PMID- 10449448 OWN - NLM STAT- MEDLINE DCOM- 19990902 LR - 20200724 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 37 IP - 9 DP - 1999 Sep TI - Fluorescence In situ hybridization assay using peptide nucleic acid probes for differentiation between tuberculous and nontuberculous mycobacterium species in smears of mycobacterium cultures. PG - 2760-5 AB - TB PNA FISH is a new fluorescence in situ hybridization (FISH) method using peptide nucleic acid (PNA) probes for differentiation between species of the Mycobacterium tuberculosis complex (MTC) and nontuberculous mycobacteria (NTM) in acid-fast bacillus-positive (AFB+) cultures is described. The test is based on fluorescein-labelled PNA probes that target the rRNA of MTC or NTM species applied to smears of AFB+ cultures for microscopic examination. Parallel testing with the two probes serves as an internal control for each sample such that a valid test result is based on one positive and one negative reaction. TB PNA FISH was evaluated with 30 AFB+ cultures from Denmark and 42 AFB+ cultures from Thailand. The MTC-specific PNA probe showed diagnostic sensitivities of 84 and 97%, respectively, and a diagnostic specificity of 100% in both studies, whereas the NTM-specific PNA probe showed diagnostic sensitivities of 91 and 64%, respectively, and a diagnostic specificity of 100% in both studies. The low sensitivity of the NTM-specific PNA probe in the Thai study was due to a relatively high prevalence of Mycobacterium fortuitum, which is not identified by the probe. In total, 63 (87%) of the cultures were correctly identified as MTC (n = 46) or NTM (n = 17), whereas the remaining 9 were negative with both probes and thus the results were inconclusive. None of the samples were incorrectly identified as MTC or NTM; thus, the predictive value of a valid test result obtained with TB PNA FISH was 100%. FAU - Stender, H AU - Stender H AD - DAKO A/S, 2600 Glostrup, Denmark. FAU - Lund, K AU - Lund K FAU - Petersen, K H AU - Petersen KH FAU - Rasmussen, O F AU - Rasmussen OF FAU - Hongmanee, P AU - Hongmanee P FAU - Miorner, H AU - Miorner H FAU - Godtfredsen, S E AU - Godtfredsen SE LA - eng PT - Journal Article PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - 0 (DNA, Ribosomal) RN - 0 (Nucleic Acid Probes) RN - 0 (Peptide Nucleic Acids) SB - IM MH - Base Sequence MH - DNA, Ribosomal/chemistry MH - Humans MH - *In Situ Hybridization, Fluorescence MH - Molecular Sequence Data MH - Mycobacterium/*genetics MH - *Nucleic Acid Probes MH - *Peptide Nucleic Acids MH - Tuberculosis/*diagnosis PMC - PMC85371 EDAT- 1999/08/17 00:00 MHDA- 1999/08/17 00:01 PMCR- 1999/09/01 CRDT- 1999/08/17 00:00 PHST- 1999/08/17 00:00 [pubmed] PHST- 1999/08/17 00:01 [medline] PHST- 1999/08/17 00:00 [entrez] PHST- 1999/09/01 00:00 [pmc-release] AID - 0242 [pii] AID - 10.1128/JCM.37.9.2760-2765.1999 [doi] PST - ppublish SO - J Clin Microbiol. 1999 Sep;37(9):2760-5. doi: 10.1128/JCM.37.9.2760-2765.1999.