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Order Code TBSP Mycobacterium tuberculosis Complex Species Identification, PCR, Varies

Infectious


Ordering Guidance


This test should be used to identify the species within the Mycobacterium tuberculosis complex from a known M tuberculosis complex isolate.

 

For identification of M tuberculosis complex from isolate growth, order CTBID / Culture Referred for Identification, Mycobacterium and Nocardia, Varies.

 

For rapid identification of M tuberculosis complex directly from a specimen, order MTBRP / Mycobacterium tuberculosis Complex, Molecular Detection, PCR, Varies or MTBXS / Mycobacterium tuberculosis Complex, Molecular Detection and Rifampin Resistance, PCR, Sputum.



Shipping Instructions


1. For shipping information see Infectious Specimen Shipping Guidelines.

2. Place specimen in a large infectious container and label as an etiologic agent/infectious substance.



Necessary Information


Specimen source and suspected organism identification are required.



Specimen Required


Specimen Type: Mycobacterium tuberculosis complex isolate growing in pure culture

Supplies: Infectious Container, Large (T146)

Container/Tube: Growth on solid slant media, eg, Middlebrook 7H10, 7H11 and Lowenstein Jensen; growth in broth medium, eg, Mycobacteria Growth Indicator Tube, 7H9 broth BACT/ALERT MP or VersaTREK

Specimen Volume: Isolate with visible growth on solid media; if broth is sent, 3 mL or more of broth culture

Collection Instructions:

1. Bacterial organism must be submitted in pure culture, actively growing. Do not submit mixed cultures.

2. Place specimen in a large infectious container and label as an etiologic agent/infectious substance.

Additional Information: If subculture to Middlebrook agar medium is needed to ensure purity, turnaround time for results may be delayed.


Useful For

Determining the species of a Mycobacterium tuberculosis complex culture isolate

Additional Tests

Test ID Reporting Name Available Separately Always Performed
RTBSP Id, Mtb Speciation, PCR No, (Bill Only) Yes

Testing Algorithm

When this test is ordered, species identification will always be performed at an additional charge.

Method Name

Real-Time Polymerase Chain Reaction (PCR)

Reporting Name

M tuberculosis species ID, PCR

Specimen Type

Varies

Specimen Stability Information

Specimen Type Temperature Time Special Container
Varies Ambient (preferred)
  Refrigerated 

Reject Due To

Agar plate
Mixed culture
Reject

Reference Values

Not applicable

Method Description

The method uses real-time polymerase chain reaction on the LightCycler 480 platform with Mycobacterium tuberculosis complex-specific primers coupled with fluorescence resonance energy transfer probes to differentiate the members of the complex to the species level. The probes target specific regions of difference (RD) within the M tuberculosis complex genome. Detection of the presence or absence of these RD allows for differentiation of the species within the M tuberculosis complex.(Halse TA, Escuyer VE, Musser KA. Evaluation of a single tube multiplex real-time PCR for differentiation of members of the Mycobacterium tuberculosis complex in clinical specimens. J Clin Microbiol. 2011;49:2562-2567; Warshauer DM, Salfinger M, Desmond E, and Lin S-Y G. Mycobacterium tuberculosis complex. In: Carroll KC, Pfaller MA, Landry ML, et al, eds. Manual of Clinical Microbiology. 12th edition, ASM Press; 2019:576-594)

 

The RD's expected for each species within the M tuberculosis complex are shown in the table below. "+" indicates the region is present and "-" indicates the region is absent.

 

Expected RD signature patterns

RD1

RD4

RD9

RD12

RD9-2

Mycobacterium tuberculosis

+

+

+

+

+

Mycobacterium bovis

+

-

-

-

+

Mycobacterium bovis BCG

-

-

-

-

+

Mycobacterium africanum

+

+

-

+

+

Mycobacterium canettii

+

+

+

-

+

Mycobacterium caprae

+

+

-

-

+

Mycobacterium microti

-

+

-

+

+

Mycobacterium mungi

+

+

-

+

+

Mycobacterium pinnepedii

+

+

-

-

+

Day(s) Performed

Monday through Friday

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

87150