Automated diagnosis of Tuberculosis: A review of advancements

Objective: A narrative review of advances in automated diagnostic tests for diagnosis of tuberculosis infections. Methods: Electronic databases were searched for tests on automation in Mycobacterium tuberculosis identiï€cation. Studies were selected and evaluated that tested for the performance o...

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Main Authors: EO Shobowale, AO Coker, BA Adegunle
Format: Article
Language:English
Published: Babcock Medical Society 2015-06-01
Series:Babcock University Medical Journal
Subjects:
Online Access:http://bumj.babcock.edu.ng/index.php/bumj/article/view/12
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author EO Shobowale
AO Coker
BA Adegunle
author_facet EO Shobowale
AO Coker
BA Adegunle
author_sort EO Shobowale
collection DOAJ
description Objective: A narrative review of advances in automated diagnostic tests for diagnosis of tuberculosis infections. Methods: Electronic databases were searched for tests on automation in Mycobacterium tuberculosis identiï€cation. Studies were selected and evaluated that tested for the performance of new and old methods in automated diagnosis with significant impact on the turn-around time of diagnosis and also positive impact on patient care with respect to outcomes. Results: A total of 40 studies were included. Overall, the gene expert system was found to be superior when applied to respiratory samples as opposed to other body fluids when compared to other test methods. High specificity estimates suggest that  Nucleic Acid Amplification Tests (NAATS) should be the first-line test for rapid diagnosis of meningitis, but that they also need to be combined with the result of other tests in order to rule out disease.  Discussion: Fully automated liquid culture methods overall are superior to mycobacterial culture on solid media, in terms of speed of diagnosis, ease of use and their accuracy with several user friendly systems that can be applied to the Nigerian environment. Conclusion: The DNA amplification tests provide a reliable way of increasing the specificity of diagnosis. Their superior diagnostic capability has been found to hold up in routine clinical practice, and they could confer several advantages on tuberculosis control programs.
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spelling doaj.art-1257ad264bbb4fbfa947601334486de12022-12-21T20:11:06ZengBabcock Medical SocietyBabcock University Medical Journal2465-66662756-46572015-06-011210.38029/bumj.v1i2.1212Automated diagnosis of Tuberculosis: A review of advancementsEO ShobowaleAO CokerBA AdegunleObjective: A narrative review of advances in automated diagnostic tests for diagnosis of tuberculosis infections. Methods: Electronic databases were searched for tests on automation in Mycobacterium tuberculosis identiï€cation. Studies were selected and evaluated that tested for the performance of new and old methods in automated diagnosis with significant impact on the turn-around time of diagnosis and also positive impact on patient care with respect to outcomes. Results: A total of 40 studies were included. Overall, the gene expert system was found to be superior when applied to respiratory samples as opposed to other body fluids when compared to other test methods. High specificity estimates suggest that  Nucleic Acid Amplification Tests (NAATS) should be the first-line test for rapid diagnosis of meningitis, but that they also need to be combined with the result of other tests in order to rule out disease.  Discussion: Fully automated liquid culture methods overall are superior to mycobacterial culture on solid media, in terms of speed of diagnosis, ease of use and their accuracy with several user friendly systems that can be applied to the Nigerian environment. Conclusion: The DNA amplification tests provide a reliable way of increasing the specificity of diagnosis. Their superior diagnostic capability has been found to hold up in routine clinical practice, and they could confer several advantages on tuberculosis control programs.http://bumj.babcock.edu.ng/index.php/bumj/article/view/12Mycobacterium tuberculosisAutomated diagnosisBACTEC 460Gene XpertMGIT 960
spellingShingle EO Shobowale
AO Coker
BA Adegunle
Automated diagnosis of Tuberculosis: A review of advancements
Babcock University Medical Journal
Mycobacterium tuberculosis
Automated diagnosis
BACTEC 460
Gene Xpert
MGIT 960
title Automated diagnosis of Tuberculosis: A review of advancements
title_full Automated diagnosis of Tuberculosis: A review of advancements
title_fullStr Automated diagnosis of Tuberculosis: A review of advancements
title_full_unstemmed Automated diagnosis of Tuberculosis: A review of advancements
title_short Automated diagnosis of Tuberculosis: A review of advancements
title_sort automated diagnosis of tuberculosis a review of advancements
topic Mycobacterium tuberculosis
Automated diagnosis
BACTEC 460
Gene Xpert
MGIT 960
url http://bumj.babcock.edu.ng/index.php/bumj/article/view/12
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