Order Code TBSP Mycobacterium tuberculosis Complex Species Identification, PCR, Varies
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.
Special Instructions
Method Name
Real-Time Polymerase Chain Reaction (PCR)
Reporting Name
M tuberculosis species ID, PCRSpecimen Type
VariesSpecimen 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 RochesterCPT Code Information
87150