Evaluation of genexpert MTB/RIF assay for direct diagnosis of pulmonary tuberculosis

dc.AffiliationOctober University for modern sciences and Arts (MSA)
dc.contributor.authorMoussa H.S.
dc.contributor.authorBayoumi F.S.
dc.contributor.authorAli A.M.
dc.contributor.otherBotany Department
dc.contributor.otherFaculty of Women for Art
dc.contributor.otherScience
dc.contributor.otherand Education
dc.contributor.otherAin Shams University
dc.contributor.otherCairo
dc.contributor.otherEgypt; Microbiology Department
dc.contributor.otherFaculty of Pharmacy
dc.contributor.otherModern Sciences and Arts University
dc.contributor.otherCairo
dc.contributor.otherEgypt; Department of Medical Laboratory Technology
dc.contributor.otherCollege of Applied Medical Science
dc.contributor.otherUniversity of Dammam
dc.contributor.otherHafr Al Batin
dc.contributor.otherSaudi Arabia
dc.date.accessioned2020-01-09T20:41:43Z
dc.date.available2020-01-09T20:41:43Z
dc.date.issued2016
dc.descriptionScopus
dc.description.abstractObjectives: To evaluate the performance of GeneXpert MTB/RIF assay for direct diagnosis of pulmonary tuberculosis (PTB). Methods: This is a cross-sectional study conducted between October 2013 and February 2016 at Abbassaia Chest Hospital and Ain Shams University Hospital, Cairo, Egypt. Inclusion criteria were adults between 18 and 60 years with suspected PTB and classified into 5 clinical categories based on their clinical, radiological, and laboratory findings: confirmed TB, probable TB, possible TB, unlikely TB, and not TB. Two sputum samples from each participant were analyzed by GX and the results were compared by conventional culture. Results: In total, 218 participants were enrolled: 71 had confirmed TB; 112, highly probable TB; 20, probable TB; 10, unlikely TB; and 5, no TB. The sensitivity and specificity of the GX assay were 93% and 98.3% respectively. GeneXpert was positive in 93% of confirmed TB and 2.2% of probable TB cases. Conclusions: GeneXpert is a rapid and promising technique with good sensitivity (93%) and specificity (98.3%), but it cannot be used as a standalone PTB diagnostic tool. There is a need for more GX evaluation studies in countries with low TB incidence. � 2016, Saudi Arabian Armed Forces Hospital. All rights reserved.en_US
dc.description.urihttps://www.scimagojr.com/journalsearch.php?q=18826&tip=sid&clean=0
dc.identifier.doihttps://doi.org/10.15537/smj.2016.10.14998
dc.identifier.doiPubMed ID 27652357
dc.identifier.issn3795284
dc.identifier.otherhttps://doi.org/10.15537/smj.2016.10.14998
dc.identifier.otherPubMed ID 27652357
dc.identifier.urihttps://t.ly/0Ew13
dc.language.isoEnglishen_US
dc.publisherSaudi Arabian Armed Forces Hospitalen_US
dc.relation.ispartofseriesSaudi Medical Journal
dc.relation.ispartofseries37
dc.subjectOctober University for Modern Sciences and Arts
dc.subjectUniversity for Modern Sciences and Arts
dc.subjectMSA University
dc.subjectجامعة أكتوبر للعلوم الحديثة والآداب
dc.subjectisoniaziden_US
dc.subjectrifampicinen_US
dc.subjectantibiotic sensitivityen_US
dc.subjectArticleen_US
dc.subjectassayen_US
dc.subjectcross-sectional studyen_US
dc.subjectdiagnostic test accuracy studyen_US
dc.subjectgold standarden_US
dc.subjecthumanen_US
dc.subjectlung tuberculosisen_US
dc.subjectmajor clinical studyen_US
dc.subjectMycobacterium tuberculosisen_US
dc.subjectMycobacterium tuberculosis resistance to rifampicin assayen_US
dc.subjectpredictive valueen_US
dc.subjectreceiver operating characteristicen_US
