A rapid detection of multidrug-resistant Mycobacterium tuberculosis by a nitrate reductase assay on blood agar |
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Authors: | Coban Ahmet Yilmaz Cayci Yeliz Tanriverdi Deveci Aydin Akgunes Alper Uzun Meltem Durupinar Belma |
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Affiliation: | Department of Medical Microbiology, Medical School, Ondokuz Mayis University, Samsun, Turkey. cobanay2003@yahoo.com.tr |
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Abstract: | The susceptibility of 49 Mycobacterium tuberculosis clinical isolates to isoniazid (INH) and rifampisin (RIF) (28 multi-drug resistant-tuberculosis samples) was determined by a nitrate reductase assay (NRA) on blood agar. Agreement between the NRA and other testing methods was found to be 93.8% for both INH and RIF. The sensitivity, specificity, positive predictive value and negative predictive value for INH were 92.8%, 94.2%, 86.6% and 97%, respectively. The sensitivity, specificity, positive predictive value and negative predictive value for RIF were 90.4%, 96.4%, 95% and 93.1%. In conclusion, we show here that blood agar can be used effectively for the NRA test. |
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