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GenoType CM Direct® and VisionArray Myco® for the Rapid Identification of Mycobacteria from Clinical Specimens

Title: GenoType CM Direct® and VisionArray Myco® for the Rapid Identification of Mycobacteria from Clinical Specimens
Authors: Schildhaus, Hans-Ulrich; Steindor, Mathis; Kölsch, Bernd; Herold, Thomas; Buer, Jan; Kehrmann, Jan
Publication Year: 2022
Collection: University of Duisburg-Essen: DuEPublico (Duisburg Essen Publications online)
Subject Terms: ScholarlyArticle; ddc:610; Medizinische Fakultät » Universitätsklinikum Essen » Institut für Pathologie; Medizinische Fakultät » Universitätsklinikum Essen » Zentrum für Kinder- und Jugendmedizin » Klinik für Kinderheilkunde III; Medizinische Fakultät » Universitätsklinikum Essen » Institut für Medizinische Mikrobiologie; NTM -- non-tuberculous mycobacteria -- rapid diagnostic test -- molecular identification
Description: M. tuberculosis is the single infectious agent responsible for most deaths worldwide outside of pandemics. Diseases due to non-tuberculous mycobacteria (NTM) are increasing in many regions of the world. The two molecular assays GenoType CM direct® (GTCMd) (Bruker, Billerica, MA, USA) and VisionArray Myco® (VAM) (ZytoVision, Bremerhaven, Germany) are based on the DNA/DNA hybridization technique, and allow for the identification of tuberculous and the most clinically relevant non-tuberculous mycobacterial species from clinical specimens. We evaluated the performance of both assays for the identification of mycobacteria from 65 clinical specimens of 65 patients and compared it with the results of conventional culture. Based on conventional culture that recovered 37 mycobacterial isolates including 11 tuberculous and 26 NTM isolates, sensitivity, specificity, positive predictive value and negative predictive value were 89.2%, 81.5%, 86.8% and 84.6% for GTCMd and 73.0%, 96.3%, 96.4% and 72.2% for VAM. Additionally, GTCMd identified mycobacteria from five and VAM from one culture-negative sample. Both assays identified a mycobacterium in one sample overgrown by other microorganisms. Two M. abscessus subsp. abscessus isolates grown from culture were identified as M. chelonae by GTCMd assay. In conclusion, both assays improve the rapid identification of mycobacteria directly from clinical specimens.
Document Type: article in journal/newspaper
Language: English
Relation: https://doi.org/10.3390/jcm11092404
DOI: 10.3390/jcm11092404
Availability: https://doi.org/10.3390/jcm11092404; https://nbn-resolving.org/urn:nbn:de:hbz:465-20220905-131109-3; https://duepublico2.uni-due.de/receive/duepublico_mods_00076625; https://duepublico2.uni-due.de/servlets/MCRFileNodeServlet/duepublico_derivate_00076412/jcm_2022-11-02404.pdf
Rights: https://creativecommons.org/licenses/by/4.0/ ; info:eu-repo/semantics/openAccess
Accession Number: edsbas.7AB641E7
Database: BASE