VALUE OF THE 16S RRNA-REAL-TIME EXBP-RT-PCR TEST IN NEWLY DIAGNOSED SPUTUM POSITIVE PULMONARY TUBERCULOSIS

Ngọc Bằng Đào, Bá Thắng Tạ, Chí Tuấn Nguyễn, Thị Bích Thủy Võ

Main Article Content

Abstract

Objective: To evaluate the results of the 16S rRNA-real-time ExBP-RT-PCR test in diagnosis of newly diagnosed sputum positive pulmonary tuberculosis. Subjects and methods: A prospective, descriptive, cross-sectional study was conducted on 30 newly diagnosed sputum positive pulmonary tuberculosis patients and 30 community-acquired pneumonia patients, treated as inpatient at the Respiratory Center, Military Hospital 103, from September 2021 to January 2024. Evaluating the sensitivity and specificity of the 16S rRNA-real-time ExBP-RT-PCR test in diagnosis of pulmonary tuberculosis, comparing with the results of the GeneXpert/Mtb-Rif test. Results: Results of 16S rRNA-real-time ExBP-RT-PCR test were positive in 30 patients (100%). The both sensitivity and specificity of the test achieve 100%, respectively. The positive proportion of the 16S rRNA-real-time ExBP-RT-PCR test is higher than GeneXpert/Mtb-Rif but not statistically significant (p > 0.05). Conclusions: Intitial result of 16S rRNA-real-time ExBP-RT-PCR test has high sensitivity, specificity in diagnosis of newly diagnosed sputum positive pulmonary tuberculosis.

Article Details

References

WHO. (2022). Global tuberculosis report 2022, Geneva: World Health Organization.
2. Pang Y., Lu J., Su B., et al. (2017). Misdiagnosis of tuberculosis associated with some species of nontuberculous mycobacteria by GeneXpert MTB/RIF assay. Infection, 45(5), 677–681.
3. Emerson J. B., Adams R. I., Román C. M. B. et al. (2017). Schrödinger’s microbes: Tools for distinguishing the living from the dead in microbial ecosystems. Microbiome 5, 86.
4. Bộ y tế (2020). Hướng dẫn chẩn đoán, điều trị và dự phòng bệnh lao.
5. Mandell L. A., Wunderink R. G., Anzueto A., et al. (2007). Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clinical infectious diseases: an official publication of the Infectious Diseases Society of America, 44 Suppl 2(Suppl 2), S27–S72.
6. Kang W., Du J., Yang S., et al. (2021). The prevalence and risks of major comorbidities among inpatients with pulmonary tuberculosis in China from a gender and age perspective: a large-scale multicenter observational study. Eur J Clin Microbiol Infect Dis 40, 787–800 (2021).
7. Zhiyi L. (2022). The Value of GeneXpert MTB/RIF for Detection in Tuberculosis: A Bibliometrics-Based Analysis and Review. J Anal Methods Chem. 2022 Oct 15:2022:2915018.
8. Horita N., Yamamoto M., Sato T. et al. (2016). Sensitivity and specificity of Cobas TaqMan MTB real-time polymerase chain reaction for culture-proven Mycobacterium tuberculosis: meta-analysis of 26999 specimens from 17 Studies. Sci Rep 5, 18113 (2016).