卡诺医院肺结核患者耐利福平结核分枝杆菌检测方法的比较研究

A. Umar, J. A. Hamza, Mujahid H., P. Igba
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引用次数: 0

摘要

本研究比较GeneXpert MTB/Rif和Lowenstein-Jensen (LJ)比例法在卡诺明诺教学医院直接观察治疗中心(DOT)的抗酸杆菌(AFB)阳性患者中检测利福平耐药结核分枝杆菌的特异性和敏感性。根据国家结核和麻风控制规划(2015年)和世界卫生组织(2012年)的指导方针,采集了150份AFB阳性样本,并对其进行了处理,结果显示,样品中耐利福平结核分枝杆菌(RR-TB)含量很高;GeneXpert MTB/Rif比例法和Lowenstein-Jensen (LJ)比例法分别为66.7%和60.8%。Cohen’s Kappa (interrater reliability)统计分析显示GeneXpert和LJ Proportion的特异性和敏感性基本一致(Kappa值= 0.73)。关键词:结核分枝杆菌;GeneXpert MTB/Rif; Lowenstein-Jensen (LJ)比例;
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Comparative Studies of the Methods of Detecting Rifampicin Resistant Mycobacterium tuberculosis among Tuberculosis Patients Attending Aminu Kano Teaching Hospital, Kano
This study was conducted to compare the specificity and sensitivity of GeneXpert MTB/Rif and Lowenstein-Jensen (LJ) Proportion methods of detecting rifampicin-resistant Mycobacterium tuberculosis among Acid Fast Bacilli (AFB) positive patients attending the Directly Observed Treatment (DOT) Centre of Aminu Kano Teaching Hospital Kano. A total of 150 AFB positive samples were collected and processed according to the guideline given by National TB and Leprosy Control Program (2015) and WHO (2012), The result revealed that rifampicin-resistant Mycobacterium tuberculosis (RR-TB) from the samples was very high; 66.7% and 60.8% for GeneXpert MTB/Rif and Lowenstein-Jensen (LJ) Proportion methods respectively. Cohen’s Kappa (interrater reliability) statistical analysis indicated a substantial agreement between GeneXpert and LJ Proportion specificity and sensitivity (Kappa value = 0.73). Keywords: Mycobacterium tuberculosis, GeneXpert MTB/Rif, Lowenstein-Jensen (LJ) Proportion, Rifampicin resistance.
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