结核与肺部疾病杂志 ›› 2021, Vol. 2 ›› Issue (1): 13-17.doi: 10.3969/j.issn.2096-8493.2021.01.004

• 专题笔谈 • 上一篇    下一篇

实验室诊断技术在耐药结核病中应用价值的若干思考

张治国1, 郭海萍2, 逄宇2()   

  1. 1102200 北京市昌平区结核病防治所(张治国)
    2首都医科大学附属北京胸科医院细菌免疫室(郭海萍、逄宇)
  • 收稿日期:2021-02-24 出版日期:2021-03-30 发布日期:2021-03-24
  • 通信作者: 逄宇 E-mail:pangyupound@163.com
  • 基金资助:
    首都卫生发展科研专项(2020-1-1041)

Considerations for the application of laboratory diagnostics in detecting drug-resistant tuberculosis

ZHANG Zhi-guo1, GUO Hai-ping2, PANG Yu2()   

  1. 1Changping Institute for Tuberculosis Prevention and Treatment, Beijing 102200, China
    2Department of Bacteriology and Immunology, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China
  • Received:2021-02-24 Online:2021-03-30 Published:2021-03-24
  • Contact: PANG Yu E-mail:pangyupound@163.com

摘要:

耐药结核病仍是结核病防控的重要挑战。近年兴起的分子生物学诊断方法克服了传统耐药诊断方法的不足,提高了其在临床应用中的价值,但是如何更好地利用分子生物学诊断方法服务于临床是值得思考的问题。作者主要系统分析了现有耐药结核病诊断技术,梳理了分子耐药检测技术在临床使用存在的困境,以期对医务工作者有所启发,并为耐药结核病的诊治提供参考。

关键词: 抗药性, 细菌, 分枝杆菌, 结核, 微生物敏感性试验, 分子诊断技术

Abstract:

Drug-resistant tuberculosis remains an important challenge for TB control. The recent development of molecular biology diagnostics overcomes the shortcomings of traditional drug-resistance diagnosis methods, which has increased its value in clinical applications, but how to make better use of molecular biological diagnostic methods for clinical service is worth to be considered. In this paper, the authors systematically analyze the current diagnostics for drug-resistant tuberculosis, and summarize the dilemmas in the clinical use of molecular diagnostics for detection of drug resistance tuberculosis, aiming to provide important clinical experience for the diagnosis and treatment of drug-resistant tuberculosis.

Key words: Drug resistance, bacterial, Mycobacterium tuberculosis, Microbial sensitivity tests, Molecular diagnostic techniques