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Low-cost diagnostic test for susceptible and drug-resistant tuberculosis in rural Malawi

Overview of attention for article published in African Journal of Laboratory Medicine, June 2018
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Title
Low-cost diagnostic test for susceptible and drug-resistant tuberculosis in rural Malawi
Published in
African Journal of Laboratory Medicine, June 2018
DOI 10.4102/ajlm.v7i1.690
Pubmed ID
Authors

Annie Zhang, Enoch Jumbe, Robert Krysiak, Sabeen Sidiki, Holden V Kelley, Elly K Chemey, Chancy Kamba, Victor Mwapasa, Juan I García, Alison Norris, Xueliang J Pan, Carlton Evans, Shu-Hua Wang, Jesse J Kwiek, Jordi B Torrelles

Abstract

Rural settings where molecular tuberculosis diagnostics are not currently available need easy-to-use tests that do not require additional processing or equipment. While acid-fast bacilli (AFB) smear is the most common and often only tuberculosis diagnosis test performed in rural settings, it is labour intensive, has less-than-ideal sensitivity, and cannot assess tuberculosis drug susceptibility patterns. The objective of this study was to determine the feasibility of a multidrug-resistant (MDR) or extensively drug-resistant (XDR)-tuberculosis coloured agar-based culture test (tuberculosis CX-test), which can detect Mycobacterium tuberculosis growth and evaluate for drug susceptibility to isoniazid, rifampicin and a fluoroquinolone (i.e. ciprofloxacin) in approximately 14 days. In this study, 101 participants were enrolled who presented to a rural health clinic in central Malawi. They were suspected of having active pulmonary tuberculosis. Participants provided demographic and clinical data and submitted sputum samples for tuberculosis testing using the AFB smear and tuberculosis CX-test. The results showed a high level of concordance between the AFB smear (12 positive) and tuberculosis CX-test (13 positive); only one sample presented discordant results, with the molecular GeneXpert MTB/RIF® test confirming the tuberculosis CX-test results. The average time to a positive tuberculosis CX-test was 10 days. Of the positive samples, the tuberculosis CX-test detected no cases of drug resistance, which was later confirmed by the GeneXpert MTB/RIF®. These findings demonstrate that the tuberculosis CX-test could be a reliable low-cost diagnostic method for active pulmonary tuberculosis in high tuberculosis burden rural areas.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 47 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 47 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 19%
Researcher 8 17%
Other 4 9%
Student > Ph. D. Student 4 9%
Librarian 3 6%
Other 7 15%
Unknown 12 26%
Readers by discipline Count As %
Medicine and Dentistry 14 30%
Immunology and Microbiology 4 9%
Social Sciences 4 9%
Nursing and Health Professions 3 6%
Biochemistry, Genetics and Molecular Biology 3 6%
Other 7 15%
Unknown 12 26%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 07 July 2018.
All research outputs
#16,728,456
of 25,382,440 outputs
Outputs from African Journal of Laboratory Medicine
#69
of 135 outputs
Outputs of similar age
#210,324
of 342,821 outputs
Outputs of similar age from African Journal of Laboratory Medicine
#1
of 3 outputs
Altmetric has tracked 25,382,440 research outputs across all sources so far. This one is in the 32nd percentile – i.e., 32% of other outputs scored the same or lower than it.
So far Altmetric has tracked 135 research outputs from this source. They receive a mean Attention Score of 3.1. This one is in the 45th percentile – i.e., 45% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 342,821 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 3 others from the same source and published within six weeks on either side of this one. This one has scored higher than all of them