OMNIgene.SPUTUM for transporting sputum in ambient temperature for tuberculosis testing: Bangladesh experience

Background: Performance of OMNIgene.SPUTUM (OM-S) for transporting sputum was evaluated. Methods: This exploratory study was conducted during January-December 2019 at four near and one distant healthcare-facilities of Dhaka. Smear-positive pulmonary TB patients’ sputa were collected, divided into ‘O...

Full description

Saved in:
Bibliographic Details
Main Authors: Senjuti Kabir, Sabrina Choudhury, Mohammad Khaja Mafij Uddin, M.D. Fahim Ather, Syed Mohammad Mazidur Rahman, Pronab Kumar Modak, Mohammad Samsuddoha Sarker Shanchay, Tanjina Rahman, Shahriar Ahmed, Sayera Banu
Format: Article
Language:English
Published: Elsevier 2025-08-01
Series:Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405579425000439
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849248175263580160
author Senjuti Kabir
Sabrina Choudhury
Mohammad Khaja Mafij Uddin
M.D. Fahim Ather
Syed Mohammad Mazidur Rahman
Pronab Kumar Modak
Mohammad Samsuddoha Sarker Shanchay
Tanjina Rahman
Shahriar Ahmed
Sayera Banu
author_facet Senjuti Kabir
Sabrina Choudhury
Mohammad Khaja Mafij Uddin
M.D. Fahim Ather
Syed Mohammad Mazidur Rahman
Pronab Kumar Modak
Mohammad Samsuddoha Sarker Shanchay
Tanjina Rahman
Shahriar Ahmed
Sayera Banu
author_sort Senjuti Kabir
collection DOAJ
description Background: Performance of OMNIgene.SPUTUM (OM-S) for transporting sputum was evaluated. Methods: This exploratory study was conducted during January-December 2019 at four near and one distant healthcare-facilities of Dhaka. Smear-positive pulmonary TB patients’ sputa were collected, divided into ‘OM-S untreated’ and ‘OM-S treated’ portions, and transported to testing laboratory, Dhaka, on same-day from near-sites, and through courier from distant-site for smear-microscopy, culture, and Xpert MTB/RIF (Xpert) testing. Subset of ‘OM-S treated’ sample was tested with Xpert without centrifugation. Test results of all portions were compared in between. Results: Total 444 participants were enrolled (near-sites:198, distant-site: 246). All test results were comparable in both portions for near-sites. For distant-site, smear-microscopy’s positivity was reduced by 4.1 % in ‘OM-S treated’, Xpert showed 100 % concordance in both portions, and culture was higher in ‘OM-S treated’ than ‘OM-S untreated’ (92.3 % vs 89.4 %; p = 0.288). Primary contamination rate in ‘OM-S treated’ was lower than ‘OM-S untreated’ (2.0 % vs 9.8 %; p < 0.05). For all sites, median (IQR) time-to-culture positivity was 35 (28, 42) days in both portions. Xpert positivity was 99 % concordant in ‘OM-S treated’ regardless of centrifugation. Conclusions: OM-S is safe for sputum transportation. OM-S mixed sputum can be tested with Xpert and culture. Further studies can validate findings and assess cost-effectiveness.
format Article
id doaj-art-85986b4c42454a59b72050b4d2569565
institution Kabale University
issn 2405-5794
language English
publishDate 2025-08-01
publisher Elsevier
record_format Article
series Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
spelling doaj-art-85986b4c42454a59b72050b4d25695652025-08-20T03:58:00ZengElsevierJournal of Clinical Tuberculosis and Other Mycobacterial Diseases2405-57942025-08-014010055210.1016/j.jctube.2025.100552OMNIgene.SPUTUM for transporting sputum in ambient temperature for tuberculosis testing: Bangladesh experienceSenjuti Kabir0Sabrina Choudhury1Mohammad Khaja Mafij Uddin2M.D. Fahim Ather3Syed Mohammad Mazidur Rahman4Pronab Kumar Modak5Mohammad Samsuddoha Sarker Shanchay6Tanjina Rahman7Shahriar Ahmed8Sayera Banu9Infectious Diseases Division, icddr,b, Mohakhali, Dhaka, BangladeshInfectious Diseases Division, icddr,b, Mohakhali, Dhaka, BangladeshInfectious Diseases Division, icddr,b, Mohakhali, Dhaka, BangladeshInfectious Diseases Division, icddr,b, Mohakhali, Dhaka, Bangladesh; Graduate Research Assistant, University of Virginia, Charlottesville, VA, USAInfectious Diseases Division, icddr,b, Mohakhali, Dhaka, BangladeshNational Tuberculosis Control Programme, Director General of Health Services, Mohakhali, Dhaka, Bangladesh300 bedded Hospital, Narayanganj, Dhaka, BangladeshInfectious