结核病实验诊断技术

范齐文; 吴文娟

微生物与感染 ›› 2012, Vol. 7 ›› Issue (3) : 190-196.

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微生物与感染 ›› 2012, Vol. 7 ›› Issue (3) : 190-196.
讲座

结核病实验诊断技术

  • 范齐文; 吴文娟
作者信息 +

The laboratory diagnostics of tuberculosis

  • FAN Qi-Wen; WU Wen-Juan
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文章历史 +

摘要

结核病诊断一直是控制结核病疫情的关键,快速准确、敏感特异、简便低廉的诊断方法是目前迫切需要的。从结核分枝杆菌快速诊断噬菌体法、AMPLICOR® MTB试验、Gen-Probe分子生物学诊断方法到T-SPOT.TB和QuantiFeron-Gold test免疫学检测方法,结核病实验诊断方法在不断改进和完善。近年来,世界卫生组织(WHO)或美国食品药品监督管理局(FDA)认可的一些广泛应用的商业化诊断方法,如基于液体培养的BacT/Alert 3D、MGIT 960 系统;基于分子线性探针杂交的INNO-LiPA Rif.TB、GenoType® MTBDRplus及GenoType® MTBDRsl技术;基于免疫色谱技术的Capilia TB试剂盒等,都已被临床广为接受和应用。还有一些尚待推广的技术,如最新的Xpert® MTB/RIF系统,发光二极管(LED)显微镜等也有较好的发展前景。

Abstract

The diagnosis of tuberculosis (TB) has always been the key to control this pandemic. A fast, robust, specific, sensitive and affordable test for detection of Mycobacterium tuberculosis is needed urgently. The laboratory diagnostics of tuberculosis has been developed and improved, such as FASTPlaque-TBTM Assay, Amplified Mycobacterium Tuberculosis Direct Test, AMPLICOR® MTB, AccuProbe,T-SPOT.TB and QuantiFeron-Gold test. Recently, a number of commercial diagnostic kits approved by World Health Organization (WHO) or U.S. Food and Drug Administration (FDA) have been used widely, such as BacT/Alert 3D and MGIT 960 systems which are based on liquid culture, the polymerase chainreaction (PCR)-based reverse hybridization line probe assay including INNO-LiPA Rif.TB, GenoType® MTBDRplus and GenoType® MTBDRsl systems, and simple and rapid immunochromatographic assay such as Capilia TB. They all have been used in clinic for diagnosis of tuberculosis. Even some newer technology, such as Xpert® MTB/RIF system and light emitting diode (LED) microscopy also have been promised for detection of Mycobacterium tuberculosis. These methods are reviewed in the present article.

关键词

结核病 / 实验诊断 / 线性探针杂交

Key words

Tuberculosis / Laboratory diagnostics / Hybridization line probe

引用本文

导出引用
范齐文; 吴文娟. 结核病实验诊断技术[J]. 微生物与感染. 2012, 7(3): 190-196
FAN Qi-Wen; WU Wen-Juan. The laboratory diagnostics of tuberculosis[J]. Journal of Microbes and Infections. 2012, 7(3): 190-196
中图分类号: R378.911   

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