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Direct susceptibility testing of Mycobacterium tuberculosis for pyrazinamide by use of the bactec MGIT 960 system

Demers, Anne-Marie and Venter, Amour and Friedrich, Sven O. and Rojas-Ponce, Gabriel and Mapamba, Daniel and Jugheli, Levan and Sasamalo, Mohammed and Almeida, Deepak and Dorasamy, Afton and Jentsch, Ute and Gibson, Mara and Everitt, Daniel and Eisenach, Kathleen D. and Diacon, Andreas H.. (2016) Direct susceptibility testing of Mycobacterium tuberculosis for pyrazinamide by use of the bactec MGIT 960 system. Journal of clinical microbiology, 54 (5). pp. 1276-1281.

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Official URL: http://edoc.unibas.ch/43550/

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Abstract

Pyrazinamide (PZA) is a key antituberculosis drug, yet no rapid susceptibility test is commercially available. PZA drug susceptibility testing (DST) was performed directly on sputum samples from 327 patients and compared with the indirect method by using the Bactec MGIT 960 system in the context of patient screening for participation in a drug trial. Compared to standard indirect PZA DST, direct DST was successful in only 59% of cases, but results obtained were highly accurate and available faster. Agreement between the direct and indirect methods varied from 90 to 100% in each laboratory. The median times for obtaining PZA results from the time when the specimen was collected ranged from 11 to 16 days for the direct test and 18 to 95 days for the indirect test across laboratories. The direct method is accurate and reproducible across laboratories. It can be expected to accelerate results in >50% of cases, but it cannot replace indirect DST for PZA. Phenotypic methods remain the gold standard for DST in drug trials. If future studies can optimize the method to decrease the number of uninterpretable results, direct MGIT DST could be the new phenotypic DST standard for clinical trials, providing more rapid detection of resistance to new drugs in experimental regimens.
Faculties and Departments:09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH)
09 Associated Institutions > Swiss Tropical and Public Health Institute (Swiss TPH) > Department of Medical Parasitology and Infection Biology > Tuberculosis Research (Gagneux)
UniBasel Contributors:Jugheli, Levan
Item Type:Article, refereed
ISSN:1098-660X
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:30 Aug 2016 09:44
Deposited On:30 Aug 2016 09:44

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