three-year experience. 2142 patients' specimens were examined. 141 AFB were cultured. 36.2% strains were classified as M. tuberculosis complex by HPLC. The identification was confirmed by AMPLICOR MTB (Roche diagnostic, USA). M. xenopi (17.0%), M. kansasii (14.2%) and M. gordonae (14.2%) were the most frequent identified out of nontuberculous mycobacteria. Four mycobacteriosis cases were suspected because of repeated identification of the isolated strains. 136 strains on L-J slant shipped from other centres were identified. We confirm that the HPLC method is highly effective and specific for Mycobacterium species classification, which can be performed in no more than a couple of hours. In our opinion it is a very helpful tool, hard to replace in diagnostic procedure of tuberculosis and mycobacteriosis.

Publication types

  • English Abstract

MeSH terms

  • Chromatography, High Pressure Liquid / methods*
  • Humans
  • Mycobacterium Infections, Nontuberculous / diagnosis*
  • Mycobacterium Infections, Nontuberculous / microbiology
  • Mycobacterium tuberculosis* / isolation & purification
  • Mycobacterium tuberculosis* / metabolism
  • Mycolic Acids / analysis*
  • Nontuberculous Mycobacteria* / classification
  • Nontuberculous Mycobacteria* / isolation & purification
  • Nontuberculous Mycobacteria* / metabolism
  • Poland
  • Polymerase Chain Reaction / methods
  • Retrospective Studies
  • Species Specificity
  • Tuberculosis / diagnosis*
  • Tuberculosis / microbiology

Substances

  • Mycolic Acids