Abstract

Myrna T Mendoza1*, Marc Agnew M Cajucom2, Jill R Itable1,3 and Rosally P Zamora1,4 1Section of Infectious Diseases, Department of Medicine, University of the Philippines-Philippine General Hospital, Philippines 2Microbiology Laboratory, Medical Research Laboratories, Department of Medicine, University of the Philippines-Philippine General Hospital, Philippines 3Section of Infectious Diseases, Department of Internal Medicine, San Pedro Hospital, Davao City, Philippines 4Department of Internal Medicine, East Avenue Medical Center, Quezon City, Philippines *Corresponding author: Myrna T Mendoza, Section of Infectious Diseases, Department of Medicine, University of the Philippines-Philippine General Hospital, Philippines, Tel: +63-2-5251062; E-mail: myrnatmendoza@yahoo.com

Highlights

  • In a developing country with high prevalence of pulmonary tuberculosis (PTB) like the Philippines, a reliable low cost diagnostic tool for the detection of Mycobacterium tuberculosis (M. tuberculosis) in clinical specimens is needed [1]

  • This study aims to compare the performance of the microscopic observation drug susceptibility (MODS) assay in the detection of M. tuberculosis and MDR-TB from sputum specimens with the standard egg-based solid culture medium (Lowenstein Jensen) and the liquid MB BacT automated culture system

  • Study population and setting Sputum specimens were gathered from patients suspected to have pulmonary tuberculosis (PTB) were screened from two study populations: patients at the outpatient clinics of the departments of internal medicine, family medicine and TB DOTS clinic of the University of the Philippines-Philippine General Hospital (UP-PGH) and from patients referred by the Department of Health’s Programmatic Management of Drug-Resistant tuberculosis (PMDT)

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Summary

Introduction

In a developing country with high prevalence of pulmonary tuberculosis (PTB) like the Philippines, a reliable low cost diagnostic tool for the detection of Mycobacterium tuberculosis (M. tuberculosis) in clinical specimens is needed [1]. Case detection is mainly based on sputum microscopy, a diagnostic tool that has low sensitivity [2,3]. DST results are released 3 weeks after a positive specimen is detected. M. tuberculosis culture and DST results are known to the clinicians in about 3 months after a positive specimen is submitted. This is a long delay in the proper management of a patient with MDR-TB

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