New specimens and laboratory diagnostics for childhood pulmonary TB: progress and prospects.

Abstract:

:Childhood pulmonary TB (PTB) is under diagnosed, in part due to difficulties in obtaining microbiological confirmation. However, given the poor specificity of clinical diagnosis, microbiological confirmation and drug susceptibility testing is important in guiding appropriate therapy especially in the context of drug resistant TB. Confirmation is often possible, even in infants and young children, if adequate specimens are collected. Culture yield varies with the severity of illness, specimen type and culture method. Induced sputum is recognised as a safe procedure with a high diagnostic yield. Advances include optimised protocols for smear microscopy and modified culture techniques, such as the Microscopic Observation Drug Susceptibility Assay. Detection of Mycobacterium tuberculosis nucleic acid in respiratory specimens has high specificity but relatively poor sensitivity, particularly for smear negative disease. The recent development of an integrated specimen processing and real-time PCR testing platform for M. tuberculosis and rifampicin resistance is an important advance that requires evaluation in childhood TB.

journal_name

Paediatr Respir Rev

authors

Nicol MP,Zar HJ

doi

10.1016/j.prrv.2010.09.008

subject

Has Abstract

pub_date

2011-03-01 00:00:00

pages

16-21

issue

1

eissn

1526-0542

issn

1526-0550

pii

S1526-0542(10)00076-X

journal_volume

12

pub_type

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