中国防痨杂志 ›› 2021, Vol. 43 ›› Issue (8): 843-846.doi: 10.3969/j.issn.1000-6621.2021.08.017
收稿日期:
2021-03-08
出版日期:
2021-08-10
发布日期:
2021-07-30
通信作者:
孙琳,申阿东
E-mail:chinatka@163.com;shenad16@hotmail.com
基金资助:
WANG Ya-cui, SUN Lin(), SHEN A-dong()
Received:
2021-03-08
Online:
2021-08-10
Published:
2021-07-30
Contact:
SUN Lin,SHEN A-dong
E-mail:chinatka@163.com;shenad16@hotmail.com
摘要:
儿童结核病临床表现不典型,检测标本中结核分枝杆菌载量低,加之传统实验室检查方法敏感度低且耗时长,使得儿童结核病早期精准诊断面临巨大挑战。新一代Xpert MTB/RIF Ultra(简称“Xpert Ultra”)方法凭借其较高的检测性能和较短的检测时间,正逐渐引起研究者和临床医生的关注。笔者对Xpert Ultra技术在儿童结核病诊断中的应用进行综述,以期为儿童结核病诊治提供帮助。
王亚翠, 孙琳, 申阿东. Xpert MTB/RIF Ultra在儿童结核病诊断中的应用进展[J]. 中国防痨杂志, 2021, 43(8): 843-846. doi: 10.3969/j.issn.1000-6621.2021.08.017
WANG Ya-cui, SUN Lin, SHEN A-dong. Application progress of Xpert MTB/RIF Ultra assay in tuberculosis diagnosis in children[J]. Chinese Journal of Antituberculosis, 2021, 43(8): 843-846. doi: 10.3969/j.issn.1000-6621.2021.08.017
[1] |
Detjen AK, DiNardo AR, Leyden J, et al. Xpert MTB/RIF assay for the diagnosis of pulmonary tuberculosis in children: a systematic review and meta-analysis. Lancet Respir Med, 2015, 3(6):451-461. doi: 10.1016/S2213-2600(15)00095-8.
doi: 10.1016/S2213-2600(15)00095-8 URL pmid: 25812968 |
[2] | Steingart KR, Schiller I, Horne DJ, et al. Xpert MTB/RIF assay for pulmonary tuberculosis and rifampicin resistance in adults. Cochrane Database Syst Rev, 2014, 2014(1):CD009593. doi: 10.1002/14651858.CD009593.pub3. |
[3] | Kohli M, Schiller I, Dendukuri N, et al. Xpert® MTB/RIF assay for extrapulmonary tuberculosis and rifampicin resis-tance. Cochrane Database Syst Rev, 2018, 8(8):CD012768. doi: 10.1002/14651858.CD012768.pub2. |
[4] |
Dorman SE, Schumacher SG, Alland D, et al. Xpert MTB/RIF Ultra for detection of Mycobacterium tuberculosis and rifampicin resistance: a prospective multicentre diagnostic accuracy study. Lancet Infect Dis, 2018, 18(1):76-84. doi: 10.1016/S1473-3099(17)30691-6.
doi: S1473-3099(17)30691-6 URL pmid: 29198911 |
[5] | Opota O, Zakham F, Mazza-Stalder J, et al. Added value of Xpert MTB/RIF Ultra for diagnosis of pulmonary tuberculosis in a low-prevalence setting. J Clin Microbiol, 2019, 57(2):e01717-18. doi: 10.1128/JCM.01717-18. |
[6] |
Moure R, Martín R, Alcaide F. Effectiveness of an integrated real-time PCR method for detection of the Mycobacterium tuberculosis complex in smear-negative extrapulmonary samples in an area of low tuberculosis prevalence. J Clin Microbiol, 2012, 50(2):513-515. doi: 10.1128/JCM.06467-11.
doi: 10.1128/JCM.06467-11 URL |
[7] |
Ullah I, Javaid A, Masud H, et al. Rapid detection of Mycobacterium tuberculosis and rifampicin resistance in extrapulmonary tuberculosis and sputum smear-negative pulmonary suspects using Xpert MTB/RIF. J Med Microbiol, 2017, 66(4):412-418. doi: 10.1099/jmm.0.000449.
doi: 10.1099/jmm.0.000449 URL |
[8] |
Zeka AN, Tasbakan S, Cavusoglu C. Evaluation of the GeneXpert MTB/RIF assay for rapid diagnosis of tuberculosis and detection of rifampin resistance in pulmonary and extrapulmonary specimens. J Clin Microbiol, 2011, 49(12):4138-4141. doi: 10.1128/JCM.05434-11.
