[Molecular test Genotype® MTBDRplus, an alternative to rapid detection of multidrug resistance tuberculosis]

Rev Peru Med Exp Salud Publica. 2012 Mar;29(1):92-8. doi: 10.1590/s1726-46342012000100014.
[Article in Spanish]

Abstract

The Genotype®MTBDRplus molecular test is a method that allows identification of the most frequent mutations associated with resistance to major first-line antituberculosis drugs, Isoniazid (INH) and Rifampicin (RFP). The aim of this study was to evaluate the performance of the molecular test with culture and smear- positive sputum samples. We evaluated 95 cultures and 100 sputum samples with resistance profiles previously determined by the reference method "Agar Plate Proportions" (APP). The molecular test from cultures showed a sensitivity of 100 %, 97,5 % and 96,97 % for RIF, INH and MDR respectively while from sputums the sensitivity was 95,65 %, 96,77 % and 95,24 % for RIF, INH and MDR respectively. We conclude that the molecular test Genotype®MTBDRplus is a very useful tool to detect resistance to isoniazid and rifampicin simultaneously (MDR-TB) in up to 72 hours from sputum samples or cultures.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibiotics, Antitubercular / pharmacology*
  • Antitubercular Agents / pharmacology*
  • Genotype
  • Humans
  • Isoniazid / pharmacology*
  • Molecular Diagnostic Techniques / methods
  • Mutation
  • Mycobacterium tuberculosis / drug effects*
  • Mycobacterium tuberculosis / genetics*
  • Rifampin / pharmacology*
  • Time Factors
  • Tuberculosis, Multidrug-Resistant / diagnosis*
  • Tuberculosis, Multidrug-Resistant / microbiology

Substances

  • Antibiotics, Antitubercular
  • Antitubercular Agents
  • Isoniazid
  • Rifampin