A new colorimetric method for rapid detection of ethambutol and streptomycin resistance in Mycobacterium tuberculosis: crystal violet decolorization assay (CVDA)

• DOI: 10.1007/s10482-018-1198-2
• Publication Date: 2018-11-11T06:15:54Z
• Authors: Ahmet Yilmaz Coban; Ahmet Ugur Akbal; Ismail Ceyhan; Meltem Uzun; Deniz Sertel Selale; Gonul Aslan; Nuran Delialioglu; Mustafa Ozyurt; Beyhan Bektore; Can Bicmen; Ahmet Aslanturk; Nilay Ucarman; Ali Albay; Ali Korhan Sig; Nuri Ozkutuk; Suheyla Surucuoglu
• Keywords: 0301 basic medicine; CVDA; Mycobacterium tuberculosis; STR; Anti-Bacterial Agents; Bacterial Typing Techniques; 3. Good health; 03 medical and health sciences; Susceptibility testing; EMB; Drug Resistance, Bacterial; Streptomycin; Humans; Tuberculosis; Colorimetry; Gentian Violet; Ethambutol

Streptomycin (STR) and ethambutol (EMB) are important drugs used for the treatment of tuberculosis. There is a need for fast, reliable and inexpensive methods for detecting resistance to these drugs. The aim of this study was to evaluate the performance of the crystal violet decolorization assay (CVDA) for the detection of STR and EMB resistance that is important drugs in tuberculosis treatment. In this study, drug susceptibility testing was performed on 140 Mycobacterium tuberculosis isolates provided from nine centers. Three tubes were used for each isolate. One of the tubes had a concentration of 2 mg/L STR and the other 5 mg/L EMB. The third was drug-free control tube. Sensitivity, specificity, positive predictive value (PPD), negative predictive value (NPD) and agreement for STR were found to be 81.8%, 94.6%, 87.8%, 91.5% and 90.57%, respectively. For EMB, sensitivity, specificity, PPD, NPD, and agreement were found to be 76%, 98.23%, 90.47%, 94.87% and 94.2%, respectively. The results were obtained in 11.3 ± 2.7 days (8-21 days). CVDA is rapid, reliable, inexpensive, and easy to perform for rapid detection of STR and EMB resistance, and it could be adapted for drug susceptibility testing.