Evidence map›Paper›PMID 28486950›Full record

ArticleBMC research notes2017

Performance of Mycobacterium Growth Indicator Tube BACTEC 960 with Lowenstein-Jensen method for diagnosis of Mycobacterium tuberculosis at Ethiopian National Tuberculosis Reference Laboratory, Addis Ababa, Ethiopia.

Getu Diriba, Abebaw Kebede, Zelalem Yaregal, Muluwork Getahun, Mengistu Tadesse, Abyot Meaza, Zekarias Dagne, Shewki Moga, Jibril Dilebo, Kebebe Gudena and 2 more

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Article in BMC research notes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  16. New management approaches to tuberculosis in people living with HIV.Current opinion in infectious diseases · 2021
    Review
  17. New Developments and Insights in the Improvement ofCurrent epidemiology reports · 2021
    Review
  18. Time to Detection of Growth forFrontiers in cellular and infection microbiology · 2021
    Article
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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Getu DiribaEthiopian Public Health Institute, Addis Ababa, Ethiopia. diribagetu@yahoo.com.
Abebaw KebedeEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Zelalem YaregalEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Muluwork GetahunEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Mengistu TadesseEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Abyot MeazaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Zekarias DagneEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Shewki MogaEthiopian Public Health Institute, Addis Ababa, Ethiopia.
Jibril DileboSchool of Laboratory Science, College of Allied Science, Addis Ababa University, Addis Ababa, Ethiopia.
Kebebe GudenaSchool of Laboratory Science, College of Allied Science, Addis Ababa University, Addis Ababa, Ethiopia.
Mulu HassenDepartment of Laboratory Science, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Kassu DestaDepartment of Laboratory Science, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBacteriological confirmed active case detection remains the corner stone for diagnosing tuberculosis. Non-radiometric liquid culture system Mycobacterium Growth Indicator Tube with automated interface had been recommended by expert groups in addition to conventional solid culture media such as Lowenstein-Jensen. However in high burden resource limited countries advanced non-radiometric based tuberculosis diagnostic methods such as MGIT 960 is limited. Therefore we have evaluated the performance of MGIT 960 system compared to LJ for recovery of Mycobacterium complex (MTBC) from clinical specimens.

methodsA cross sectional study was conducted from a total of 908 samples between January 1st, 2013 to December 31st, 2014. Clinical specimens were processed following standard procedures and the final suspension was inoculated to MGIT tubes and LJ slant. Identification and confirmation of MTBC was done by ZN staining and SD Bioline test. Data was analyzed by SPSS version 20. The sensitivity, specificity, recovery rate and the average turnaround time to recover the organism was computed.

resultsFrom a total of 908 clinical specimens processed using both LJ and BACTEC MGIT liquid culture methods the recovery rate for LJ and MGIT, for smear positive samples was 66.7% (74/111) and 87.4% (97/ 111) respectively while for smear negative samples was 13.4% (108/797) and 17.4% (139/797) for LJ and MGIT methods respectively. The overall recovery rate for MGIT is significantly higher than LJ methods [26% (236/908; vs. 20%, 182/908, P = 0.002)]. The average turnaround time for smear positive samples was 16 and 31 days for MGIT and LJ respectively. Turnaround time for smear negative samples was 20 and 36 days for MGIT and LJ respectively. The overall agreement between MGIT and LJ was fairly good with Kappa value of 0.59 (P < 0.001). In the present study the contamination rate for MGIT is higher than the LJ methods, 15 and 9.3% respectively.

conclusionsThe BACTEC MGIT liquid culture system has better MTBC recovery rate with shorter turnaround time for both smear positive and negative clinical specimens compared to Conventional LJ method. However, efforts should be made in order to reduce the high contamination rate in BACTEC MGIT system and to lesser extent to LJ methods.

Indexed as

AdolescentAdultAgedAged, 80 and overBacteriological TechniquesBronchoalveolar Lavage FluidChildChild, PreschoolCross-Sectional StudiesEthiopiaHumansMiddle AgedMycobacterium tuberculosisReproducibility of ResultsSensitivity and SpecificitySpecimen HandlingLowenstein–JensenMycobacteria Growth Indicator TubeTuberculosis

Identifiers

PMID28486950
PMCPMC5424417

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.