dc.subjectsensitivity and specificityen_US
dc.subjectadolescenten_US
dc.subjectadulten_US
dc.subjectfemaleen_US
dc.subjectgeneticsen_US
dc.subjectmaleen_US
dc.subjectmicrobiologyen_US
dc.subjectmiddle ageden_US
dc.subjectsputumen_US
dc.subjectTuberculosis, Pulmonaryen_US
dc.subjectyoung adulten_US
dc.subjectAdolescenten_US
dc.subjectAdulten_US
dc.subjectCross-Sectional Studiesen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectSputumen_US
dc.subjectTuberculosis, Pulmonaryen_US
dc.subjectYoung Adulten_US
dc.titleEvaluation of genexpert MTB/RIF assay for direct diagnosis of pulmonary tuberculosisen_US
dc.typeArticleen_US
dcterms.isReferencedBy(2014) Global tuberculosis report, , World Health Organization, Geneva; El Din, M.A.T., El Maraghy, A.A., Hay, A.H.R.A., Adverse reactions among patients being treated for multi-drug resistant tuberculosis at Abbassia Chest Hospital (2015) Egyptian Journal of Chest Diseases and Tuberculosis, 64, pp. 939-952; Zar, H.J., Workman, L., Isaacs, W., Munro, J., Black, F., Eley, B., Rapid molecular diagnosis of pulmonary tuberculosis in children using nasopharyngeal specimens (2012) Clin Infect Dis, 55, pp. 1088-1095; Zeka, A.N., Tasbakan, S., Cavusoglu, C., Evaluation of the GeneXpert MTB/RIF assay for rapid diagnosis of tuberculosis and detection of rifampin resistance in pulmonary and extrapulmonary specimens (2011) J Clinical Microbiol, 49, pp. 4138-4141; Kivihya-Ndugga, L.E., van Cleeff, M.R., Githui, W.A., Nganga, L.W., Kibuga, D.K., Odhiambo, J.A., A comprehensive comparison of Ziehl-Neelsen and fluorescence microscopy for the diagnosis of tuberculosis in a resource-poor urban setting (2003) Int J Tuberc Lung Dis, 7, pp. 1163-1171; Lawn, S.D., Brooks, S.V., Kranzer, K., Nicol, M.P., Whitelaw, A., Vogt, M., Screening for HIV-associated tuberculosis and rifampicin resistance before antiretroviral therapy using the Xpert MTB/RIF assay: A prospective study (2011) PLoS Medi, 8, p. e1001067; O�Grady, J., Maeurer, M., Mwaba, P., Kapata, N., Bates, M., Hoelscher, M., New and improved diagnostics for detection of drug-resistant pulmonary tuberculosis (2011) Curr Opin Pulm Med, 17, pp. 134-141; Boehme, C.C., Nabeta, P., Hillemann, D., Nicol, M.P., Shenai, S., Krapp, F., Rapid molecular detection of tuberculosis and rifampin resistance (2010) N Engl J Med, 363, pp. 1005-1015; Helb, D., Jones, M., Story, E., Boehme, C., Wallace, E., Ho, K., Rapid detection of Mycobacterium tuberculosis and rifampin resistance by use of on-demand, near-patient technology (2010) J Clin Microbiol, 48, pp. 229-237; Boehme, C.C., Nicol, M.P., Nabeta, P., Michael, J.S., Gotuzzo, E., Tahirli, R., Feasibility, diagnostic accuracy, and effectiveness of decentralised use of the Xpert MTB/RIF test for diagnosis of tuberculosis and multidrug resistance: A multicentre implementation study (2011) Lancet, 377, pp. 1495-1505; Steingart, K.R., Schiller, I., Horne, D.J., Pai, M., Boehme, C.C., Dendukuri, N., Xpert� MTB/RIF assay for pulmonary tuberculosis and rifampicin resistance in adults (2014) Cochrane Database Syst Rev, (1), p. CD009593; Reither, K., Manyama, C., Clowes, P., Rachow, A., Mapamba, D., Steiner, A., Xpert MTB/RIF assay for diagnosis of pulmonary tuberculosis in children: A prospective, multi-centre evaluation (2015) J Infect, 70, pp. 392-399; Deggim, V., Somoskovi, A., Voit, A., B�ttger, E.C., Bloemberg, G.V., Integrating the Xpert MTB/RIF assay into a diagnostic workflow for rapid detection