Diagnostic value analysis of Xpert MTB/RIF combined with high-throughput metagenomic sequencing
10.3969/j.issn.1673-9701.2024.12.007
- VernacularTitle:Xpert MTB/RIF联合宏基因组高通量测序对菌阴肺结核的诊断价值分析
- Author:
Hongling LI
1
;
Sijie YU
1
;
Yuanyuan YU
2
Author Information
1. Department of Infectious Diseases, Zhoushan Hospital, Zhoushan 316000, Zhejiang, China
2. Department of Tuberculosis, Shanghai Pulmonary Hospital, Shanghai 200433, China
- Publication Type:Journal Article
- Keywords:
Xpert MTB/RIF;
Metagenomic high-throughput sequencing;
Bacterial negative pulmonary tuberculosis;
Diagnostic value
- From:
China Modern Doctor
2024;62(12):32-36
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the diagnostic value of Xpert MTB/RIF combined with metagenic high-throughput sequencing in bacterial negative tuberculosis.Methods Retrospective analysis of 70 patients diagnosed with bacterial negative pulmonary tuberculosis from December 2019 to May 2022 enrolled in the study.Xpert MTB/RIF testing,high-throughput metagenomic sequencing,and a combination of the two were performed,respectively.Solid culture and proportional methods were used to diagnose biochemical pathogens and analyze diagnostic efficacy.The receiver operating characteristic curve was drawn with the predicted value.Results The positive rate of Xpert MTB/RIF diagnosis was 75.57%,and the negative rate was 21.43%.The positive rate of high-throughput sequencing for metagenomics was 78.57%,while the negative rate was 21.43%;The positive rate of combined diagnosis was 88.57%,and the negative rate was 11.43%.The detection sensitivity of Xpert MTB/RIF was 77.55%,the specificity was 59.86%,and the area under the curve(AUC)was 0.827.The sensitivity of high-throughput sequencing for metagenomes was 77.47%,the specificity was 61.02%,and the AUC was 0.808.The sensitivity of the combined detection was 89.75%,the specificity was 89.57%,and the AUC was 0.925.The results showed that the diagnostic sensitivity and specificity of Xpert MTB/RIF combined with high-throughput metagenomic sequencing in bacterial negative pulmonary tuberculosis were higher than those of single detection(P<0.05).Conclusion Xpert MTB/RIF combined with metagenic high-throughput sequencing has good application value in the diagnosis of bacterial negative pulmonary tuberculosis,and is worthy of clinical application.
