Evaluation of ziehl neelsen and light emitting diode fluorescent microscopy with reference to culture for the detection of mycobacterium tuberculosis complex from suspected tuberculosis patients. (Record no. 2517)

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005 - DATE AND TIME OF LATEST TRANSACTION
control field 20220906184700.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
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060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER
Classification number THS-00390
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Upadhyaya,Shambhu Kumar.
9 (RLIN) 944
245 ## - TITLE STATEMENT
Title Evaluation of ziehl neelsen and light emitting diode fluorescent microscopy with reference to culture for the detection of mycobacterium tuberculosis complex from suspected tuberculosis patients.
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. c2015.
300 ## - PHYSICAL DESCRIPTION
Extent xv,55p.
500 ## - GENERAL NOTE
General note Thesis Report.
520 ## - SUMMARY, ETC.
Summary, etc. ABSTRACT: The inadequate ability to rapidly and accurately diagnose active tuberculosis (TB) in developing countries including Nepal remains a major obstacle in global control of the disease. In Nepal, 45% of total population is infected with TB of which 60% are in the productive age group. Screening of TB patients and laboratory diagnosis of causative agent plays a significant role to control and eradicate TB. There is an urgent need for an appropriate TB diagnostic tool that is simple, rapid, sensitive and specific and can be made widely available so that 3 million missing TB cases and new cases as well as relapse cases can be detected. This study was performed in German Nepal Tuberculosis Project (GENETUP) laboratory with an objective to evaluate the diagnostic efficacy of two staining techniques (Ziehl-Neelsen and LED fluorochrome staining) for the detection of acid fast bacilli (AFB) in comparison to culture. A total of 325 samples were processed in this study in which 219 were from male and 106 were from female, among them, 56% of the samples were from the productive age group. From the total samples processed, 97 were AFB positive by ZN microscopy and 104 by LED fluorescent microscopy. Culture showed 121 positive results while 7 cultures were contaminated. Considering culture as gold standard for tuberculosis, sensitivity of ZN and LED fluorescent microscopy were found to be 70.8% and 72.5% and specificity were 94.9% and 92.4% respectively. From this study, it is concluded that LED fluorescent microscopy is potentially more suitable for laboratories to screen TB in resource-limited settings and countries like Nepal where the TB burden is comparatively high. From time and labor point of view, LED fluorescent microscopy was found to be very easier and faster than the conventional technique. So that, it is recommended that ZN microscope should be replaced by LED fluorescent microscope in the TB diagnostic centers. Key words: Acid fast bacilli, Light Emitting Diode fluorescent microscopy, Tuberculosis, Ziehl-Neelsen microscopy.
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Acid fast bacilli.
9 (RLIN) 945
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Light Emitting Diode fluorescent microscopy.
9 (RLIN) 946
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Tuberculosis.
9 (RLIN) 891
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Ziehl-Neelsen microscopy.
9 (RLIN) 947
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://nhrc.gov.np/contact/">http://nhrc.gov.np/contact/</a>
Link text Visit NHRC Library
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Source of classification or shelving scheme National Library of Medicine
Koha item type Thesis Report
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    National Library of Medicine     Nepal Health Research Council Nepal Health Research Council Reference 11/18/2018 390   THS00390/UPA/2015 THS-00390 11/18/2018 11/18/2018 Thesis Report

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