Unsuccessful Xpert® MTB/RIF results: the Nigerian experience
Objective: To study the rate, distribution and causes of unsuccessful Xpert® MTB/RIF test outcomes, with the aim of identifying key areas that need to be strengthened for optimal performance of the assay.
Design: This was a retrospective analysis of data uploaded between January and December 2015 from Xpert facilities to the central server using GXAlert.
Result: Of 52 219 test results uploaded from 176 Xpert machines, 22.5% were positive for
Conclusion: The key challenge affecting performance was poor adherence to standard operating procedures. Periodic refresher training courses, regular supervision, preventive maintenance of Xpert machines and proper storage of cartridges are strategies that could improve Xpert performance.
Document Type: Research Article
Affiliations: 1: KNCV Tuberculosis Foundation, Abuja, Nigeria 2: National Tuberculosis Leprosy Control Programme, Abuja, Nigeria
Publication date: March 21, 2018
Public Health Action (PHA), The Union's quarterly open access on-line journal, provides a platform for its mission 'Health solutions for the poor'. PHA addresses the need for show-casing operational research that addresses issues in health systems and services. It publishes high-quality scientific research that provides new knowledge to improve access, equity, quality and efficiency of health systems and services.
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