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Journal of Clinical Microbiology, May 2000, p. 1915-1919, Vol. 38, No. 5
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
Evaluation of the LiPA MYCOBACTERIA Assay for Identification
of Mycobacterial Species from BACTEC 12B Bottles
Nancimae
Miller,*
Susanna
Infante, and
Tim
Cleary
Department of Pathology, Jackson Memorial
Medical Center, University of Miami, Miami, Florida
Received 22 November 1999/Returned for modification 22 January
2000/Accepted 28 February 2000
The LiPA MYCOBACTERIA (Innogenetics NV, Ghent, Belgium) assay was
used to identify mycobacterial isolates using culture fluid from
positive BACTEC 12B bottles. The LiPA method involves reverse hybridization of a biotinylated mycobacterial PCR fragment, a 16 to 23S
rRNA spacer region, to oligonucleotide probes arranged in lines on a
membrane strip, with detection via biotin-streptavidin coupling by a
colorimetric system. This system identifies Mycobacterium species and differentiates M. tuberculosis complex,
M. avium-M. intracellulare complex, and the following
mycobacterial species: M. avium, M. intracellulare, M. kansasii, M. chelonae
group, M. gordonae, M. xenopi, and M. scrofulaceum. The mycobacteria were identified in the laboratory
by a series of tests, including the Roche AMPLICOR Mycobacterium
tuberculosis (MTB) test, the Gen-Probe ACCUPROBE, and a
PCR-restriction fragment length polymorphism (PCR-RFLP) analysis of the
65-kDa heat shock protein gene. The LiPA MYCOBACTERIA assay detected 60 mycobacterium isolates from 59 patients. There was complete agreement
between LiPA and the laboratory identification tests for 26 M. tuberculosis complex, 9 M. avium, 3 M. intracellulare complex, 3 M. kansasii, 4 M. gordonae, and 5 M. chelonae group (all were M. abscessus) isolates. Three patient samples were LiPA positive for
M. avium-M. intracellulare complex, and all were identified
as M. intracellulare by the PCR-RFLP analysis. Seven
additional mycobacterial species were LiPA positive for
Mycobacterium spp. (six were M. fortuitum, and
one was M. szulgai). The LiPA MYCOBACTERIA assay was easy
to perform, and the interpretation of the positive bands was clear-cut.
Following PCR amplification and gel electrophoresis, the LiPA assay was completed within 3 h.
*
Corresponding author. Mailing address: Department of
Pathology, University of Miami, P.O. Box 016960, Miami, FL 33101. Phone: (305) 585-6258. Fax: (305) 585-0008. E-mail:
nmiller{at}med.miami.edu.
Journal of Clinical Microbiology, May 2000, p. 1915-1919, Vol. 38, No. 5
0095-1137/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.
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