Evidence map›Paper›PMID 18620572›Full record

ArticleAnnals of clinical microbiology and antimicrobials2008

In-vitro antimycobacterial drug susceptibility testing of non-tubercular mycobacteria by tetrazolium microplate assay.

Manimuthu Mani Sankar, Krishnamoorthy Gopinath, Roopak Singla, Sarman Singh

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In one paragraph

Article in Annals of clinical microbiology and antimicrobials, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

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8citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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  5. Article
  6. Usefulness of multiplex PCR in the diagnosis of genital tuberculosis in females with infertility.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2013
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Manimuthu Mani SankarClinical Microbiology Division, Department of Laboratory Medicine, All India Institute of Medical Sciences, New Delhi, India. sankar.mm@gmail.com
Krishnamoorthy Gopinath
Roopak Singla
Sarman Singh

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-tubercular mycobacteria (NTM) has not been given due attention till the recent epidemic of HIV. This has led to increasing interest of health care workers in their biology, epidemiology and drug resistance. However, timely detection and drug susceptibility profiling of NTM isolates are always difficult in resource poor settings like India. Furthermore, no standardized methodology or guidelines are available to reproduce the results with clinical concordance.

objectiveTo find an alternative and rapid method for performing the drug susceptibility assay in a resource limited settings like India, we intended to evaluate the utility of Tetrazolium microplate assay (TEMA) in comparison with proportion method for reporting the drug resistance in clinical isolates of NTM.

methodsA total of fifty-five NTM isolates were tested for susceptibility against Streptomycin, Rifampicin, Ethambutol, Ciprofloxacin, Ofloxacin, Azithromycin, and Clarithromycin by TEMA and the results were compared with agar proportion method (APM).

resultsOf the 55 isolates, 23 (41.8%) were sensitive to all the drugs and the remaining 32 (58.2%) were resistant to at least one drug. TEMA had very good concordance with APM except with minor discrepancies. Susceptibility results were obtained in the median of 5 to 9 days by TEMA. The NTM isolates were highly sensitive against Ofloxacin (98.18% sensitive) and Ciprofloxacin (90.09% sensitive). M. mucogenicum was sensitive only to Clarithromycin and resistant to all the other drugs tested. The concordance between TEMA and APM ranged between 96.4 - 100%.

conclusionTetrazolium Microplate Assay is a rapid and highly reproducible method. However, it must be performed only in tertiary level Mycobacteriology laboratories with proper bio-safety conditions.

Indexed as

Tetrazolium SaltsAgarAnti-Bacterial AgentsCiprofloxacinClarithromycinCulture MediaDrug Resistance, BacterialHumansMicrobial Sensitivity TestsMycobacteriumOfloxacinReproducibility of ResultsSpecies SpecificityTime FactorsAgarAnti-Bacterial AgentsCiprofloxacinClarithromycinCulture MediaOfloxacinTetrazolium Salts

Identifiers

PMID18620572
PMCPMC2483991

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