GeneXpert Testing
GeneXpert testing (commonly referred to as CBNAAT – Cartridge-Based Nucleic Acid Amplification Test) is a rapid molecular diagnostic test used primarily to detect tuberculosis (TB) and determine resistance to rifampicin, a key anti-TB drug.
What It Detects:
- Presence of Mycobacterium tuberculosis (MTB)
- Resistance to Rifampicin (marker of multidrug-resistant TB)
How It Works:
- A sputum sample or other body fluid (e.g., CSF, lymph node aspirate) is placed in a cartridge.
- The cartridge is loaded into the GeneXpert machine.
- The machine: Breaks down the bacteria, Extracts the DNA, Amplifies TB-specific genetic sequences, Detects rifampicin resistance mutations.
- Results are available in under 2 hours.
Advantages:
- Fast and highly accurate
- Detects even low numbers of bacteria
- Can be used on extra-pulmonary samples
- Simultaneously provides drug resistance information
Common Uses:
- Diagnosing pulmonary TB and extra-pulmonary TB
- Screening for drug-resistant TB
- Preferred test for children, HIV-positive patients, and critical cases
- WHO-recommended first-line test in many countries
Conclusion:
GeneXpert has revolutionized TB diagnosis by offering rapid, reliable, and early detection, especially crucial for initiating timely treatment and controlling drug-resistant TB spread. Meet Dr. Namrata Jasani GeneXpert Diagnostic Center in Byculla , Mumbai