The clinical diagnostic value of Xpert MTB/RIF for the detection of Mycobacterium tuberculosis in gastric aspirates

• Published in: Bioscience reports Vol. 40; no. 6
• Main Authors: Tan, Hong-Kun, Fan, Shu-Jin, Xu, Yu-Cheng, Zhou, Jiong-Jiong, Chen, Yuan-Zhi, Xie, Tian-Ao, Pan, Zhi-Yong, Xia, Yong, Guo, Xu-Guang
• Format: Journal Article
• Language: English
• Published: England Portland Press Ltd 26.06.2020
• Subjects: Computational Biology; Diagnostics & Biomarkers; Humans; Instrumentation & Devices; Molecular Diagnostic Techniques; Mycobacterium tuberculosis - genetics; Mycobacterium tuberculosis - isolation & purification; Predictive Value of Tests; Reproducibility of Results; Stomach - microbiology; Suction; Tuberculosis - diagnosis; Tuberculosis - microbiology; Mycobacterium-tuberculosis; Sensitivity; Specificity; Xpert MTB/RIF; Gastric-Aspirate
• ISSN: 0144-8463; 1573-4935
• DOI: 10.1042/BSR20200138

At present, the infection and prevalence rates of tuberculosis (TB) are still high in worldwide. The Xpert MTB/RIF technology has improved the diagnosis speed of Mycobacterium tuberculosis (MTB) and facilitated the rapid treatment of TB patients. We searched experimental data derived from Xpert MTB/RIF for detecting MTB in gastric aspirates in PubMed, Embase, Web Of Science, and the Cochrane Library databases between January 2012 to April 2019. A summary receiver operating characteristic curve (SROC curve) was used to analyze the pooled sensitivity, pooled specificity, PLR, NLR, and DOR for determining the accuracy of the test. Our database search resulted in 10 relevant articles. The pooled sensitivity of Xpert MTB/RIF for detecting TB in GA was 86% (95% CI, 83-89%), and I2 = 93.4%. The pooled specificity was 92% (95% CI, 90-93%) and I2 = 97.8%. In addition, the positive LR was 12.12 (95% CI, 5.60-26.21), negative LR was 0.20 (95% CI, 0.11-0.36), and the diagnostic odds ratio (DOR) was 147.04 (95% CI, 37.20-581.19). Using the SROC curve, the AUC was 0.9730 and Q* was 0.9248 (SE = 0.0261). The publication bias was P=0.517 (P>0.05). The Xpert MTB/RIF for detecting MTB in gastric aspirates was highly accurate. In addition, we observed that the publication bias in the present study was low. Hence, the Xpert MTB/RIF technology is highly accurate and has the advantage of rapid testing for MTB in clinical samples.