Xpert MTB/XDR for detection of pulmonary tuberculosis and resistance to isoniazid, fluoroquinolones, ethionamide, and amikacin

GR Davies, M Chaplin, M De Vos… - Cochrane Database …, 2022 - cochranelibrary.com
GR Davies, M Chaplin, M De Vos, SG Schumacher, R Warren, G Theron
Cochrane Database of Systematic Reviews, 2022cochranelibrary.com
Background The World Health Organization (WHO) End TB Strategy stresses universal
access to drug susceptibility testing (DST). DST determines whether Mycobacterium
tuberculosis bacteria are susceptible or resistant to drugs. Xpert MTB/XDR is a rapid nucleic
acid amplification test for detection of tuberculosis and drug resistance in one test suitable
for use in peripheral and intermediate level laboratories. In specimens where tuberculosis is
detected by Xpert MTB/XDR, Xpert MTB/XDR can also detect resistance to isoniazid …
Background
The World Health Organization (WHO) End TB Strategy stresses universal access to drug susceptibility testing (DST). DST determines whether Mycobacterium tuberculosis bacteria are susceptible or resistant to drugs. Xpert MTB/XDR is a rapid nucleic acid amplification test for detection of tuberculosis and drug resistance in one test suitable for use in peripheral and intermediate level laboratories. In specimens where tuberculosis is detected by Xpert MTB/XDR, Xpert MTB/XDR can also detect resistance to isoniazid, fluoroquinolones, ethionamide, and amikacin.
Objectives
To assess the diagnostic accuracy of Xpert MTB/XDR for pulmonary tuberculosis in people with presumptive pulmonary tuberculosis (having signs and symptoms suggestive of tuberculosis, including cough, fever, weight loss, night sweats).
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