Mobile digital x-ray and portable cartridge based nucleic acid amplification test machines for point-of-care diagnosis of TB in rural India

被引:1
|
作者
Datta, Bornali [1 ]
Ford, David [2 ]
Goyal, Pinky [1 ]
Prakash, Ashish [1 ]
Tripathy, Jaya Prasad [3 ]
Gnanashanmugam, Devasena [4 ]
Mishra, Sunil [1 ]
Aggarwal, Ankit [1 ]
Kotalwar, Sameer Gopalrao [1 ]
Mittal, Sandeep [1 ]
Mangla, Anshul [5 ,6 ]
Jaiswal, Anand [1 ]
Trehan, Naresh [1 ]
机构
[1] Medanta Medicity, Dept Resp Med, Gurgaon, Haryana, India
[2] Scarborough Gen Hosp, Dept Resp Med, Scarborough, England
[3] All India Inst Med Sci, Dept Community Med, Nagpur, Maharashtra, India
[4] Cepheid, Med Affairs, Washington, DC USA
[5] VMMC, Dept Pulm Crit Care & Sleep Med, New Delhi, India
[6] Safdarjang Hosp, New Delhi, India
关键词
active case finding; CBNAAT Edge; digital chest x-ray; GeneXpert; point-of-care test; TUBERCULOSIS DIAGNOSIS;
D O I
10.1093/trstmh/traa152
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background: There is no experience of point-of-care (POC) microbiological confirmation for TB in India in field settings. Methods: Under the TB-Free Haryana project, a mobile van-mounted digital x-ray and portable GeneXpert system screened all presumptive TB patients with strong clinic-radiological suspicion for TB. Results: Of 1673 x-rays, 215 (13%) had findings suggestive of TB, 109 had strong clinical suspicion and were eligible for POC GeneXpert, in whom a test was performed in 82 (75%) cases; 59 (72%) tested positive and were initiated on treatment within 24 h. Conclusions: A mobile van equipped with digital x-ray and POC GeneXpert is feasible and has a good success rate with potential for replication.
引用
收藏
页码:937 / 939
页数:3
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