High Mycobacterium tuberculosis Bacillary Loads Detected by Tuberculosis Molecular Bacterial Load Assay in Patient Stool: a Potential Alternative for Nonsputum Diagnosis and Treatment Response Monitoring of Tuberculosis.


Journal

Microbiology spectrum
ISSN: 2165-0497
Titre abrégé: Microbiol Spectr
Pays: United States
ID NLM: 101634614

Informations de publication

Date de publication:
23 02 2022
Historique:
pubmed: 13 1 2022
medline: 15 3 2022
entrez: 12 1 2022
Statut: ppublish

Résumé

Not all patients produce sputum, yet most available TB tests use sputum. We investigated the utility of a novel RNA-based quantitative test, the tuberculosis molecular bacterial load assay (TB-MBLA), for the detection and quantification of Mycobacterium tuberculosis in stool. Stools from 100 adult individuals were treated with OMNIgene-sputum reagent and tested using Xpert MTB/RIF ultra (Xpert ultra), auramine O smear microscopy (smear), mycobacterial growth indicator tube (MGIT), and Lowenstein-Jensen (LJ) cultures. The remaining portions were frozen at -20°C and later tested by TB-MBLA. MGIT sputum culture was used as a TB confirmatory test and reference for stool tests. Sixty-one of 100 participants were already confirmed TB positive by MGIT sputum culture, 20 (33%) of whom were HIV coinfected. TB-MBLA detected M. tuberculosis in 57/100 stool samples, including 49 already confirmed for TB. The mean bacterial load measured by stool TB-MBLA was 5.67 ± 1.7 log

Identifiants

pubmed: 35019686
doi: 10.1128/spectrum.02100-21
pmc: PMC8754106
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e0210021

Subventions

Organisme : NHLBI NIH HHS
ID : K24 HL087713
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL128156
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL143998
Pays : United States
Organisme : NHLBI NIH HHS
ID : U01 HL098964
Pays : United States

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Auteurs

Emmanuel Musisi (E)

Division of Infection and Global Health, School of Medicine, University of St Andrewsgrid.11914.3c, Scotland, United Kingdom.
Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.
Department of Biochemistry and Sports Sciences, Makerere University, Kampala, Uganda.

Abdul Sessolo (A)

Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.

Sylvia Kaswabuli (S)

Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.

Josephine Zawedde (J)

Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.

Patrick Byanyima (P)

Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.

Shariifah Kasinga (S)

Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.

Ingvar Sanyu (I)

Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.

Esther Uwimaana (E)

Makerere University Lung Institute, Makerere University, Kampala, Uganda.

Stanley Walimbwa (S)

Naguru Referral Hospital, Kampala, Uganda.

Joseph Olore (J)

Naguru Referral Hospital, Kampala, Uganda.

Willy Ssengooba (W)

Department of Medical Microbiology, Makerere University, Kampala, Uganda.

Christine Sekaggya (C)

Infectious Diseases Institute, Makerere University, Kampala, Uganda.

Moses L Joloba (ML)

Department of Immunology and Molecular Biology, Makerere University, Kampala, Uganda.

William Worodria (W)

Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.

Laurence Huang (L)

Infectious Diseases Research Collaborationgrid.463352.5, Kampala, Uganda.
Division of Pulmonary and Critical Care Medicine, University of California San Francisco, San Francisco, California, USA.
HIV/AIDS Division, University of California San Francisco, San Francisco, California, USA.

Stephen H Gillespie (SH)

Division of Infection and Global Health, School of Medicine, University of St Andrewsgrid.11914.3c, Scotland, United Kingdom.

Derek J Sloan (DJ)

Division of Infection and Global Health, School of Medicine, University of St Andrewsgrid.11914.3c, Scotland, United Kingdom.

Wilber Sabiiti (W)

Division of Infection and Global Health, School of Medicine, University of St Andrewsgrid.11914.3c, Scotland, United Kingdom.

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Classifications MeSH