CN107400695A - A kind of sputum microorganism sample homogeneity reagent - Google Patents

A kind of sputum microorganism sample homogeneity reagent Download PDF

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Publication number
CN107400695A
CN107400695A CN201710128847.1A CN201710128847A CN107400695A CN 107400695 A CN107400695 A CN 107400695A CN 201710128847 A CN201710128847 A CN 201710128847A CN 107400695 A CN107400695 A CN 107400695A
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China
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sputum
digestive juice
phlegm
reagent
bacterium
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CN201710128847.1A
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CN107400695B (en
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李齐
陈泓达
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    • CCHEMISTRY; METALLURGY
    • C12BIOCHEMISTRY; BEER; SPIRITS; WINE; VINEGAR; MICROBIOLOGY; ENZYMOLOGY; MUTATION OR GENETIC ENGINEERING
    • C12QMEASURING OR TESTING PROCESSES INVOLVING ENZYMES, NUCLEIC ACIDS OR MICROORGANISMS; COMPOSITIONS OR TEST PAPERS THEREFOR; PROCESSES OF PREPARING SUCH COMPOSITIONS; CONDITION-RESPONSIVE CONTROL IN MICROBIOLOGICAL OR ENZYMOLOGICAL PROCESSES
    • C12Q1/00Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions
    • C12Q1/02Measuring or testing processes involving enzymes, nucleic acids or microorganisms; Compositions therefor; Processes of preparing such compositions involving viable microorganisms
    • C12Q1/04Determining presence or kind of microorganism; Use of selective media for testing antibiotics or bacteriocides; Compositions containing a chemical indicator therefor

Abstract

The invention provides a kind of sputum sample homogeneity method and the reagent used, reagent is by N acetyl L cysteines 0.2% (w/v), trypsase 0.1% (w/v), triethanolamine 0.4% (w/v), potassium chloride 0.2% (w/v), potassium dihydrogen phosphate 1.5% (w/v), phosphoric acid hydrogen dimethylamino 0.2% (w/v), sterilized water solvent composition.

