Detection of Mycobacterium tuberculosis Complex Using the Xpert MTB/RIF Ultra Assay on the Stool of Pediatric Patients in Dushanbe, Tajikistan

Author:

Rekart Michael L.1,Mun Lidiya2,Aung Aung2,Gomez Diana1,Mulanda Winston2,Kliescikova Jarmila2,Sitali Norman1,Rajabov Asliddin3,Azamova Shahnoza3,Pirmahmadzoda Bobojon4,Achar Jay5,Alvarez Jose Luis6,Greig Jane67,Cros Philipp du7,Sinha Animesh6ORCID

Affiliation:

1. Médecins sans Frontières, Amsterdam, The Netherlands

2. Médecins sans Frontières, Dushanbe, Tajikistan

3. National Tuberculosis Programme, Dushanbe, Tajikistan

4. Dushanbe City TB Center, Dushanbe, Tajikistan

5. Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden

6. Médecins sans Frontières, London, United Kingdom

7. Burnet Institute, Melbourne, Victoria, Australia

Abstract

The importance of this report is that it provides further support for WHO’s recent recommendation that fresh stool is an acceptable sample for GeneXpert TB testing in children, especially small children who often cannot produce an adequate sputum sample. Diagnosing TB in this age group is difficult, and many cases are missed, leading to unacceptable rates of TB illness and death.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Cell Biology,Microbiology (medical),Genetics,General Immunology and Microbiology,Ecology,Physiology

Reference16 articles.

1. WHO. 2020. Global tuberculosis report. World Health Organization, Geneva, Switzerland.

2. The global burden of tuberculosis mortality in children: a mathematical modelling study

3. WHO. 2021. WHO global list of high burden countries for tuberculosis (TB), TB/HIV and multidrug/rifampicin resistant TB (MDR/RR-TB) 2021–2025. World Health Organization, Geneva, Switzerland.

4. Stop TB Partnership. 2022. Live TB data interactive country dashboard: Tajikistan. https://dashboards.stoptb.org/country-profile.html. Accessed 26 March 2022.

5. The natural history of childhood intra-thoracic tuberculosis: a critical review of literature from the pre-chemotherapy era;Marais BJ;Int J Tuber Lung Dis,2004

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