添加链接
link管理
链接快照平台
  • 输入网页链接,自动生成快照
  • 标签化管理网页链接
  • 1 Department of Tuberculosis Control, Center for Disease Control and Prevention in Wusheng County, Sichuan Province, Guang’an 638401, China
    2 Key Laboratory of Medical Molecular Virology (MOE/NHC/CAMS), School of Basic Medical Science, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Abstract:

    Sputum specimens were collected from 1370 presumptive tuberculosis patients attending to the tuberculosis clinic of Center for Disease Control and Prevention in Wusheng County of Sichuan Province from July 1, 2018 to December 31, 2020. The sputum was cultured using manual liquid culture method and neutralization centrifugal solid culture method at the same time. The positive rate of the manual liquid culture method was 25.8% (353/1370), significantly higher than that of the neutralization centrifugal solid culture method (20.0%, 274/1370) ( χ 2 =12.907, P<0.001). The median time to detection was 2 (2, 3) weeks for the manual liquid culture method, which was significantly shorter than that for the solid culture method (3 (2, 4) weeks, Z=-9.491, P<0.001). The manual liquid culture method significantly improved the positive rate, significantly shortened the time to detection, and was comparable in cost to solid culture, making it suitable for application in county-level laboratory.

    Key words: Laboratory techniques and procedures, Mycobacterium tuberculosis, Culture techniques

    邱勇, 李蒙, 屈榕, 田发君. 县级实验室应用结核分枝杆菌手工液体培养技术检测结果分析[J]. 结核与肺部疾病杂志, 2022, 3(2): 173-176. doi: 10.19983/j.issn.2096-8493.20210136

    QIU Yong, LI Meng, QU Rong, TIAN Fa-jun. Analysis of manual liquid culture method in county-level laboratory to detect Mycobacterium tuberculosis[J]. Journal of Tuberculosis and Lung Disease, 2022, 3(2): 173-176. doi: 10.19983/j.issn.2096-8493.20210136

