OMNIgene.SPUTUM用于在环境温度下运输唾液进行结核检测:孟加拉国经验
Senjuti Kabir1, Sabrina Choudhury1, Mohammad Khaja Mafij Uddin1
1Infectious Diseases Division, icddr,b, Mohakhali, Dhaka, Bangladesh.
概括
OMNIgene.SPUTUM (OM-S) 是一种安全有效的方法来运输用于结核病检测的唾液. 它确保了涂抹显微镜,培养和Xpert MTB/RIF的可靠结果,即使是在远程医疗机构.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 诊断技术 诊断技术 诊断技术
背景情况:
- 唾液的运输对于诊断结核病 (TB) 是至关重要的.
- 评估新的样本保存和运输系统对于改善结核病诊断至关重要,特别是在资源有限的环境中.
- OMNIgene.SPUTUM (OM-S) 是一个旨在稳定和运输唾液样本的系统.
研究的目的:
- 为了评估OMNIgene.SPUTUM (OM-S) 对于唾液运输的性能.
- 为了比较使用OM-S运输的唾液样本的诊断测试结果与传统方法.
- 评估OM-S在涂抹显微镜,培养和Xpert MTB/RIF测试方面的可靠性.
主要方法:
- 在达卡进行了一项探索性研究,涉及444名涂抹阳性肺结核患者.
- 唾液样本被分为"OM-S未处理"和"OM-S处理"部分.
- 样品被运送到中央实验室进行涂抹显微镜,培养和Xpert MTB/RIF (Xpert) 测试,并进行部分和部位之间的比较.
主要成果:
- 测试结果可用于现场附近样本的OM-S部分之间进行比较.
- 对于远程样本,涂抹显微镜阳性在"OM-S治疗"部分略有下降 (4.1%).
- 埃克斯珀特显示100%的一致性,在"OM-S治疗"部分 (92.3%与89.4%) 的培养阳性更高,污染率明显较低 (2.0%与9.8%).
结论:
- OMNIgene.SPUTUM (OM-S) 是安全的液运输.
- 在OM-S中稳定的唾液可以使用Xpert和培养方法可靠地测试.
- 建议进行进一步的研究以验证这些发现并评估成本效益.
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