[Evaluation of novel nucleic acid detection kit for Mycoplasma pneumoniae].

Kazuhiro Shinto, Kyohei Kato, Taeko Narita, Hiroki Hanaiwa, Tetsuhiro Harada, Keisuke Miyako, Yumiko Funashima, Kenichi Sato, Zenzo Nagasawa, Tsukuru Umemura
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Abstract

For diagnosis of Mycoplasma pneumoniae infection, highly sensitive and rapid diagnosis is important. Because antibiotics are limited for the treatment of M. pneumoniae infection. In this study, we evaluated new rapid nucleic acid detection kit for M. pneumoniae. This kit does not require excessive pretreatment of specimens and molecular diagnosis of M. pneumoniae is possible within 40 min. Using 120 nasopharyngeal specimens, we compared this kit with a commercially available molecular diagnostic reagent (LAMP). 51 of 120 cases were M. pneumoniae positive, and the results of both assays were all consistent. In addition, sequencing of 23S rRNA gene was performed on 51 cases positive for M. pneumoniae. As a result, macrolide resistance mutation (2063A>G) was observed in 19 cases (37.3%). The gene mutations estimated by this kit coincided completely with the sequencing. In conclusion, new rapid nucleic acid detection kit could detect M. pneumoniae with the same sensitivity as other molecular diagnostics, in a simple process.

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新型肺炎支原体核酸检测试剂盒的评价
对于肺炎支原体感染的诊断,高灵敏度和快速诊断是非常重要的。因为抗生素对肺炎支原体感染的治疗是有限的。在这项研究中,我们评估了新的肺炎支原体快速核酸检测试剂盒。该试剂盒不需要对标本进行过多的预处理,并且可以在40分钟内对肺炎支原体进行分子诊断。使用120个鼻咽标本,我们将该试剂盒与市售的分子诊断试剂(LAMP)进行了比较。120例中51例肺炎支原体阳性,两种检测结果均一致。对51例肺炎支原体阳性病例进行23S rRNA基因测序。结果19例(37.3%)出现大环内酯类耐药突变(2063A>G)。该试剂盒估计的基因突变与测序完全吻合。总之,新型核酸快速检测试剂盒检测肺炎支原体具有与其他分子诊断相同的灵敏度,且检测过程简单。
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