中华微生物学和免疫学杂志
中華微生物學和免疫學雜誌
중화미생물학화면역학잡지
CHINESE JOURNAL OF MICROBIOLOGY AND IMMUNOLOGY
2013年
11期
850-855
,共6页
朱永泽%胡庆丰%吕火烊%周永列%赵金方%严杰
硃永澤%鬍慶豐%呂火烊%週永列%趙金方%嚴傑
주영택%호경봉%려화양%주영렬%조금방%엄걸
流式细胞术%药物敏感试验%假丝酵母菌%氟康唑%伏立康唑
流式細胞術%藥物敏感試驗%假絲酵母菌%氟康唑%伏立康唑
류식세포술%약물민감시험%가사효모균%불강서%복립강서
Flow cytometry%Drug susceptibility test%Candida%Fluconazole%Voriconazole
目的:建立基于流式细胞分析技术快速检测假丝酵母菌临床菌株药物敏感性或耐药性的方法。方法以碘化丙锭( PI)为荧光染料,采用白假丝酵母菌ATCC90029株确定流式药敏试验门设置及最佳实验条件。采用所建立的真菌流式药敏试验检测110株假丝酵母菌临床菌株对氟康唑和伏立康唑的敏感性或耐药性并经典的M27-A3常量稀释法进行比较。结果调整电压可将白假丝酵母菌ATCC90029株活菌与死菌在流式细胞仪SS/log( FL3)门中分为边界清晰的两群细胞,不同比例死菌与活菌混合液与流式药敏试验检测值之间有高度相关性(r=0.999)。流式药敏试验30 min内可出结果,其最适菌液浓度为1.0×106/ml、药物与真菌最适孵育时间为3 h、最佳染色方法及时间为脱氧胆酸钠预处理后PI染色5 min。流式药敏试验与M27-A3常量稀释法对110株假丝酵母菌临床菌株对氟康唑和伏立康唑敏感或耐药总符合率分别为98.2%和87.3%。结论较之经典的常量稀释法,流式药敏试验用于检测真菌对药物的敏感性或耐药性具有快速、准确、敏感等优点,具有临床应用前景。
目的:建立基于流式細胞分析技術快速檢測假絲酵母菌臨床菌株藥物敏感性或耐藥性的方法。方法以碘化丙錠( PI)為熒光染料,採用白假絲酵母菌ATCC90029株確定流式藥敏試驗門設置及最佳實驗條件。採用所建立的真菌流式藥敏試驗檢測110株假絲酵母菌臨床菌株對氟康唑和伏立康唑的敏感性或耐藥性併經典的M27-A3常量稀釋法進行比較。結果調整電壓可將白假絲酵母菌ATCC90029株活菌與死菌在流式細胞儀SS/log( FL3)門中分為邊界清晰的兩群細胞,不同比例死菌與活菌混閤液與流式藥敏試驗檢測值之間有高度相關性(r=0.999)。流式藥敏試驗30 min內可齣結果,其最適菌液濃度為1.0×106/ml、藥物與真菌最適孵育時間為3 h、最佳染色方法及時間為脫氧膽痠鈉預處理後PI染色5 min。流式藥敏試驗與M27-A3常量稀釋法對110株假絲酵母菌臨床菌株對氟康唑和伏立康唑敏感或耐藥總符閤率分彆為98.2%和87.3%。結論較之經典的常量稀釋法,流式藥敏試驗用于檢測真菌對藥物的敏感性或耐藥性具有快速、準確、敏感等優點,具有臨床應用前景。
목적:건립기우류식세포분석기술쾌속검측가사효모균림상균주약물민감성혹내약성적방법。방법이전화병정( PI)위형광염료,채용백가사효모균ATCC90029주학정류식약민시험문설치급최가실험조건。채용소건립적진균류식약민시험검측110주가사효모균림상균주대불강서화복립강서적민감성혹내약성병경전적M27-A3상량희석법진행비교。결과조정전압가장백가사효모균ATCC90029주활균여사균재류식세포의SS/log( FL3)문중분위변계청석적량군세포,불동비례사균여활균혼합액여류식약민시험검측치지간유고도상관성(r=0.999)。류식약민시험30 min내가출결과,기최괄균액농도위1.0×106/ml、약물여진균최괄부육시간위3 h、최가염색방법급시간위탈양담산납예처리후PI염색5 min。류식약민시험여M27-A3상량희석법대110주가사효모균림상균주대불강서화복립강서민감혹내약총부합솔분별위98.2%화87.3%。결론교지경전적상량희석법,류식약민시험용우검측진균대약물적민감성혹내약성구유쾌속、준학、민감등우점,구유림상응용전경。
Objective To establish a flow cytometry-based drug susceptibility test for the rapid de-tection of antifungal susceptibility or resistance of Candida isolates.Methods The gate selection and opti-mal experimental conditions of flow cytometry-based drug susceptibility test were determined by using Candi-da albicans strain ATCC90029 as the test strain and propidium iodide ( PI) as the fluorescent dye .The es-tablished flow cytometry-based drug susceptibility test was used to detect the susceptibility or resistance to fluconazole or voriconazole of 110 isolates belonging to Candida species, and the obtained results were com-pared with those by using typical M 27-A3 constant dilution method .Results The killed and viable Candida albicans ATCC90029 strains were clearly divided into two groups on the figure of SS /log (FL3) by regulating voltages.There was a high correlation between the results of susceptibility test and the proportions of killed and viable fungi in mixture (r=0.999).The flow cytometry-based drug susceptibility test could provide the results within 30 min and its optimal concentration of fungal suspension , time of drug-fungus incubation , dyeing method and time were 1.0×106/ml, 3 h incubation and sodium deoxycholate-pretreated plus PI dye-ing for 5 min, respectively .The total coincident rates between the established test and the constant dilution method were 98.2%and 87.3%in the detection of drug susceptibility of 110 fungal isolates to fluconazole and voriconazole .Conclusion The flow cytometry-based drug susceptibility test shows advantages of rapidi-ty, accuracy and high sensitivity compared with the constant dilution method .It has a great potential for clin-ical application .