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Original Articles
Use of RNA/RNA Duplex, Base Pair-mismatch Assay and 3-(4,5-dimethylthiazol- 2-yl)-2,5-diphenyl Tetrazolium Bromide (MTT) Assay for Rapid Detection of Rifampin-resistant Mycobacterium tuberculosis
Sung Kwan Hong, M.D., Kyung Hee Chang, M.D., Yoon Soo Park, M.D., Jeong Ho Cho, M.D., Hyo Yeol Kim, M.D., Young Goo Song, M.D. and June Myung Kim, M.D.
Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
Vol.35 Num.1 (p12~17)
Background:Multidrug-resistant tuberculosis is an increasing concern for public health in many parts of the world. We have evaluated the specificity and sensitivity of the mismatch assay and 3- (4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide (MTT) assay in detecting rifampin- resistant Mycobacterium tuberculosis.
Methods:Eleven rifampin-susceptible and 15 rifampin-resistant M. tuberculosis strains were isolated from clinical specimens obtained from patients in Yonsei University College of Medicine, Severance Hospital. RNA/RNA duplex, base pair-mismatch assay (Mismatch Detect II kit, Ambion) and MTT assay were performed.
Results:The specificity and sensitivity of detection of rifampin resistance were 91% and 87% in mismatch assay and 73% and 67% in MTT assay, respectively.
Conclusion:These results suggest the usefulness of mismatch assay in detecting rifampin-resistant Mycobacterium tuberculosis.
Keywords : Rifampin-resistant Mycobacterium tuberculosis, Mismatch assay, MTT assay