False Positive Rifampicin Resistant Report with Xpert Mtb/Rif Assay in Sputum Samples with Bacterial Grade of Low and Very Low: A Case Report
Keywords:
Mycobacterium Tuberculosis, Rifampicin, Tuberculosis, Xpert, Cycle Threshold.Abstract
Xpert MTB/RIF assay is a molecular technique which detects Mycobacterium tuberculosis (MTB) and rifampicin resistance simultaneously in two hours. Based on the probes cycle threshold (Ct), the assay provides a semi-quantitative MTB detection which is the number of polymerase chain reaction (PCR) cycles required to amplify MTB deoxyribonucleic acid (DNA) to a level which can be detected. MTB detection is reported as High, Medium, Low or Very Low, while rifampicin resistance is reported as detected, not detected or indeterminate. Rifampicin resistant results with low or very low MTB detection grade or indeterminate rifampicin resistant results should be confirmed with a gold standard culture based drug susceptibility testing (DST).
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