doi: 10.1128/JCM.05434-11 URL |
[9] | World Health Organization. Non-inferiority analysis of Xpert MTB/RIF Ultra compared to Xpert MTB/RIF. Geneva: World Health Organization, 2017. |
[10] | Chakravorty S, Simmons AM, Rowneki M, et al. The new Xpert MTB/RIF Ultra: improving detection of Mycobacterium tuberculosis and resistance to rifampin in an assay suitable for point-of-care testing. mBio, 2017, 8(4):e00812-17. doi: 10.1128/mBio.00812-17. |
[11] |
Donovan J, Thu DDA, Phu NH, et al. Xpert MTB/RIF Ultra versus Xpert MTB/RIF for the diagnosis of tuberculous meningitis: a prospective, randomised, diagnostic accuracy study. Lancet Infect Dis, 2020, 20(3):299-307. doi: 10.1016/S1473-3099(19)30649-8.
doi: S1473-3099(19)30649-8 URL pmid: 31924551 |
[12] |
Nicol MP, Workman L, Prins M, et al. Accuracy of Xpert Mtb/Rif Ultra for the diagnosis of pulmonary tuberculosis in children. Pediatr Infect Dis J, 2018, 37(10):e261-e263. doi: 10.1097/INF.0000000000001960.
doi: 10.1097/INF.0000000000001960 URL |
[13] |
Sabi I, Rachow A, Mapamba D, et al. Xpert MTB/RIF Ultra assay for the diagnosis of pulmonary tuberculosis in children: a multicentre comparative accuracy study. J Infect, 2018, 77(4):321-327. doi: 10.1016/j.jinf.2018.07.002.
doi: 10.1016/j.jinf.2018.07.002 URL |
[14] | Sun L, Qi X, Liu F, et al. A Test for More Accurate Diagnosis of Pulmonary Tuberculosis. Pediatrics, 2019, 144(5):e20190262. doi: 10.1542/peds.2019-0262. |
[15] |
Zar HJ, Workman LJ, Prins M, et al. Tuberculosis Diagnosis in Children Using Xpert Ultra on Different Respiratory Specimens. Am J Respir Crit Care Med, 2019, 200(12):1531-1538. doi: 10.1164/rccm.201904-0772OC.
doi: 10.1164/rccm.201904-0772OC URL |
[16] | Sun L, Zhu Y, Fang M, et al. Evaluation of Xpert MTB/RIF Ultra Assay for Diagnosis of Childhood Tuberculosis: a Multicenter Accuracy Study. J Clin Microbiol, 2020, 58(9):e00702-20. doi: 10.1128/JCM.00702-20. |
[17] | Ssengooba W, Iragena JD, Nakiyingi L, et al. Accuracy of Xpert Ultra in Diagnosis of Pulmonary Tuberculosis among Children in Uganda: a Substudy from the SHINE Trial. J Clin Microbiol, 2020, 58(9):e00410-20. doi: 10.1128/JCM.00410-20. |
[18] |
Bates M, O’Grady J, Maeurer M, et al. Assessment of the Xpert MTB/RIF assay for diagnosis of tuberculosis with gastric lavage aspirates in children in sub-Saharan Africa: a prospective descriptive study. Lancet Infect Dis, 2013, 13(1):36-42. doi: 10.1016/S1473-3099(12)70245-1.
doi: 10.1016/S1473-3099(12)70245-1 URL |
[19] |
Causse M, Ruiz P, Gutiérrez-Aroca JB, et al. Comparison of two molecular methods for rapid diagnosis of extrapulmonary tuberculosis. J Clin Microbiol, 2011, 49(8):3065-3067. doi: 10.1128/JCM.00491-11.
doi: 10.1128/JCM.00491-11 URL |
[20] |
Nhu NT, Ha DT, Anh ND, et al. Evaluation of Xpert MTB/RIF and MODS assay for the diagnosis of pediatric tuberculosis. BMC Infect Dis, 2013, 13:31. doi: 10.1186/1471-2334-13-31.
doi: 10.1186/1471-2334-13-31 URL |
[21] |
Tortoli E, Russo C, Piersimoni C, et al. Clinical validation of Xpert MTB/RIF for the diagnosis of extrapulmonary tuberculosis. Eur Respir J, 2012, 40(2):442-447. doi: 10.1183/09031936.00176311.