of Mycobacterium tuberculosis in a low-prevalence area (2013) J Clin Microbiol, 51, pp. 2396-2469; Tortoli, E., Russo, C., Piersimoni, C., Mazzola, E., Dal Monte, P., Pascarella, M., Clinical validation of Xpert MTB/RIF for the diagnosis of extrapulmonary tuberculosis (2012) Eur Respir J, 40, pp. 442-447; Graham, S.M., Ahmed, T., Amanullah, F., Browning, R., Cardenas, V., Casenghi, M., Evaluation of tuberculosis diagnostics in children: 1. Proposed clinical case definitions for classification of intrathoracic tuberculosis disease. Consensus from an expert panel (2012) J Infect Dis, 205, pp. S199-s208; Zar, H.J., Hanslo, D., Apolles, P., Swingler, G., Hussey, G., Induced sputum versus gastric lavage for microbiological confirmation of pulmonary tuberculosis in infants and young children: A prospective study (2005) Lancet, 365, pp. 130-134; Kawai, V., Soto, G., Gilman, R.H., Bautista, C.T., Caviedes, L., Huaroto, L., Tuberculosis mortality, drug resistance, and infectiousness in patients with and without HIV infection in Peru (2006) Am J Trop Med Hyg, 75, pp. 1027-1033; Kent, P.T., Kubica, G.P., (1985) Public health mycobacteriology: A guide for the level III laboratory, , Atlanta (GA): US Department of Health and Human Services, Public Health Service, Centers for Disease Control; Swets, J.A., Pickett, R.M., (1982) Evaluation of diagnostic systems: Methods from signal detection theory, , New York (NY): Academic Press; Bunsow, E., Ruiz-Serrano, M.J., Lopez Roa, P., Kestler, M., Viedma, D.G., Bouza, E., Evaluation of GeneXpert MTB/RIF for the detection of Mycobacterium tuberculosis and resistance to rifampin in clinical specimens (2014) J Infect, 68, pp. 338-343; Zmak, L., Jankovic, M., Jankovic, V.K., Evaluation of Xpert MTB/RIF assay for rapid molecular diagnosis of tuberculosis in a two-year period in Croatia (2013) Int J Mycobacteriol, 2, pp. 179-182; Steingart, K.R., Ng, V., Henry, M., Hopewell, P.C., Ramsay, A., Cunningham, J., Sputum processing methods to improve the sensitivity of smear microscopy for tuberculosis: A systematic review (2006) Lancet Infect Dis, 6, pp. 664-674; Marlowe, E.M., Novak-Weekley, S.M., Cumpio, J., Sharp, S.E., Momeny, M.A., Babst, A., Evaluation of the Cepheid Xpert MTB/RIF assay for direct detection of Mycobacterium tuberculosis complex in respiratory specimens (2011) J Clin Microbiol, 49, pp. 1621-2163; Rachow, A., Clowes, P., Saathoff, E., Mtafya, B., Michael, E., Ntinginya, E.N., Increased and expedited case detection by Xpert MTB/RIF assay in childhood tuberculosis: A prospective cohort study (2012) Clin Infect Dis, 54, pp. 1388-1396; Sekadde, M.P., Wobudeya, E., Joloba, M.L., Ssengooba, W., Kisembo, H., Bakeera-Kitaka, S., Evaluation of the Xpert MTB/RIF test for the diagnosis of childhood pulmonary tuberculosis in Uganda: A cross-sectional diagnostic study (2013) BMC Infect Dis, 13, p. 133; Moure, R., Mu�oz, L., Torres, M., Santin, M., Mart�n, R., Alcaide, F., Rapid detection of Mycobacterium tuberculosis complex and rifampin resistance in smear-negative clinical samples by use of an integrated real-time PCR method (2011) J Clin Microbiol, 49, pp. 1137-1139; Nicol, M.P., Workman, L., Isaacs, W., Munro, J., Black, F., Eley, B., Accuracy of the Xpert MTB/RIF test for the diagnosis of pulmonary tuberculosis in children admitted to hospital in Cape Town, South Africa: A descriptive study (2011) Lancet Infect Dis, 11, pp. 819-824
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