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PrimeStore MTM and OMNIgene sputum for the preservation of sputum for Xpert MTB/RIF testing in Nigeria

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Bimba_2019_PrimeStore_CC.pdf (277.1Kb)
Date
04/12/2019
Author
Bimba, John S
Lawson, Lovett
Kontogianni, Konstantina
Edwards, Thomas
Ekpenyong, Bassey Emanna
Dodd, James
Adams, Emily R
Sloan, Derek James
Cresswell, Jacob
Dominguez, Jose
Cuevas, Luis E
Keywords
Tuberculosis
Diagnosis
OMNIGene-sputum
PrimeStore
Xpert MTB/RIF
RA0421 Public health. Hygiene. Preventive Medicine
NDAS
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Abstract
Background: Xpert MTB/RIF (GX) for tuberculosis (TB) diagnosis is often located in reference laboratories, and sputum needs to be transported using a cold chain. Transport media to preserve sputum are available, but performance data under programmatic conditions are limited. Methods: Sputum samples were collected from patients with presumptive TB in Nigeria. One sputum was transported in a cold chain, tested immediately with GX and cultured. One sputum was swabbed and stored in PrimeStore-Molecular-Transport-Medium (Primestore), and the remainder was stored in OMNIGene-sputum (Omnigene), kept for seven days and tested with GX. Results: Of 248 patients, 63 were fresh-sputum culture-positive and 56 GX-positive (sensitivity 88.9%, 95% CI: 78.4–95.4%). Four of 185 culture-negative patients were GX-positive (specificity 97.8%, 94.6–99.4%). Omnigene GX and Primestore GX were positive in 56/62 (90.3%, 80.1–96.4%) and 49/62 (79.0%, 66.8–88.3%) culture-positive, respectively, and 1/185 (99.5%, 97.0–100.0%) and 3/185 (98.4%, 95.3–99.7%) were culture-negative patients. 14 Human Immunodeficiency Virus (HIV)-infected and 44 HIV-uninfected patients were culture-positive. Omnigene and Primestore detected 12/14 (85.7%, 57.2–98.2%) and 5/14 (35.7%, 12.8–64.9%) HIV-infected and 41/44 (93.2%, 81.3–98.6%) HIV-uninfected culture-positive patients. Interpretation : Omnigene stored and fresh sputum samples had similar GX results. The GX results of Primestore-stored samples were similar to those found in the fresh sputum of non-HIV infected patients, but GX-positivity was lower in HIV-infected patients. This was likely due to the lower amount of bacilli collected by the swab and transferred to PrimeStore.
Citation
Bimba , J S , Lawson , L , Kontogianni , K , Edwards , T , Ekpenyong , B E , Dodd , J , Adams , E R , Sloan , D J , Cresswell , J , Dominguez , J & Cuevas , L E 2019 , ' PrimeStore MTM and OMNIgene sputum for the preservation of sputum for Xpert MTB/RIF testing in Nigeria ' , Journal of Clinical Medicine , vol. 8 , no. 12 , 2146 . https://doi.org/10.3390/jcm8122146
Publication
Journal of Clinical Medicine
Status
Peer reviewed
DOI
https://doi.org/10.3390/jcm8122146
ISSN
2077-0383
Type
Journal article
Rights
Copyright © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Description
This research was funded by the European and Developing Countries Clinical Trial Partnership (EDCTP), grant number DRIA2014-309, and its co-funders were the Medical Research Council (MRC), UK, Instituto de Salud Carlos III (ISCIII Spain) and Global Affairs Canada, through the TB REACH Initiative of the Stop TB Partnership, Wave 5, project number STBP/TBREACH//GSA/W5-07.
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  • University of St Andrews Research
URI
http://hdl.handle.net/10023/19086

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