ISSN: 0973-7510

E-ISSN: 2581-690X

Research Article | Open Access
Shreya Khandelwal1, Bharti Malhotra2 , Widhi Dubey3 and Shipra Bhargava4
1Department of Microbiology, JECRC University, Jaipur – 302 022, Rajasthan, India.
2Department of Microbiology, SMS Medical College, Jawahar Lal Nehru Marg, Jaipur – 302 004, Rajasthan, India.
3Faculty of Science, JECRC University, Jaipur – 302 022, Rajasthan, India.
4National Tuberculosis Institute, Bangalore – 560 003, Karnataka, India.
J Pure Appl Microbiol. 2022;16(2):950-954 | Article Number: 7482
https://doi.org/10.22207/JPAM.16.2.17 | © The Author(s). 2022
Received: 09/12/2021 | Accepted: 07/03/2022 | Published online: 30/04/2022
Issue online: June 2022
Abstract

Non-tuberculous Mycobacteria (NTM) are emerging as an important opportunistic pathogen. Since clinical presentation of NTM infection is similar to tuberculosis (TB), patients present as suspected TB or drug resistant TB. Presently in the National Tuberculosis Elimination Programme (NTEP ) NTM are not being speciated, but there is an urgent need to characterize the NTM so that appropriate treatment can be given as many species are multi-drug resistant. The purpose of the present study was to use Line Probe Assay (LPA) i.e. GenoType Mycobacterium CM/AS assay to characterize NTM for rapid early reporting and to know the pattern of NTM at Rajasthan. Sputum samples from 5000 TB and Multi Drug Resistant TB (MDRTB) suspect patients were processed and cultured on Mycobacterium Growth Indicator Tube (MGIT). Culture isolates found positive for mycobacteria in Ziehl Neelsen (ZN) staining and negative by MPT64 antigen test were then subjected for GenoType Mycobacterium CM/AS Among sputum samples from 5000 patients 1520 (30.4%) patient samples were positive for mycobacteria, among these 1488 (97.9%) were Mycobacterium tuberculosis (MTB) and 32 (2.1%) were NTM, among them 56.2% were Mycobacterium intracellulare, 21.8% Mycobacterium abscessus, 9.3% Mycobacterium fortuitum, 1% Mycobacterium simiae and 9.3% isolates showed invalid results. Incidence of NTM was very low (2.1%) among them M. intracellulare and M. abscessus were the most commonly isolated species, GenoType Mycobacterium CM/AS assay was found to be easy, rapid and reliable test giving valid results in 91% cases in 3-5 days of getting growth.

Keywords

Line Probe Assay, Non-tuberculous Mycobacteria, CM/AS assay, Mycobacterium Growth Indicator Tube, Multi Drug-Resistant TB

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