GeneXpert MTB/RIF Assay for Rapid Identifcation of Mycobacterium Tuberculosis and Rifampicin Resistance Directly from Sputum Sample
Journal Title: Journal of Enam Meical College - Year 2017, Vol 7, Issue 2
Abstract
Background: The World Health Organization has endorsed the use of molecular methods for the detection of tuberculosis (TB) and drug resistant TB as a rapid method. In Bangladesh, the Xpert MTB/RIF assay has been implemented into reference laboratories for diagnosis of TB and also MDR TB. Objective: Drug resistant tuberculosis has long been a common problem prevailing in our country. The present study focused on the rapid identifcation of Mycobacterium tuberculosis as well as drug resistance. Materials and Methods: Sputum samples from a total of 107 cases, assumed as multi-drug resistance tuberculosis, were studied through GeneXpert assay. Results: Out of 107 cases, 91 (85.05%) were detected having M. tuberculosis ─ 64 (59.81%) were rifampicin sensitive and 27 (25.23%) were rifampicin resistant. The sensitivity and specifcity of the GeneXpert are 87.64% and 75% respectively. Conclusion: GeneXpert assay can be considered for the rapid diagnosis of drug resistant tuberculosis.
Authors and Affiliations
Nourjahan Laskar, Md Akram Hossain, Jannatul Fardows, Mominur Rahman
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