High resolution melting curve analysis for rapid detection of pyrazinamide resistance in Mycobacterium tuberculosis clinical isolates

dc.contributor.advisorIsmail, Farzanah
dc.contributor.coadvisorIsmail, Nazir Ahmed
dc.contributor.emailfarzana.ishmail@gmail.comen_ZA
dc.contributor.postgraduateOsman, Fatima
dc.date.accessioned2023-12-04T07:40:58Z
dc.date.available2023-12-04T07:40:58Z
dc.date.created2015
dc.date.issued2015
dc.descriptionDissertation (MSc)--University of Pretoria, 2017.en_ZA
dc.description.abstractBackground: Pyrazinamide (PZA) is one of the most important drugs for tuberculosis (TB) treatment, however its susceptibility is not routinely performed. High-resolution melting (HRM) curve analysis has been widely used for many applications. In this study, HRM assay was developed and evaluated for the detection of PZA resistance in Mycobacterium tuberculosis clinical isolates. Methods: Ninety five M. tuberculosis clinical isolates with different susceptibility patterns to anti-TB drugs were used to evaluate this assay. Isolates were phenotypically (Bactec MGIT 960) and genotypically (HRM and pncA gene sequencing) analysed for PZA resistance. Results: Bactec MGIT 960 analysis revealed that 29 of the 95 M. tuberculosis isolates were PZA resistant. In comparison to the Bactec MGIT 960, HRM showed a sensitivity of 47.7% and specificity of 74.6%, PZA resistance was strongly associated with multi-drug resistant (MDR)-TB as it was shown in 79.3% of the MDR isolates included in the study. Conclusion: HRM is simple and useful for screening clinical M. tuberculosis isolates for PZA resistance however further modifications to improve its performance are required.en_ZA
dc.description.availabilityRestricteden_ZA
dc.description.degreeMScen_ZA
dc.description.departmentMedical Microbiologyen_ZA
dc.identifier.citation*en_ZA
dc.identifier.urihttp://hdl.handle.net/2263/93589
dc.language.isoenen_ZA
dc.publisherUniversity of Pretoria
dc.rights© 2021 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
dc.subjectPyrazinamideen_ZA
dc.subjectTuberculosisen_ZA
dc.subjectHigh resolution melting curve analysisen_ZA
dc.subjectDrug resistanceen_ZA
dc.subjectpncA geneen_ZA
dc.titleHigh resolution melting curve analysis for rapid detection of pyrazinamide resistance in Mycobacterium tuberculosis clinical isolatesen_ZA
dc.typeDissertationen_ZA

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