Application of cetylpyridinium chloride and sodium chloride decontamination method for recovery of Mycobacterium tuberculosis from clinically suspected cases of pulmonary tuberculosis

Abstract The study was designed to compare the efficacy of cetylpyridinium chloride (CPC) and sodium chloride (NaCl) decontamination method with N-acetyl L-Cystine (NALC) and sodium hydroxide (NaOH) decontamination (the reference method) method for the recovery of Mycobacterium tuberculosis (MTB) fr...

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Veröffentlicht in:Diagnostic microbiology and infectious disease 2013-10, Vol.77 (2), p.150-157
Hauptverfasser: Shinu, Pottathil, Singh, Varsha, Nair, Anroop, Mehrishi, Priya, Mehta, Sonia, Joshi, Ekta
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container_end_page 157
container_issue 2
container_start_page 150
container_title Diagnostic microbiology and infectious disease
container_volume 77
creator Shinu, Pottathil
Singh, Varsha
Nair, Anroop
Mehrishi, Priya
Mehta, Sonia
Joshi, Ekta
description Abstract The study was designed to compare the efficacy of cetylpyridinium chloride (CPC) and sodium chloride (NaCl) decontamination method with N-acetyl L-Cystine (NALC) and sodium hydroxide (NaOH) decontamination (the reference method) method for the recovery of Mycobacterium tuberculosis (MTB) from clinically suspected cases of pulmonary tuberculosis. To evaluate CPC-NaCl and NALC-NaOH decontamination methods, sputum specimens (n = 796) were studied (culturing on Löwenstein-Jensen medium), and the performances were compared. The CPC-NaCl decontamination method demonstrated a sensitivity, specificity, negative predictive value, and positive predictive value of 97.99%, 87.53%, 70.19%, and 99.32%, respectively, when compared to NALC-NaOH decontamination method. In summary, CPC-NaCl decontamination method effectively detected significantly higher number of MTB cases (n = 208) than NALC-NaOH decontamination method (n = 149) particularly in sputum with scanty bacilli and smear-negative cases, indicating the potential of CPC-NaCl decontamination method to preserve paucibacillary cases more efficient than NALC-NaOH decontamination method.
doi_str_mv 10.1016/j.diagmicrobio.2013.06.021
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subjects Adult
Bacteriological Techniques - methods
Cetylpyridinium - chemistry
Cetylpyridinium chloride
Cystine - analogs & derivatives
Cystine - chemistry
Decontamination
Direct microscopy
Female
Humans
Infectious Disease
Internal Medicine
Male
Microscopy
Mycobacterium tuberculosis - isolation & purification
N-acetyl L-Cystine
Pulmonary tuberculosis
Reproducibility of Results
Sensitivity and Specificity
Sodium Chloride - chemistry
Sputum - microbiology
Tuberculosis, Pulmonary - diagnosis
Tuberculosis, Pulmonary - microbiology
title Application of cetylpyridinium chloride and sodium chloride decontamination method for recovery of Mycobacterium tuberculosis from clinically suspected cases of pulmonary tuberculosis
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