To the Editor: Conventional methods of detecting Mycobacteriumtuberculosis in clinical samples, such as microscopy or culture,are either low in sensitivity and specificity or time-consuming.The use of the polymerase chain reaction (PCR) has been describedas an alternative that allows the amplification and detectionof DNA from a single bacterium in a matter of hours1. Despiteover 30 published reports on the detection of M. tuberculosisby means of PCR, little is known about the reliability and reproducibilityof this test. The possible consequences for treatment are substantial.
Greco, S, Girardi, E, Navarra, A, Saltini, C
(2006). Current evidence on diagnostic accuracy of commercially based nucleic acid amplification tests for the diagnosis of pulmonary tuberculosis. Thorax
61: 783-790
[Abstract][Full Text]
Zerva, L., Bourantas, K., Mitka, S., Kansouzidou, A., Legakis, N. J.
(2001). Serum Is the Preferred Clinical Specimen for Diagnosis of Human Brucellosis by PCR. J. Clin. Microbiol.
39: 1661-1664
[Abstract][Full Text]
Somoskövi, A., Magyar, P.
(1999). Comparison of the Mycobacteria Growth Indicator Tube with MB Redox, Lowenstein-Jensen, and Middlebrook 7H11 Media for Recovery of Mycobacteria in Clinical Specimens. J. Clin. Microbiol.
37: 1366-1369
[Abstract][Full Text]
Navarro, E., Fernandez, J. A., Escribano, J., Solera;, J., Morata, P., Queipo-Ortuño, M. I., Colmenero, J. d. D.
(1999). PCR Assay for Diagnosis of Human Brucellosis. J. Clin. Microbiol.
37: 1654-1655
[Full Text]
Ahmed, N., Mohanty, A. K., Mukhopadhyay, U., Batish, V. K., Grover, S.
(1998). PCR-Based Rapid Detection of Mycobacterium tuberculosis in Blood from Immunocompetent Patients with Pulmonary Tuberculosis. J. Clin. Microbiol.
36: 3094-3095
[Abstract][Full Text]
Macher, A., Goosby, E.
(1995). PCR and the Misdiagnosis of Active Tuberculosis. NEJM
332: 128-129
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