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Impact of GeneXpert MTB/RIF Assay on Triage of Respiratory Isolation Rooms for Inpatients With Presumed Tuberculosis: A Hypothetical Trial
Author(s) -
Lelia H. Chaisson,
Marguerite Roemer,
David Cantú de León,
Barbara Haller,
Alexander J. Millman,
Adithya Cattamanchi,
J. Lucian Davis
Publication year - 2014
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/ciu620
Subject(s) - genexpert mtb/rif , medicine , tuberculosis , isolation (microbiology) , triage , tuberculosis diagnosis , mycobacterium tuberculosis , intensive care medicine , emergency medicine , pathology , microbiology and biotechnology , biology
Placing inpatients with presumed active pulmonary tuberculosis in respiratory isolation pending results of serial sputum acid-fast bacilli (AFB) smear microscopy is standard practice in high-income countries. However, this diagnostic strategy is slow and yields few tuberculosis diagnoses. We sought to determine if replacing microscopy with the GeneXpert MTB/RIF (Xpert) nucleic acid amplification assay could reduce testing time and usage of isolation rooms.

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