Description

A kind of sputum microorganism sample homogeneity reagent
Technical field
The present invention relates to for a kind of clinical sputum sample sputum sample homogeneity method handled and the reagent used, its Can effective homogeneity sputum, while the bacterium for protecting sputum to include including Legionella is injury-free, is advantageous to sputum sample Further analysis.
Background technology
The sputum sample for collecting sputum sample acquisition using nature expectoration method and suction sputum method in breathing problem inspection has The distribution of the compositions such as obvious anisotropism, bacterium is very uneven, generally requires sample homogeneity using phlegm digestive juice.With The raising of accuracy and quality control of the experiment requirement is checked, the pre-treatment of sample is more and more paid attention to, according to daily work Observe, sputum specimen cultivation results and still undesirable with actual clinical coincidence rate, often occur detecting in sputum Actual pathogenic bacteria and mislead the situation of clinical diagnosis and treatment.
At present, both at home and abroad to commodity phlegm digestive juice used in clinical sputum specimen bacteria distribution culture mainly by Britain OXOID companies produce Sputasol (Liquid) SR0233, and its composition includes dithiothreitol (DTT), sodium chloride, potassium chloride, phosphoric acid hydrogen Disodium, potassium dihydrogen phosphate etc..In addition, also have in actual clinical detection or experiment using the digestion such as trypsase, chymotrypsin The way of sputum.Chinese patent application 201110126201.2 provides a kind of phlegm digestive juice suitable for Legionella, its Sodium salt is replaced with sylvite on the basis of Sputasol (Liquid) SR0233, and adds EDTA, to avoid sodium ion and heavy metal Ion pair Legionella and the toxicity of other bacterium simultaneously strengthen homogeneity effect.Chinese patent application 201510031792.3 then uses N- Acetyl group-L cysteines, triethanolamine, trypsase digest sputum, preferably protect the microorganism in sputum.
Although having there is the detection that above-mentioned phlegm digestive juice and digestion method are used for sputum specimen, clinical practice result shows, Bacterium in the homogeneity performances of these digestive juices and protection sample (it is particularly some in external environment compared with the bacterium of easy in inactivation, such as army Group bacterium) ability be still weak.And dithiothreitol (DTT) ingredient stability is poor, the reagent holding time is shorter.
The content of the invention
Inventor through comparison and screening test devises a kind of sputum sample homogeneity method and the reagent used, with compared with The TCEP hydrochlorides (three (2- acyls ethyl) phosphonium salt hydrochlorates) and trypsase of low concentration are combined to crack the viscous protein in sputum Matter, and it is aided with biosurfactant/chelating agent rhamnolipid to eliminate harmful effect of the metal ion to bacterium and strengthen digestion Effect, it can ensure to obtaining good homogeneity effect while the low infringement of bacterium including Legionella.
On the one hand, the invention provides a kind of phlegm digestive juice, its composition to include TECP hydrochlorides.
Further, the phlegm digestive juice is made up of following ingredients:
Yet further, the phlegm digestive juice is made up of following ingredients:
On the other hand, the invention provides the phlegm digestive juice of the present invention to prepare answering for clinical sputum sample detection kit With.
On the other hand, present invention also offers a kind of sputum sample homogeneity method, digested using phlegm provided by the invention Liquid handles sputum sample.
Embodiment
The phlegm digestive juice of the present invention of embodiment 1 and the preparation and use for compareing phlegm digestive juice
The preparation of the phlegm digestive juice of the present invention
The phlegm digestive juice of the present invention is prepared according to following ingredients list:
Various reagents are that domestic analysis is pure, from Chinese medicines group, brag holy biology etc.
The phlegm digestive juice made is packed as into 15ml/ parts to be stored in 4 DEG C of refrigerators.In use, every part of storage plus sterilized water 50ml is configured to working solution.Add approximately equal amount working solution into sputum, digested 15 minutes, 10000rpm/min in 37 DEG C of water-baths, Centrifuge 5min, you can taking precipitate extracts use for Bacteria Culture or as DNA.
Embodiment 2 is compared with existing phlegm digestive juice digestion effect
Commercially available Sputasol (Liquid) SR0233 (OXOID), application method is illustratively.
Digestive juice 1:Phlegm digestive juice in No. 201110126201.2 embodiments 1 of Chinese patent application, application method is pressed should Record in application specification.
Digestive juice 2:Phlegm digestive juice in No. 201510031792.3 embodiments 1 of Chinese patent application, application method is pressed should Record in application specification.
2.1 homogeneity effects
Take 1 part of suction sputum sample (volume about 40ml), be divided into 4 equal portions, respectively with 200ml sterile salines wash 3 times with Remove the respiratory tract normal flora on sputum surface.According to method described in embodiment 1 and Sputasol (Liquid) SR0233 (OXOID), Chinese patent application 201110126201.2, the method for No. 201510031792.3 records of Chinese patent application disappear Resolving sputum liquid.The sputum of every kind of digestion be divided into 9 equal portions be inoculated on blood plate, Mai Kangkai flat boards and chocolate flat board it is (every kind of flat 3 parts of plate), it is placed in 35 DEG C of CO2Cultivated in incubator.Strain class is distinguished by colonial morphology and microscopy after 3 days, records every portion of sputum The bacterium species number turned out on three kinds of flat boards.As a result it is as follows:
It can be seen that in the sputum sample that the phlegm digestive juice through the present invention digests, and bacterium species number is closer in each part, greatly It is partially in 3 kinds of section, and detects strain quantity at most (29 kinds), hence it is evident that is better than other several phlegm digestive juices.
The protecting effect of bacterium in 2.2 pairs of samples
80 parts of the natural expectoration sample (every part of about 5ml) taken in division of respiratory disease procedure, it is equally divided into 4 groups and is used for 4 kinds Digestive juice is tested, and every part is washed 3 times to remove the respiratory tract normal flora on sputum surface with 20ml sterile salines respectively.Press According to method described in embodiment 1 and Sputasol (Liquid) SR0233 (OXOID), Chinese patent application 201110126201.2 number, the method digestion sputum of the record of Chinese patent application 201510031792.3.By the sputum of digestion It is divided into 3 equal portions to be inoculated on blood plate, Mai Kangkai flat boards and chocolate flat board, is placed in 35 DEG C of CO2Cultivated in incubator.Lead to after 3 days Crossing colonial morphology, to distinguish strain class, (the similar strain in identical sample is included in once, the similar bacterium in different samples with microscopy Kind is included in respectively), record the bacterium species number that the sputum of every kind of method processing is turned out on three kinds of flat boards.As a result it is as follows:
As a result show that the strain class that the phlegm digestive juice digestion sputum specimen of the present invention obtains is substantially more compared with control digestive juice (near 200 kinds), it was demonstrated that infringement of the phlegm digestive juice of the present invention to bacterium in sample is smaller.
The protecting effect of Legionella in 2.3 pairs of samples
10 parts of the natural expectoration sample with Legionella is determined with PCR joint-detections through cultivating, described in embodiment 1 Method and Sputasol (Liquid) SR0233 (OXOID), Chinese patent application 201110126201.2, Chinese patent Shen Please No. 201510031792.3 method digestion sputums recorded.The sputum of digestion is inoculated in Chinese patent application 201010192273.2 number legion's bacterium culture medium in.Through culture, there are 8 parts of detections in the sample of phlegm digestive juice of the invention processing To Legionella, Sputasol (Liquid) SR0233 (OXOID), 201110126201.2,201010192273.2 only have respectively 3rd, 5,3 parts detect Legionella.
As a result show still to obtain good for the Legionella weaker to extraneous environmental resistance, phlegm digestive juice of the invention Good Detection results, no less than the special phlegm digestive juice of Legionella in Chinese patent application 201110126201.2, better than General phlegm digestive juice.
Above-described embodiment proves that sputum sample homogeneity method of the invention and the reagent used pass through with low concentration TCEP hydrochlorides (three (2- acyls ethyl) phosphonium salt hydrochlorates) and trypsase are combined to crack the viscous protein matter in sputum, and are aided with Biosurfactant/chelating agent rhamnolipid eliminates harmful effect of the metal ion to bacterium and strengthens digestion effect, can be with Ensureing to obtaining good homogeneity effect while the low infringement of bacterium including Legionella.Can be more accurate for clinical detection The presence situation of bacterium, effectively reduces misdiagnosis rate in true reaction sputum, especially can be to improve the Detection results to Legionella.

