Javid S N, Ghaemi E A, Amirmozaffari N, Rafiee S, Moradi A, Dadgar T. Detection of Isoniazid and Rifampin Resistant Strain of Mycobacterium Tuberculosis Isolated from patients in Golestan province (North of Iran). mljgoums 2009; 3 (1)
URL:
http://mlj.goums.ac.ir/article-1-36-en.html
1- Microbiology, Lahijan Azad University , naeme_javid@yahoo.com
Abstract: (25634 Views)
Abstract
Background and objectives: With almost nine million new cases each
year, tuberculosis is still one of the most Life-threatening diseases in the
World. Distribution of drug resistant strains of M.tuberculosis has a lot of
importance. This research was carried out to determine the frequency of drug
resistance of M. tuberculosis in strains isolated in Golestan province.
Material and Methods: In this cross -sectional study, 104 isolate of
M.tuberculosis which isolated from patients referred to Gorgan tuberculosis
Health Center, in 2008 were studied. DNA was extracted by Boiling Method.
By using PCR method, we determine the M.tubeculosis strain and resistance
to Rifampin (Using IS6110 and Gene rpoB primers) and resistance to
Isoniazid (Using InhA and KatG primers). As a Gold Standandard,
“Proportional method” was performed for 45 Samples.
Results: 87 strains were identified as M.tuberculosis. 6.9% of them were
resistant to Isoniazid, 4.6% to Rifampin and 2.3% to both (MDR).Sensitivity
and Specifity of PCR method in detection of resistant to Isoniazid were
95.3% and 57.1% and for Rifampin were 94.7% and 33.3%.
Conclusion: We found that in our region, the MDR is not very common.
More than 16% of isolated strains from tuberculosis suspected patients were
MOTT, for this reason it is necessary to mention that use biochemical or PCR
method to determine M.tuberculosis is necessary.
Key words: Mycobacterium tuberculosis, MDR, PCR, Proportional method
, Golestan province.
Received: 2011/08/15 | Accepted: 2014/01/12 | Published: 2014/01/12 | ePublished: 2014/01/12