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SARS-CoV-2 Supply Shortages and Tuberculosis Diagnostics: Current Issues Requiring Immediate Solutions
Derek T Armstrong1, Erin A Tacheny2, Gene Olinger2
1The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA.
Journal of Clinical Microbiology
|September 29, 2021
Summary
The SARS-CoV-2 pandemic caused shortages of essential lab supplies, including tuberculosis (TB) detection kits. Laboratories must find alternatives to maintain TB testing and public health services in the US.
Area of Science:
- Microbiology
- Public Health
- Clinical Diagnostics
Background:
- The COVID-19 pandemic has severely impacted global manufacturing, leading to widespread shortages of critical laboratory supplies.
- Specific shortages include probe-based kits essential for detecting the Mycobacterium tuberculosis complex in liquid cultures.
- These supply chain disruptions threaten established laboratory testing algorithms and pose risks to public health surveillance in the United States.
Purpose of the Study:
- To highlight the impact of SARS-CoV-2-related supply chain disruptions on Mycobacterium tuberculosis complex detection.
- To underscore the urgent need for alternative methods and modified testing strategies due to the unavailability of standard diagnostic kits.
- To inform public health and laboratory professionals about the consequences for tuberculosis diagnostics in the US.
Main Methods:
- This study is a review and analysis of the current supply chain challenges impacting diagnostic laboratories.
- It examines the implications of probe-based kit shortages for Mycobacterium tuberculosis complex detection.
- The analysis considers the lack of immediate FDA-approved alternatives and the necessity for adaptive strategies.
Main Results:
- Significant shortages of probe-based kits for Mycobacterium tuberculosis complex detection have been identified.
- The absence of commercially available, FDA-approved replacements creates a critical gap in diagnostic capabilities.
- Existing laboratory testing algorithms are at risk of disruption, potentially impacting tuberculosis control efforts.
Conclusions:
- Laboratories face an urgent need to identify and implement alternative methods for Mycobacterium tuberculosis complex detection.
- Modifying current testing algorithms is crucial to ensure continuity of care and public health protection.
- Proactive planning and adaptation are essential to mitigate the impact of supply chain disruptions on tuberculosis diagnostics.
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