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Application of GeneXpert on Bronchoscopic Samples for Patients Suspicious of TB

Completed
Conditions
Observation
Registration Number
NCT02838641
Lead Sponsor
Chinese University of Hong Kong
Brief Summary

This is an observational study using Bronchial-alveolar lavage (BAL) as specimen for GeneXpert, a real time polymerase chain reaction (PCR) test for detection of tuberculosis (TB). Patients suspicious of TB, who require bronchoscopy as part of the investigation procedures, will be recruited for this study over a period of 18 months. Clinical likelihood of TB will be systematically scored according to various clinical parameters. This will determine the pre-test probability. Clinician will decide if anti-TB treatment is to be started and patients will be followed up for a minimal of 18 months. Sensitivity, specificity, positive, negative predictive values and the respective likelihood ratio will be calculated accordingly.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
219
Inclusion Criteria
  1. Patients > 18 years old suspected of TB clinically.
  2. Patients suspected of TB but both smear microscopy and TB PCR of sputum are negative or sputum cannot be produced.
  3. BAL samples obtained following standard investigation procedure
  4. CXR or CT imaging available.
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Exclusion Criteria
  1. Bronchoscopy is not planned as a necessary procedure for investigation.
  2. Diagnosis of active TB has been made by other means.
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
sensitivity, specificity, positive and negative predictive values18 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Department of Medicine and Therapeutics, Prince of Wales Hospital, CUHK

🇭🇰

Shatin, Hong Kong

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