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Performance evaluation of the Molbio diagnostics Truenat MTB Ultima/Covid-19 multiplex assay for TB and Covid-19 case detection among people with symptoms suggestive of tuberculosis—a study protocol for clinical trials

Bibliographic Data

ID22067625
AuthorsManju Purohit (0000-0001-5385-7305, Karolinska Institutet, corresponding author), Willy Ssengooba (0000-0002-1643-110X, Makerere University), Helen Cox (0000-0001-8949-9335, University of Cape Town), César Ugarte‐Gil (0000-0002-2833-9087, Universidad Peruana Cayetano Heredia), Cesar Ugarte-Gil, James Sserubiri (Makerere University), Hafsah Tootla (0000-0002-7322-8060, University of Cape Town), Kavindhran Velen (0000-0001-8577-3915, FIND), Rita Székely (FIND), Adam Penn-Nicholson (0000-0002-1883-0059, FIND, corresponding author)
Year2025
Volume13
Pages1620210-1620210
Publication date2025-06-27
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1620210
PMID40655205
OpenAlexW4411706463
LanguageEN
Citations received1
References cited19

Background: Tuberculosis (TB) remains a major public health problem globally, as reflected in persistently high morbidity and mortality rates. Current control efforts have been further complicated by the ongoing SARS-CoV-2 (COVID-19) pandemic. Rapid molecular diagnostics remain crucial to identifying the millions of people with undiagnosed TB. Objectives: The study aimed to determine the diagnostic accuracy of Truenat MTB Ultima/COVID-19 for the detection of COVID-19 and TB among presumptive TB participants, using a microbiological reference standard (MRS) and a country-approved real-time reverse transcription polymerase chain reaction (RT-PCR) COVID-19 assay. Methods: This prospective cohort study assessed the diagnostic accuracy of the Truenat MTB Ultima/COVID-19 multiplex test among adults with presumptive TB, enrolled from healthcare facilities in four countries, aiming to reach 270 confirmed TB cases. The inclusion criteria were as follows: adults who self-reported at least one symptom suggestive of pulmonary TB, were willing to return for a day 2 visit, and agreed to provide oral swab samples for bio-banking. Patients were excluded from enrolment in the study if they had started anti-TB treatment within 60 days or TB preventive therapy within 6 months prior to enrolment or if they were unable to provide 3 mL of sputum or nasopharyngeal (NP) and tongue swab samples. Expected outcome: This study expected to obtain point estimates of the sensitivity and specificity of the Truenat MTB Ultima/COVID-19 multiplex test for TB and COVID-19 detection, compared to Xpert Ultra, among presumptive TB participants using an MRS and pre-defined COVID-19 assay

Bioinformatics · Disease · Multiplex · Pandemic · Pathology · Sputum · Tuberculosis · COVID-19 diagnosis using AI · Medicine · SARS-CoV-2 detection and testing · Tuberculosis Research and Epidemiology · Internal Medicine · Pediatrics

  • Diagnostic accuracy study of the multiplex Truenat MTB Ultima/Covid-19 assay for simultaneous detection of Tuberculosis and Sars-CoV2 (Covid-19)

    Open Access•Hafsah Tootla, Rita Székely et al.•PLOS Global Public Health•2026

  • Associations of diabetes, hypertension and obesity with Covid-19 mortality

    Open Access•Chaoyang Li, Nazrul Islam et al.•BMJ Global Health•2023

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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