MTB-XDR Reflex (GeneXpert)

Intended Use

This test is a semi-quantitative, in vitro diagnostic test for the detection of extensively drug-resistant tuberculosis (XDR-TB). It identifies MTB DNA and mutations linked to resistance against INH, ETH, FLQs, and SLIDs.

Specimen Required

Respiratory Specimens, CSF, Pleural Fluid, or Tissue

Patient Preparation
  • Specimen preparation: Place each specimen in an individually sealed bag.
    • Unprocessed Specimens: Transport 5-10 mL respiratory specimen, CSF or pleural fluid (Min: 1 mL) in a sterile container, or tissue large enough to be ground. Label as unprocessed
    • Processed Specimens: Transport 2-5 mL digested/decontaminated respiratory specimen, CSF, pleural fluid, or tissue in a sterile container. (Min: 1 mL)  
  • Storage/Transport Temperature: Refrigerated
  • Unacceptable Conditions: Blood, Paraffin blocks, Stool, Swabs, and Urine
  • Remarks: Specimen source required; For processed specimens, identify method used for digestion and provide smear results.
  • Stability:
    • Unprocessed: Ambient: 3 days; Refrigerated: 1 week; Frozen: 1 month
    • Processed: Ambient: Unacceptable; Refrigerated: 1 week; Frozen: 1 month
Methodology

The test is performed semi-quantitatively using nested real time PCR on Cepheid GeneXpert Instrument Systems.

Sample Received to Report Turnaround Time (TAT)

Twice in a week (Scheduled Test)

Reference Interval

Interpretive Data

Refer to the Report.

Resources

Sample Reports