›› 2014, Vol. 35 ›› Issue (7): 797-797.

• 论文 • 上一篇    下一篇

非结核分枝杆菌2种培养方法和药物敏感性试验研究

王艳彬;吴海峰   

  1. 河北省血液中心检验科,河北 石家庄,050061%河北省胸科医院检验科,河北 石家庄,050041
  • 发布日期:2014-07-25

WANG Wei;HUA Tian;CAO Jinfeng;HAO Guimin;CUI Na;JIANG Lei

WANG Yanbin;WU Haifeng   

  • Published:2014-07-25

摘要: 目的:探讨BACTEC MGIT 960液体培养法和CLSI M24-A微量肉汤稀释法快速药敏试验对非结核分枝杆菌的意义。方法分别采用BACTEC MGIT 960液体培养法联合微量肉汤稀释法的快速药敏试验与L-J固体培养法和绝对浓度药敏法对48株非结核分枝杆菌进行培养,并对2种方法的培养时间和药敏报告时间进行比较。结果48株非结核分枝杆菌在BACTEC MGIT 960培养仪的平均阳性报告时间(7.0±5.3)d,L-J培养基平均阳性报告时间(17.5±10.2)d,两者比较差异有统计学意义( P﹤0.05)。微量肉汤稀释法结果阳性报告时间为7~14d,L-J固体药敏试验阳性报告时间为28d,2种药敏试验方法对相同种类药物的耐药率分析结果差异无统计学意义( P﹥0.05),微量肉汤稀释法比L-J法可以检测的药物种类更多。结论 BACTEC MGIT 960液体培养法联合微量肉汤稀释法快速药敏试验比L-J固体培养法和绝对浓度药敏法在培养时间、药敏结果种类和报告时间上优势明显。

关键词: 非结核分枝杆菌, 微生物敏感性试验, 细菌学技术

Abstract: Objective To study the BACTEC MGIT 960 liquid culture method and the CLSI M24-A broth microdilution method for rapid susceptibility testing the significance of non-tuberculous mycobacteria. Methods The BACTEC MGIT 960 liquid culture broth microdilution method combined rapid susceptibility testing,and L-J solid culture method combined the absolute concentration susceptibility method were respectively used in 48 strains with nontuberculous mycobacteri,the culture time and sensitivity reporting period of two combination methods were compared. Results The average positive report time in 48 strains of nontuberculous mycobacteria culture with BACTEC MGIT 960 instrument was(7. 0 ± 5. 3)d,while that of L-J media was(17. 5 ± 10. 2)d,in comparison the results of two methods were significantly different( P ﹤0 . 05 ),the reported time of broth microdilution France results was 7 -14 d,the report time of L-J solid susceptibility test was 28d,the comparison showed significant difference,two kinds of susceptibility testing methods for the same type of drug resistance rate analysis showed no significant difference( P﹥0 . 05 ),broth microdilution method can detect more types of drugs than the L-J method. Conclusion BACTEC MGIT 960 liquid culture broth microdilution method combined rapid susceptibility testing has obvious advantages over L-J solid culture method and the absolute concentration susceptibility method in the incubation time and susceptibility results reporting time types.

Key words: nontuberculous mycobacteria, microbial sensitivity tests, bacteriological techniques

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