Precisión diagnóstica de tres tecnologías para detectar tuberculosis multi-drogo resistente. Una revisión sistemática

Nelson José Alvis, María de los Angeles Carrasquilla, Verónica Jhajaira Gómez, Jaime Robledo, Nelson Rafael Alvis-Guzmán, José Mauricio Hernández

    Resultado de la investigación: Contribución a una revistaArtículorevisión exhaustiva

    Resumen

    Introduction: Drug resistance tuberculosis is a leading public health problem. Its detection might reduce his economic and disease burden and the impact on health systems worldwide. Objective: To conduct a literature systematic review to study the diagnostic accuracy of three molecular tests to detect drug resistance tuberculosis. Materials and methods: A literature systematic review was conducted to study the diagnostic accuracy of drug resistance tests. Articles indexed in Medline and Embase were reviewed from 2007. Diagnostic accuracy was reported by sensibility, specificity, positive predictive values and negative predictive values of each test. Results: In total, 8, 12 and 13 studies were included to study the diagnostic accuracy of GeneXpert®MTB/RIF, GenoType®MTBDRplus and GenoType®MTBDRsl, respectively. The specificity of GeneXpert®MTB/RIF ranges from 91 to 100% and his sensitivity from 33.3 to 100%. The sensitivity of GenoType®MTBDRplus ranges from 88 to 100%. The sensitivity and specificity of GenoType®MTBDRsl to evaluate drug resistance ranges from 56-100% and 21-100%, respectively. Conclusion: The diagnostic tests evaluated have showed an adequate diagnostic accuracy to detect drug resistance tuberculosis.

    Título traducido de la contribuciónDiagnostic accuracy of technologies for the diagnosis of multidrug-resistant tuberculosis
    Idioma originalEspañol
    Páginas (desde-hasta)1-38
    Número de páginas38
    PublicaciónBiomedica
    Volumen37
    N.º3
    EstadoPublicada - 2017

    Palabras clave

    • Extensively drug-resistant tuberculosis
    • Multidrug-resistant
    • Review
    • Sensitivity and specificity
    • Tuberculosis
    • Tuberculosis

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