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Archives 2005
Myanmar Health Sciences Research Journal
Volume 17, Number 1
TITLE: Detection of mycobacterium leprae by the polymerace chain reaction (PCR) in nasal swabs of leprosy patients and their contacts.
AUTHOR: Khin Saw Aye; Yin Thet Nu Oo; Kyaw Kyaw
SOURCE: Myanmar Health Sciences Research Journal. 2005; 17(1): 1-5
ABSTRACT: In the light of current leprosy control strategies, non-invasive samples such as nasal swabs may be more important than skin slit specimens as a source of material for epidemiological study. The objective of this research project was to investigate the use of a polymerase chain reaction (PCR) test to detect M. leprae in samples of nasal mucous from leprosy patients and asymptomatic household contacts of those patients. Nasal swabs from 15 paucibacillary (PB) and 55 multibacillary (MB) patients attending the Central Special Skin Center, Yangon General Hospital and 137 of their household contacts were tested for the presence of M .leprae by PCR and 33% of the samples of both patients and contacts were found to contain M. leprae. One of 32 (3.1%) swabs and 21 of 105 (20%) swabs were positive for M. leprae among contacts of PB and MB patients respectively (p<0.05). Among the patients, PCR positivity for nasal swab was 3 out of 15 (20%) in PB patients and 45 out of 55 (8 1.82%) in MB patients (p<0.001). Therefore, total 48 out of 70 (68.57%) in clinically diagnosed patients was PCR positive. PCR positivity of MB is significantly higher than PB in both patients and contacts. Although nasal carriage does not necessarily imply infection or excretion of bacilli, the finding of nasal carriage supports the theory of a disseminated occurrence of M. leprae in populations for which leprosy is endemic. This study is part of the molecular epidemiological study of leprosy in Myanmar.
SUBJECT HEADINGS: Mycobacterium leprae. Polymerase Chain Reaction. Leprosy.
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