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首页> 外文期刊>Journal of Clinical Microbiology >Molecular strain typing of Mycobacterium tuberculosis to confirm cross-contamination in the mycobacteriology laboratory and modification of procedures to minimize occurrence of false-positive cultures.
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Molecular strain typing of Mycobacterium tuberculosis to confirm cross-contamination in the mycobacteriology laboratory and modification of procedures to minimize occurrence of false-positive cultures.

机译:结核分枝杆菌的分子菌株分型,以确认在分枝杆菌学实验室中的交叉污染,并修改了程序以最大程度地减少假阳性培养的发生。

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Molecular strain typing by restriction fragment length polymorphism analysis was used to demonstrate that two clusters of Mycobacterium tuberculosis cultures involving six patients resulted from cross-contamination in the mycobacteriology laboratory. Contaminated cultures were processed by the decontamination procedure and were read on the BACTEC instrument following acid-fast bacillus smear-positive specimens from patients with active tuberculosis. Investigation of these episodes suggested opportunities for modification of laboratory procedures to minimize cross-contamination and confirmed the adverse medical and public health consequences of false-positive cultures. Strain-typing results were used in decisions regarding patient care, including the curtailment of unnecessary treatment in one patient. Molecular strain typing appears to be a valuable means of identifying false-positive cultures of M. tuberculosis in selected settings.
机译:通过限制性片段长度多态性分析对分子菌株进行分型,证明分枝杆菌实验室中的交叉污染导致了两例结核分枝杆菌培养物的两个簇,涉及六名患者。受污染的培养物经过去污染程序处理,并在BACTEC仪器上从活动性肺结核患者的耐酸杆菌涂片阳性标本中读取。对这些事件的调查表明,有机会修改实验室程序,以最大程度地减少交叉污染,并证实假阳性文化对医学和公共卫生的不利影响。劳力分型结果用于有关患者护理的决策中,包括减少一名患者不必要的治疗。分子菌株分型似乎是鉴定选定环境中结核分枝杆菌假阳性培养物的有价值的手段。

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