Claims (4)

1. a kind of phlegm digestive juice, its composition includes TECP hydrochlorides.
2. the phlegm digestive juice of claim 1, is made up of following ingredients:
3. the phlegm digestive juice of claim 1 or 2 is preparing the application of clinical sputum sample detection kit.
4. a kind of sputum sample homogeneity method, the phlegm digestive juice processing sputum sample of usage right requirement 1 or 2.
CN201710128847.1A 2017-03-06 2017-03-06 A kind of sputum sample homogeneity method and the reagent used Expired - Fee Related CN107400695B (en)

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Cited By (2)

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CN109679946A (en) * 2019-01-04 2019-04-26 宁波艾捷康宁生物科技有限公司 A kind of blood disease RAN protective agent and heparin tube
CN110964842A (en) * 2019-12-31 2020-04-07 广州金域医学检验集团股份有限公司 Sample processing reagent and kit for detecting mycobacterium tuberculosis nucleic acid and nucleic acid amplification method of mycobacterium tuberculosis

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CN104561230A (en) * 2015-01-22 2015-04-29 四川金域医学检验中心有限公司 Sputum specimen homogenization method and preparation of reagent for medical detection of sputum specimen
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CN104561230A (en) * 2015-01-22 2015-04-29 四川金域医学检验中心有限公司 Sputum specimen homogenization method and preparation of reagent for medical detection of sputum specimen
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109679946A (en) * 2019-01-04 2019-04-26 宁波艾捷康宁生物科技有限公司 A kind of blood disease RAN protective agent and heparin tube
CN109679946B (en) * 2019-01-04 2020-11-13 宁波艾捷康宁生物科技有限公司 Blood virus RNA protective agent and blood collection tube
CN110964842A (en) * 2019-12-31 2020-04-07 广州金域医学检验集团股份有限公司 Sample processing reagent and kit for detecting mycobacterium tuberculosis nucleic acid and nucleic acid amplification method of mycobacterium tuberculosis
CN110964842B (en) * 2019-12-31 2023-11-03 广州金域医学检验集团股份有限公司 Sample processing reagent for detecting mycobacterium tuberculosis nucleic acid, kit and mycobacterium tuberculosis nucleic acid amplification method

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