Application of serial tests for Mycobacterium tuberculosis detection to active lung tuberculosis cases in Indonesia

结核分枝杆菌系列检测在印度尼西亚活动性肺结核病例中的应用

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作者:Nastiti Intan Permata Sari, Ni Made Mertaniasih, Soedarsono, Fumito Maruyama

Objective

Rapid detection and accurate diagnosis are very important in managing active tuberculosis because they provide an advantage in preventing further disease transmission. In accordance with the recommendation of the World Health Organization, the Indonesian Tuberculosis Control Program uses the acid fast bacilli (AFB) smear and Chest X-ray

Results

This study used clinical samples from tuberculosis patients and assessed them using a series of tests, aiming to increase the sensitivity of active tuberculosis detection. Some samples that yielded negative results in the AFB smear test were detected as positive for Mycobacterium tuberculosis using the nucleic acid amplification test, with a sensitivity of 83.1%. Additionally, nucleic acid amplification also detected positive results among samples assessed as M. tuberculosis-negative using the culture method, this method yielded the same results as the Gene Xpert test.

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