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Identification of tubercle bacilli from Indian patients with pulmonary tuberculosis

机译:从印度肺结核患者中鉴定结核杆菌

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摘要

Pretreatment cultures of bacilli from Indian patients with active pulmonary tuberculosis admitted to a controlled domiciliary chemotherapy study by the Tuberculosis Chemotherapy Centre, Madras, were subjected to a series of in vitro tests designed to identify the bacilli as human or bovine tubercle bacilli, or as anonymous mycobacteria. For the purposes of comparison, pretreatment cultures from British patients with pulmonary tuberculosis were examined by the same series of identification tests.Cultures identifiable as mammalian tubercle bacilli were obtained from all the 341 Indian patients admitted to the chemotherapy study. Tests for niacin production were carried out on the cultures from 277 of these patients; all gave positive results, indicating that the bacilli in question were Mycobacterium tuberculosis var. hominis. The cultures from the Indian patients yielded results similar to those of the cultures from the British patients in all the in vitro tests except the thiacetazone-sensitivity test. In this test the Indian cultures differed from the British cultures, being on the average less sensitive and showing greater variation in sensitivity among themselves.
机译:来自印度活动性肺结核患者的细菌的预处理培养物已通过马德拉斯结核化学治疗中心接受了受控的定居性化学疗法研究,并接受了一系列体外试验,旨在将细菌鉴定为人或牛结核杆菌,或匿名分枝杆菌。为了进行比较,对英国肺结核患者的预处理培养物进行了相同的系列鉴定试验。从所有接受化疗研究的341名印度患者中获得了可鉴定为哺乳动物结核杆菌的培养物。在这些患者中的277名患者的培养物中进行了烟酸生成测试;所有这些都给出了阳性结果,表明所讨论的细菌是结核分枝杆菌。原始人在所有的体外试验中,除噻虫a敏感性试验外,印度患者的培养物产生的结果与英国患者的培养物相似。在这项测试中,印度文化与英国文化有所不同,它们的平均敏感性较低,彼此之间的敏感性差异更大。

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