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ArticleIndian journal of pediatrics2024

Diagnostic Accuracy of Cartridge Based Nucleic Acid Amplification Test (CBNAAT) in Stool Samples in Pediatric Tuberculosis.

Richa Singhal, Rajeshwar Dayal, Shailendra Bhatnagar, Madhu Nayak, Neeraj Yadav, Pankaj Kumar, Santosh Kumar, Hari Singh, Geetu Singh

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Article in Indian journal of pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

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3citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

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

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Richa SinghalDepartment of Pediatrics, S.N. Medical College, Agra, 282003, India.
Rajeshwar DayalDepartment of Pediatrics, S.N. Medical College, Agra, 282003, India. rajeshwardayal1@gmail.com.
Shailendra BhatnagarIntermediate Reference Laboratory (IRL) State TB Training and Demonstration Center (STDC), Agra, India.
Madhu NayakDepartment of Pediatrics, S.N. Medical College, Agra, 282003, India.
Neeraj YadavDepartment of Pediatrics, S.N. Medical College, Agra, 282003, India.
Pankaj KumarDepartment of Pediatrics, S.N. Medical College, Agra, 282003, India.
Santosh KumarDepartment of Tuberculosis and Chest Diseases, S.N. Medical College, Agra, India.
Hari SinghDepartment of Radiodiagnosis, S.N. Medical College, Agra, India.
Geetu SinghDepartment of Preventive and Social Medicine, S.N. Medical College, Agra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo find out the diagnostic accuracy of stool Cartridge-based nucleic acid amplification test (CBNAAT) as an alternate method as compared to CBNAAT in gastric aspirate (GA) samples in pediatric tuberculosis (TB).

methodsThis cross-sectional study was performed at Department of Pediatrics of a tertiary care hospital. Children aged 0-18 y diagnosed as presumptive tuberculosis were consecutively enrolled. Gastric aspirate and corresponding stool sample was subjected to CBNAAT and its performance was compared in both samples using appropriate statistical tests.

resultsTotal 100 patients were enrolled in the study. Diagnostic accuracy of CBNAAT was 81% and 80% in gastric aspirate and stool sample respectively. On comparing gastric aspirate with corresponding stool sample there was 97% agreement, with Cohen's kappa value of 0.94. There was a statistically significant association observed between gastric aspirate CBNAAT and stool CBNAAT p <0.001 using chi square test. Sensitivity of gastric aspirate CBNAAT and stool CBNAAT was 75% and 73% respectively and specificity was 100% for both the samples compared against Composite Reference Standard (CRS).

conclusionsThe diagnostic accuracy of stool CBNAAT is comparable to GA CBNAAT in children and can be used as a good alternative to gastric aspirate for diagnosis of pulmonary and disseminated tuberculosis in children.

Indexed as

FecesNucleic Acid Amplification TechniquesSensitivity and SpecificityTuberculosisAdolescentChildChild, PreschoolCross-Sectional StudiesFemaleHumansInfantInfant, NewbornMaleMycobacterium tuberculosisCBNAATChildrenDiagnosisPediatric tuberculosisStool

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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.