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Rapid detection of rifampicin and isoniazid resistance in Mycobacterium tuberculosis by the direct thin-layer agar method

  • Jaime Robledo
  • , G. I. Mejia
  • , L. Paniagua
  • , A. Martin
  • , A. Guzmán

    Research output: Contribution to scientific journalArticle in an indexed scientific journalpeer-review

    38 Scopus citations

    Abstract

    We evaluated thin-layer agar (TLA) for the detection of resistance of Mycobacterium tuberculosis to rifampicin (RMP) and isoniazid (INH) as a direct method in patients at risk of multidrug-resistant tuberculosis (MDR-TB). Quadrant TLA plates contain 7H10 Middlebrook growth control, para-nitrobenzoic acid, INH and RMP. Detection of RMP and INH resistance by TLA was compared to that in indirect conventional drug susceptibility testing (DST) and conventional culture media. Median time for growth was respectively 22, 10 and 7.6 days for Löwenstein-Jensen, TLA and the Mycobacterial Growth Indicator Tube. TLA sensitivity, specificity and predictive values for RMP and INH resistance were 100%. Time to resistance detection was respectively 11 and 11.5 days for RMP and INH. TLA showed a rapid turnaround time and performance comparable to conventional DST methods.

    Original languageEnglish
    Pages (from-to)1482-1484
    Number of pages3
    JournalInternational Journal of Tuberculosis and Lung Disease
    Volume12
    Issue number12
    StatePublished - Dec 2008

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • Drug susceptibility testing
    • MDR-TB
    • Rapid DST

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