Rapid genotypic detection of rifampin- and isoniazid-resistant Mycobacterium tuberculosis directly in clinical specimens

J Clin Microbiol. 2006 Jul;44(7):2605-8. doi: 10.1128/JCM.00752-06.

Abstract

A multiplex PCR DNA strip assay (Genotype MTBDR) designed to detect rifampin (rpoB) and high-level isoniazid (katG) resistance mutations in Mycobacterium tuberculosis isolates was optimized for clinical specimens. Successful genotypic results were achieved with 36 of 38 (95%) smear-positive respiratory specimens, allowing rapid therapeutic adjustments in transmittable drug-resistant tuberculosis.

MeSH terms

  • Antibiotics, Antitubercular / pharmacology
  • Antitubercular Agents / pharmacology*
  • Body Fluids / microbiology
  • Drug Resistance, Bacterial / genetics*
  • Genotype
  • Humans
  • Isoniazid / pharmacology*
  • Microbial Sensitivity Tests / methods*
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / genetics
  • Polymerase Chain Reaction / methods
  • Rifampin / pharmacology*
  • Tuberculosis, Multidrug-Resistant / microbiology

Substances

  • Antibiotics, Antitubercular
  • Antitubercular Agents
  • Isoniazid
  • Rifampin