1. Is GeneXpert MTB/RIF assay reliable for the Diagnosis of Pleural Tuberculosis?
- Author
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Shafiq, Muhammad Mudassir, Nadeem, Muhammad, Zaidi, Gul Afshan, Arshad, Naveed, Khan, Muzammil, and Niazi, Zainab
- Subjects
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TUBERCULOSIS , *MEDICAL sciences , *DIAGNOSIS , *NEEDLE biopsy , *TUBERCULOSIS patients , *PLEURAL effusions , *PLEURA diseases - Abstract
Objective: To determine the accurate ability to diagnose the pleural fluid GeneXpert MTB/RIF assessment in the suspected pleural tuberculosis patients considered as gold standard the pleural biopsy. Materials & Methods: This study was a validation cross-sectional survey and it was conducted in the pulmonology department of Pakistan Institute of Medical Sciences, Islamabad from 1st July to 31st December 2018 after approval of IRB. Participants with suspected pathology ≥ 18 years with exudative pleural effusion were included in the study. By implementing the process of the standard technique, closed needle pleural biopsy was executed by means of ABRAM'S needle. The collected samples of patients were sent to the pathology department of the Pakistan Institute of Medical Sciences for histopathology. Pleural fluid was referred to the National Institute of Health Islamabad for GeneXpert MTB/RIF assessment on the alike day and reports were assembled. All findings were entered in a structured Proforma. Data was entered in SPSS version 20 and analyzed. Results: A total of 180 patients were included; 65.6% of patients were male. When the sensitivity of pleural fluid GeneXpert MTB/RIF examination was calculated it was 10.4% whereas, the calculated specificity was 72.8%. While +ve predictive value of GeneXpert was 22.2% and the -ve predictive value was 52.1%. The likelihood ratio was 8.25 and the ROC curve also showed similar values. Conclusion: The sensitivity of pleural fluid GeneXpert MTB/RIF assay is very low and specificity is moderate for diagnosis of pleural tuberculosis when compared with pleural biopsy. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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