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结核病和耐药结核病早期诊断分子方法的最新进展。

Recent advances in molecular methods for early diagnosis of tuberculosis and drug-resistant tuberculosis.

作者信息

Hazbón Manzour Hernando

机构信息

Center for the Study of Emerging and Re-emerging Pathogens, New Jersey Medical School, Newark, New Jersey 07103, USA.

出版信息

Biomedica. 2004 Jun;24 Supp 1:149-62.

Abstract

Tuberculosis (TB) remains the main infectious cause of deaths in the world. Due to the slow metabolism of the causative agent, Mycobacterium tuberculosis, the isolation, identification and drug susceptibility testing requires several weeks. New techniques have improved specificity, turnaround time and cost effectiveness. Although these methods yield results within hours from sample collection, the clinical significance of each positive result requires rigorous evaluation in most cases. Herein the advantages and disadvantages of the most promising molecular techniques for detection of TB and drug resistance are discussed.

摘要

结核病仍然是全球主要的感染性致死病因。由于致病原结核分枝杆菌的代谢缓慢,其分离、鉴定及药敏试验需要数周时间。新技术提高了检测的特异性、缩短了周转时间并提高了成本效益。尽管这些方法能在样本采集后的数小时内得出结果,但在大多数情况下,每个阳性结果的临床意义都需要进行严格评估。本文将讨论用于检测结核病及耐药性的最具前景的分子技术的优缺点。

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