Xpert MTB/RIF Ultra Assay Using Stool: an Effective Solution for Bacilli Identification from Adult Pulmonary Tuberculosis Suspects without Expectorated Sputum

Author:

Yu Xia1ORCID,Wang Fen1,Ren Ruyan1,Dong Lingling1,Xue Yi1,Zhao Liping1,Jia Junnan1,Huang Hairong1ORCID

Affiliation:

1. National Clinical Laboratory on Tuberculosis, Beijing Key Laboratory for Drug Resistant Tuberculosis Research, Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Institute, Beijing, Beijing, China

Abstract

This study is aimed at assessing the value of Xpert MTB/RIF Ultra (Xpert-Ultra) in PTB on stool in adult in low HIV settings and Xpert-Ultra assay on stool sample harboring comparable sensitivity with Xpert MTB/RIF on respiratory tract specimens. Although the yield in stool samples by Xpert-Ultra is lower than RTS, it may be useful in detecting disease in presumptive TB patients who cannot expectorate sputum and are not open to BALF collection.

Funder

Natural science fund of China

Beijing Public Health Expert Project

Beijing Hospitals Authority programme

Tongzhou “Yun He” talent project

Publisher

American Society for Microbiology

Subject

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

Reference25 articles.

1. World Health Organization. 2022. Global tuberculosis report 2022. World Health Organization, Geneva, Switzerland.

2. World Health Organization. 2020. WHO consolidated guidelines on tuberculosis. Module 3: diagnosis– rapid diagnostics for tuberculosis detection. World Health Organization, Geneva, Switzerland.

3. The New Xpert MTB/RIF Ultra: Improving Detection of Mycobacterium tuberculosis and Resistance to Rifampin in an Assay Suitable for Point-of-Care Testing

4. Stool specimen for diagnosis of pulmonary tuberculosis in adults: protocol for a systematic review and meta-analysis

5. Global Laboratory Initiative. 2014. Laboratory diagnosis of tuberculosis by sputum microscopy – the GLI handbook. https://www.stoptb.org/file/10502/download. Geneva, Switzerland.

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