Author/Editor     Žolnir-Dovč, Marija
Title     Molekularno epidemiološka raziskava izolatov bakterije Mycobacterium tuberculosis v Sloveniji
Type     monografija
Place     Ljubljana
Publisher     Univerza v Ljubljani, Medicinska fakulteta
Publication year     2004
Volume     str. 95
Language     slo
Abstract     The most important factors responsible for the successful control of tuberculosis (TB) are rapid detection of TB patients, administration of adequate and efficient therapy and implementation of good contact-tracing procedures to stop further transmission. However, in the recent years DNA fingerprinting of Mycobacterium tuberculosis has given new insight into the nature of TB transmission. In a prospective nation-wide, oneyear DNA fingerprinting study, the genetic diversity of 99.7% of all M tuberculosis isolates obtained from Slovenian patients with culture-verified TB in 2001 were assessed using a standardized IS6110 restriction fragment length polymorphism (RFLP) method. To the best of our knowledge, our study represents the first nation-wide study which was performed in a country with a moderate TB incidence. Among 306 M tuberculosis isolates analysed, 228 different IS6110 RFLP patterns were found. The number of IS6110 copies varied from 2 to 16 (9.2 copies per isolate on average). Only 2 isolates (0.7%) with less than five IS6110 copies were identified. Clustered M tuberculosis isolates were detected in 116 (37.9%) patients. The degree of recent transmission in one year period was 25%. (Abstract truncated at 2000 characters)
Descriptors     MYCOBACTERIUM TUBERCULOSIS
TUBERCULOSIS
GENOTYPE
EPIDEMIOLOGY, MOLECULAR
RISK FACTORS
POLYMORPHISM, RESTRICTION FRAGMENT LENGTH
POLYMERASE CHAIN REACTION
DIAGNOSTIC ERRORS
PROSPECTIVE STUDIES
SLOVENIA