    两种培养方法报告阳性时间

    报告阳性
    时间
    手工MFLM液体培养 报告阳性
    时间
    中和离心固体培养
    报告阳性例数 报告阳性率(%) 报告阳性例数 报告阳性率(%)
    0.5周 34 9.6 1周 7 2.6
    1周 50 23.8 2周 68 27.4
    1.5周 0 23.8 3周 106 66.1
    2周 137 62.6 4周 55 86.1
    3周 79 85.0 5周 15 91.6
    4周 35 94.9 6周 10 95.3
    5周 8 97.2 7周 8 98.2
    6周 10 100.0 8周 5 100.0
    合计 353 274
    Yuen CM, Amanullah F, Dharmadhikari A, et al. Turning off the tap: stopping tuberculosis transmission through active case-finding and prompt effective treatment. Lancet, 2015, 386(10010):2334-2343. doi: 10.1016/S0140-6736(15)00322-0. doi: 10.1016/S0140-6736(15)00322-0 Gao L, Li X, Liu J, et al. Incidence of active tuberculosis in individuals with latent tuberculosis infection in rural China: follow-up results of a population-based, multicentre, prospective cohort study. Lancet Infect Dis, 2017, 17(10):1053-1061. doi: 10.1016/S1473-3099(17)30402-4. doi: 10.1016/S1473-3099(17)30402-4 Arora D, Dhanashree B. Utility of smear microscopy and GeneXpert for the detection of Mycobacterium tuberculosis in clinical samples. Germs, 2020, 10(2):81-87. doi: 10.18683/germs.2020.1188. doi: 10.18683/germs.2020.1188 张绮丽, 王军, 陆善词, 等. Xpert MTB/RIF法和涂片法检测痰液结核分枝杆菌的比较分析. 国际感染杂志(电子版), 2019, 8(1):157. 甄国东, 茅利明, 赵斐, 等. BACTEC MGIT 960液体培养与金胺O抗酸染色对疑似结核病患者的诊断价值. 结核与肺部疾病杂志, 2016, 5(4):344-347. doi: 10.3969/j.issn.2096-8493.2016.04.022. doi: 10.3969/j.issn.2096-8493.2016.04.022 赵雁林, 陈明亭. 中国结核病防治工作技术指南. 北京: 人民卫生出版社, 2021. 赵雁林. 结核病实验室诊断技术培训教程. 北京: 人民卫生出版社, 2014. Chihota VN, Grant AD, Fielding K, et al. Liquid vs. solid culture for tuberculosis: performance and cost in a resource-constrained setting. Int J Tuberc Lung Dis, 2010, 14(8):1024-1031. pmid: 20626948 Diriba G, Kebede A, Yaregal Z, et al. Performance of Mycobacterium Growth Indicator Tube BACTEC 960 with Lowenstein-Jensen method for diagnosis of Mycobacterium tuberculosis at Ethiopian National Tuberculosis Reference Laboratory, Addis Ababa, Ethiopia. BMC Res Notes, 2017, 10(1):181. doi: 10.1186/s13104-017-2497-9. doi: 10.1186/s13104-017-2497-9 pmid: 28486950 吴学兵, 陆彬, 桂晓虹, 等. 液体MGIT培养法在结核分枝杆菌检测中的应用评估. 检验医学, 2013, 28(3):211-214. doi: 10.3969/j.issn.1673-8640.2013.03.012. doi: 10.3969/j.issn.1673-8640.2013.03.012 王晓艳, 王珍, 李佳, 等. MGIT TM 960快速培养系统在结核病诊断中的应用价值. 中国医学工程, 2015, 23(9):199. Zhao P, Yu Q, Zhang Y. Evaluation of a manual identification system for detection of Mycobacterium tuberculosis in a primary tuberculosis laboratory in China. J Int Med Res, 2019, 47(6):2666-2673. doi: 10.1177/0300060519844399. doi: 10.1177/0300060519844399 Quispe R, Valle GA, Huapaya JA, et al. Manual MGIT system for the detection of Mycobacterium tuberculosis: insights from a high TB burden setting. Int J Tuberc Lung Dis, 2016, 20(5):605-610. doi: 10.5588/ijtld.15.0489. doi: 10.5588/ijtld.15.0489 pmid: 27084813 Lee JJ, Suo J, Lin CB, et al. Comparative evaluation of the BACTEC MGIT 960 system with solid medium for isolation of mycobacteria. Int J Tuberc Lung Dis, 2003, 7(6):569-574. pmid: 12797700 古力米娜·阿布力米提, 麦维兰江·阿不力米提, 地尔木拉提·吐逊, 刘振江, 何懿, 苏伟, 欧喜超. 2021年喀什地区肺结核患者利福平耐药影响因素分析 [J]. 结核与肺部疾病杂志, 2022, 3(4): 269-273. 杨震, 雷囡, 赵飞, 何艳萍, 林娜, 张治国. 北京市昌平区高等院校新生结核分枝杆菌潜伏感染状况调查及潜伏感染者预防性治疗效果分析 [J]. 结核与肺部疾病杂志, 2022, 3(4): 274-280. 董昭良, 姚黎明, 李领娣, 王连波, 姚晓伟, 李卓, 刘丰胜, 贾晨光. 保守方法治疗轻型脊柱结核的临床疗效 [J]. 结核与肺部疾病杂志, 2022, 3(4): 281-286. 林晶, 李岚, 刘颖. Snyder希望理论指导下行为干预对NTM肺病患者负性情绪和应对方式的影响 [J]. 结核与肺部疾病杂志, 2022, 3(4): 287-291. 李义帅, 秦学博, 李香兰, 魏兰, 段小亮, 张磊, 陈亮, 李建行. 电视辅助胸腔镜手术与开胸手术治疗难治性空洞性肺结核的效果分析 [J]. 结核与肺部疾病杂志, 2022, 3(4): 292-295. 李军霞, 孟艺哲, 张亚楠, 陈颜强, 赵青. 12例结核性神经根脊髓炎的临床特征及磁共振成像特点分析 [J]. 结核与肺部疾病杂志, 2022, 3(4): 296-299. 胡娟, 周燕, 杨澄清. 支气管结核患者焦虑、抑郁心理状况与行电子支气管镜治疗依从性的相关性分析 [J]. 结核与肺部疾病杂志, 2022, 3(4): 305-308. 郦源, 郭茹茹, 吕良敬. 结缔组织病合并结核病的研究进展 [J]. 结核与肺部疾病杂志, 2022, 3(4): 309-314. 钱晓文, 翟晓文. 造血干细胞移植与结核病 [J]. 结核与肺部疾病杂志, 2022, 3(4): 315-319. 张晓林, 李锋. 肺结核致呼吸衰竭研究进展 [J]. 结核与肺部疾病杂志, 2022, 3(4): 320-324. 刘玉坤, 郭智. 慢性髓系白血病与结核病共病研究进展 [J]. 结核与肺部疾病杂志, 2022, 3(4): 325-327. 何燕超, 揭志军. 综合医院活动性肺结核的早期筛查策略 [J]. 结核与肺部疾病杂志, 2022, 3(4): 334-337. 周伊南, 朱惠莉. 慢性阻塞性肺疾病合并肺结核的研究进展 [J]. 结核与肺部疾病杂志, 2022, 3(4): 338-342. 程娟, 贺晓英, 刘铭辉, 韩守华, 陈磊, 刘光福, 潘兆宝, 严琨. 苏尔加分枝杆菌肺病一例 [J]. 结核与肺部疾病杂志, 2022, 3(4): 347-352.