TB Research

Diagnostic Performance of the GENEDIA MTB/NTM Detection Kit for Detecting <i>Mycobacterium tuberculosis</i> and Nontuberculous Mycobacteria With Sputum Specimens

Sunghwan Shin, In Young Yoo, Hyang Jin Shim, On Kyun Kang, Byung Woo Jhun, Won‐Jung Koh, Hee Jae Huh, Nam Yong Lee

Annals of Laboratory Medicine · 2019-10

Abstract

complex (MTBC) and nontuberculous mycobacteria (NTM). While the importance of differential identification of MTB/NTM is recognized, there is limited data on the performance of GENEDIA MTB/NTM assay to date. A total of 687 consecutive sputum specimens were cultured and analyzed with the GENEDIA MTB/NTM and GENEDIA MTB assays. Nineteen specimens (2.8%) were MTBC-positive, and 69 (10.0%) were NTM-positive based on mycobacterial culture. All specimens showed concordant results for MTBC using both assays, with a kappa value of 1.00, overall sensitivity of 63.2% (12/19), and specificity of 100% (668/668). The overall NTM sensitivity and specificity were 23.2% (16/69) and 99.7% (616/618) for GENEDIA MTB/NTM. The association between NTM-positivity using GENEDIA MTB/NTM and the diagnosis of NTM pulmonary disease was not statistically significant. In conclusion, the two real-time PCR assays showed similar diagnostic performance for MTBC detection. However, the sensitivity for NTM detection was lower than that for MTBC detection.

MeSH terms

  • Nontuberculous mycobacteria
  • Mycobacterium tuberculosis
  • Sputum
  • Microbiology
  • Tuberculosis
  • Mycobacterium tuberculosis complex
  • Medicine
  • Mycobacterium
  • Virology