doi: 10.1183/09031936.00176311 URL |
[22] |
Chisti M, Graham SM, Duke T, et al. A prospective study of the prevalence of tuberculosis and bacteraemia in Bangladeshi children with severe malnutrition and pneumonia including an evaluation of Xpert MTB/RIF assay. PLoS One, 2014, 9(4):e93776. doi: 10.1371/journal.pone.0093776.
doi: 10.1371/journal.pone.0093776 URL |
[23] | Walters E, Gie RP, Hesseling AC, et al. Rapid diagnosis of pediatric intrathoracic tuberculosis from stool samples using the Xpert MTB/RIF Assay: a pilot study. Pediatr Infect Dis J, 2012, 31(12):1316. doi: 10.1097/INF.0b013e318266c21c. |
[24] | Kabir S, Rahman SMM, Ahmed S, et al. Xpert Ultra assay on stool to diagnose pulmonary tuberculosis in children[J/OL]. Clin Infect Dis, 2020[2021-03-08]. doi: 10.1093/cid/ciaa583. Online ahead of print. |
[25] | Liu XH, Xia L, Song B, et al. Stool-based Xpert MTB/RIF Ultra assay as a tool for detecting pulmonary tuberculosis in children with abnormal chest imaging: A prospective cohort study. J Infect, 2021, 82(1):84-89. doi: 10.1016/j.jinf.2020.10.036. |
[26] | MacLean E, Sulis G, Denkinger CM, et al. Diagnostic Accuracy of Stool Xpert MTB/RIF for Detection of Pulmonary Tuberculosis in Children: a Systematic Review and Meta-analysis. J Clin Microbiol, 2019, 57(6):e02057-18. doi: 10.1128/JCM.02057-18. |
[27] |
Lange C, Abubakar I, Alffenaar JW, et al. Management of patients with multidrug-resistant/extensively drug-resistant tuberculosis in Europe: a TBNET consensus statement. Eur Respir J, 2014, 44(1):23-63.
doi: 10.1183/09031936.00188313 URL |
[28] |
Kunkel A, Wiesch PA, Nathavitharana RR, et al. Smear posi-tivity in paediatric and adult tuberculosis: systematic review and meta-analysis. BMC Infect Dis, 2016, 16(1):282. doi: 10.1183/09031936.00188313.
doi: 10.1186/s12879-016-1617-9 URL |
[29] |
Tostmann A, Kik SV, Kalisvaart NA, et al. Tuberculosis transmission by patients with smear-negative pulmonary tuberculosis in a large cohort in the Netherlands. Clin Infect Dis, 2008, 47(9):1135-1142. doi: 10.1086/591974.
doi: 10.1086/591974 URL pmid: 18823268 |
[30] |
Rebouças MC, Silva MOD, Haguihara T, et al. Tuberculosis incidence among people living with HIV/AIDS with virological failure of antiretroviral therapy in Salvador, Bahia, Brazil. Braz J Infect Dis, 2017, 21(5):562-566. doi: 10.1016/j.bjid.2017.05.005.
doi: 10.1016/j.bjid.2017.05.005 URL |
[31] |
Myo K, Zaw M, Swe TL, et al. Evaluation of Xpert® MTB/RIF assay as a diagnostic test for pulmonary tuberculosis in children in Myanmar. Int J Tuberc Lung Dis, 2018, 22(9):1051-1055. doi: 10.5588/ijtld.18.0024.
doi: 10.5588/ijtld.18.0024 URL |
[32] | World Health Organization. Guidance for national tuberculosis programmes on the management of tuberculosis in children. 2nd ed. Geneva: World Health Organization, 2014. |
[33] | World Health Organization. Global tuberculosis report 2016. Geneva: World Health Organization, 2016. |
[34] |
Singh S, Singh A, Prajapati S, et al. Xpert MTB/RIF assay can be used on archived gastric aspirate and induced sputum samples for sensitive diagnosis of paediatric tuberculosis. BMC Microbiol, 2015, 15:191. doi: 10.1186/s12866-015-0528-z.
doi: 10.1186/s12866-015-0528-z URL |
[35] |
Fiebig L, Hauer B, Brodhun B, et al. Bacteriological confirmation of pulmonary tuberculosis in children with gastric aspirates in Germany, 2002—2010. Int J Tuberc Lung Dis, 2014, 18(8):925-930. doi: 10.5588/ijtld.13.0578.
doi: 10.5588/ijtld.13.0578 URL |
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