Diseases Division, icddr,b, Mohakhali, Dhaka, BangladeshInfectious Diseases Division, icddr,b, Mohakhali, Dhaka, BangladeshInfectious Diseases Division, icddr,b, Mohakhali, Dhaka, Bangladesh; Corresponding author at: Sayera Banu, Head, Programme for Emerging and Re-emerging Infections, Infectious Diseases Division, 68, Shaheed Tajuddin Ahmed Sarani, icddr,b, Mohakhali, Dhaka, Banlgadesh.Background: Performance of OMNIgene.SPUTUM (OM-S) for transporting sputum was evaluated. Methods: This exploratory study was conducted during January-December 2019 at four near and one distant healthcare-facilities of Dhaka. Smear-positive pulmonary TB patients’ sputa were collected, divided into ‘OM-S untreated’ and ‘OM-S treated’ portions, and transported to testing laboratory, Dhaka, on same-day from near-sites, and through courier from distant-site for smear-microscopy, culture, and Xpert MTB/RIF (Xpert) testing. Subset of ‘OM-S treated’ sample was tested with Xpert without centrifugation. Test results of all portions were compared in between. Results: Total 444 participants were enrolled (near-sites:198, distant-site: 246). All test results were comparable in both portions for near-sites. For distant-site, smear-microscopy’s positivity was reduced by 4.1 % in ‘OM-S treated’, Xpert showed 100 % concordance in both portions, and culture was higher in ‘OM-S treated’ than ‘OM-S untreated’ (92.3 % vs 89.4 %; p = 0.288). Primary contamination rate in ‘OM-S treated’ was lower than ‘OM-S untreated’ (2.0 % vs 9.8 %; p < 0.05). For all sites, median (IQR) time-to-culture positivity was 35 (28, 42) days in both portions. Xpert positivity was 99 % concordant in ‘OM-S treated’ regardless of centrifugation. Conclusions: OM-S is safe for sputum transportation. OM-S mixed sputum can be tested with Xpert and culture. Further studies can validate findings and assess cost-effectiveness.http://www.sciencedirect.com/science/article/pii/S2405579425000439OMNIgene.SPUTUMSputum transportationRoom temperatureTuberculosis
spellingShingle Senjuti Kabir
Sabrina Choudhury
Mohammad Khaja Mafij Uddin
M.D. Fahim Ather
Syed Mohammad Mazidur Rahman
Pronab Kumar Modak
Mohammad Samsuddoha Sarker Shanchay
Tanjina Rahman
Shahriar Ahmed
Sayera Banu
OMNIgene.SPUTUM for transporting sputum in ambient temperature for tuberculosis testing: Bangladesh experience
Journal of Clinical Tuberculosis and Other Mycobacterial Diseases
OMNIgene.SPUTUM
Sputum transportation
Room temperature
Tuberculosis
title OMNIgene.SPUTUM for transporting sputum in ambient temperature for tuberculosis testing: Bangladesh experience
title_full OMNIgene.SPUTUM for transporting sputum in ambient temperature for tuberculosis testing: Bangladesh experience
title_fullStr OMNIgene.SPUTUM for transporting sputum in ambient temperature for tuberculosis testing: Bangladesh experience
title_full_unstemmed OMNIgene.SPUTUM for transporting sputum in ambient temperature for tuberculosis testing: Bangladesh experience
title_short OMNIgene.SPUTUM for transporting sputum in ambient temperature for tuberculosis testing: Bangladesh experience
title_sort omnigene sputum for transporting sputum in ambient temperature for tuberculosis testing bangladesh experience
topic OMNIgene.SPUTUM
Sputum transportation
Room temperature
Tuberculosis
url http://www.sciencedirect.com/science/article/pii/S2405579425000439
work_keys_str_mv AT senjutikabir omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT sabrinachoudhury omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT mohammadkhajamafijuddin omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT mdfahimather omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT syedmohammadmazidurrahman omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT pronabkumarmodak omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT mohammadsamsuddohasarkershanchay omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT tanjinarahman omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT shahriarahmed omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience
AT sayerabanu omnigenesputumfortransportingsputuminambienttemperaturefortuberculosistestingbangladeshexperience