Rapid molecular detection of extrapulmonary tuberculosis by the automated GeneXpert MTB/RIF system
- PMID: 21270230
- PMCID: PMC3122824
- DOI: 10.1128/JCM.02268-10
Rapid molecular detection of extrapulmonary tuberculosis by the automated GeneXpert MTB/RIF system
Abstract
In total, 521 nonrespiratory specimens (91 urine, 30 gastric aspirate, 245 tissue, 113 pleural fluid, 19 cerebrospinal fluid [CSF], and 23 stool specimens) submitted to the German National Reference Laboratory for Mycobacteria (NRL) from May 2009 to August 2010 were comparatively investigated with the new molecular-based GeneXpert MTB/RIF (Xpert) assay system and conventional liquid and solid culture methods. Twenty (3.8%) of the 521 specimens gave no interpretable result. Whereas the sensitivity of the Xpert assay with tissue specimens was 69.0% (20 out of 29 culture-positive cases detected), 100% sensitivity was found with the urine and stool specimens. The combined sensitivity and specificity of the Xpert assay were calculated to be 77.3% and 98.2%, respectively.
References
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- Deutsches Institut für Normung 1986. Medical microbiology. Diagnosis of tuberculosis. Part 3. Detection of mycobacteria by culture methods. DIN 58943-3. Beuth Verlag, Berlin, Germany
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- Deutsches Institut für Normung 1995. Medizinische Mikrobiologie. Tuberkulosediagnostik. Teil 32. Mikroskopische Methoden zum Nachweis von Mykobakterien. DIN 58943-32. Beuth Verlag, Berlin, Germany
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