Saturday, 18 November 2023

Determining the Effectiveness of CBNAAT in the Diagnosis of Extrapulmonary Tuberculosis | Chapter 12 | Advanced Concepts in Medicine and Medical Research Vol. 4

 This affiliate aims to determine the influence and reliability of CBNAAT in the diagnosis of extra pulmonary infection (EPTB) cases in comparison to AFB taint. Tuberculosis is still a major community health issue around the globe. Mycobacterium tuberculosis is thought to pollute one-after second of the world's state. The two types of clinical proof of tuberculosis (TB) are pulmonary TB (PTB) and extrapulmonary TB (EPTB). While pulmonary tuberculosis is most accepted presentation, extrapulmonary infection is also an main clinical question. Diagnosing extrapulmonary tuberculosis continues expected a challenge due to the paucibacillary type of the samples collected from unreachable sites and variable dispassionate presentation of the disease. Various direct and unintended methods of experiment are available for diagnosing extrapulmonary infection accurately. Two of these tests which are usually performed and are surely accessible are AFB taint and CBNAAT. AFB smear test is a system of visualization of acid-fast bacilli under microscope inasmuch as CBNAAT is a cartridge-located nucleic acid elaboration test that has long been used to pinpoint pulmonary tuberculosis (PTB).The study is a retrospective explanatory study conducted at MGM Hospital Aurangabad, Maharashtra, India. The study secondhand data from January 2017 to July 2018. Data from 166 subjects with possible extrapulmonary TB were obtained. The efficacy of CBNAAT in the disease of EPTB was compared to that of AFB besmirch.AFB smear and CBNAAT were acted on samples taken from 166 suspected EPTB inmates. Lymph node, liquid matter, pleural fluid, tissue, CSF, stomachic lavage, cystic fluid, peritoneal fluid, ascitic fluid, colonic fluid, synovial fluid, and excretion samples were collected. In AFB smear results, 17 cases were certain for TB bacilli while 149 proven negative. In the CBNAAT results, 25 cases were positive for TB bacterium whereas 141 proven negative. Eight cases were AFB smear negative but CBNAAT positive in a corresponding examination.The candor and quick reaction time of CBNAAT manage a valuable tool for diagnosing EPTB cases. For the diagnosis of cases accompanying EPTB, CBNAAT is more useful than AFB sully. However, other demonstrative tools concede possibility be taken into consideration in addition to CBNAAT for better diagnostic yield overall.

Author(s) Details:

Shivprasad Kasat,
Department of Respiratory Medicine, MGM Medical College and Hospital, Aurangabad, Maharashtra, India.

Mahendra Biradar,
Department of Respiratory Medicine, MGM Medical College and Hospital, Aurangabad, Maharashtra, India.

Ashish Deshmukh,
Department of Respiratory Medicine, MGM Medical College and Hospital, Aurangabad, Maharashtra, India.

Sunil Jadhav,
Department of Respiratory Medicine, MGM Medical College and Hospital, Aurangabad, Maharashtra, India.

Hafiz Deshmukh,
Department of Respiratory Medicine, MGM Medical College and Hospital, Aurangabad, Maharashtra, India.

Please see the link here: https://stm.bookpi.org/ACMMR-V4/article/view/12481

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