Rapid molecular test in the diagnosis of extrapulmonary tuberculosis: protocol for a systematic review of diagnostic test accuracy
PDF (Portuguese)
PDF
EPUB (Portuguese)
EPUB
HTML (Portuguese)
HTML

Keywords

Extrapulmonary tuberculosis
Diagnosis
Molecular Diagnostic Techniques
Rapid Diagnostic Tests

How to Cite

1.
Bonfim RO, Faria MGBF de, Delpino FM, Bossonario PA, Ferreira QR, Andrade RL de P, et al. Rapid molecular test in the diagnosis of extrapulmonary tuberculosis: protocol for a systematic review of diagnostic test accuracy. Online Braz J Nurs [Internet]. 2025 Nov. 25 [cited 2026 May 7];24(Suppl1):e20256826. Available from: https://objnursing.uff.br/nursing/article/view/6826

Abstract

Objective: to synthesize the scientific knowledge produced on the accuracy of the rapid molecular test in the diagnosis of extrapulmonary tuberculosis. Method: This is a systematic review protocol, whose research question was drawn up using the PIRD strategy (where Population (P) corresponds to people of any age; Index Test (I), to the molecular rapid test (Gene Xpert MTB/RIF and/or Gene Xpert Ultra); Reference Test (R), to culture; Diagnosis (D), to extrapulmonary tuberculosis). Literature searches were carried out using controlled and free vocabularies in five scientific literature databases and two gray literature sites. The results found were exported to the Qatar Computing Research Institute's (QCRI) Rayyan software (scientific literature) and word files (grey literature), through which it will be possible to exclude duplicate material and the selection of publications by three reviewers. The data from the selected publications will be extracted using a spreadsheet based on the recommendations of the Joanna Briggs Institute (JBI), which also has an instrument for assessing the methodological quality of studies on the accuracy of diagnostic tests, which will be used in this review. The results of the studies will be synthesized narratively and by means of meta-analysis.

PDF (Portuguese)
PDF
EPUB (Portuguese)
EPUB
HTML (Portuguese)
HTML

References

World Health Organization. Global tuberculosis report 2023 [Internet]. Geneva: WHO; 2023 [citado 31 Jan 2024]. Disponível em: https://www.who.int/teams/global-tuberculosis-programme/tb-reports/global-tuberculosis-report-2023

Yu Y, Xiang Y, Liu H, Yang S, Li M, Liu B, et al., Analysis of epidemiological characteristics of extrapulmonary tuberculosis from South-Central China. Front Public Health. 2024;12:1405358. https://doi.org/10.3389/fpubh.2024.1405358

Seo YS, Kang JM, Kim DS, Ahn JG. Xpert MTB/RIF assay for diagnosis of extrapulmonary tuberculosis in children: a systematic review and meta-analysis. BMC Infect Dis. 2020;20(1):14. https://doi.org/10.1186/s12879-019-4745-1

World Health Organization. Global tuberculosis report 2020 [Internet]. Geneva: WHO; 2020 [citado 31 Jan 2024]. Disponível em: https://www.who.int/publications/i/item/9789240013131

Gopalaswamy R, Dusthackeer VNA, Kannayan S, Subbian S. Extrapulmonary tuberculosis—an update on the diagnosis, treatment and drug resistance. J Respir. 2021; 1(2):141-164. https://doi.org/10.3390/jor1020015

Berra TZ, Bruce ATI, Alves YM, Ramos ACV, Giacomet CL, Arcêncio RA. Impact of the GeneXpert® MTB/RIF rapid molecular test on tuberculosis detection: temporal trends and vulnerable territories. Rev Lat Am Enfermagem. 2021;29:e3441. https://doi.org/10.1590/1518.8345.4412.3441

Santos APFB, Feliciano CS, Bollela VR. Papel do teste Xpert MTB/RIF Ultra® no diagnóstico de tuberculose extrapulmonar em um hospital terciário de São Paulo. Braz J Infect Dis. 2023;27(1):102812. https://doi.org/10.1016/j.bjid.2023.103645

Silva DR, Rabahi MF, Sant’Anna CC, Silva-Junior JLR, Capone D, Bombarda S, et al. Consenso sobre o diagnóstico da tuberculose da Sociedade Brasileira de Pneumologia e Tisiologia. J Bras Pneumol. 2021;47(2):e20210054. https://doi.org/10.36416/1806-3756/e20210054

Dong B, He Z, Li Y, Xu X, Wang C and Zeng J (2022) Improved Conventional and New Approaches in the Diagnosis of Tuberculosis. Front Microbiol. 2022;13:924410. https://doi.org/10.3389/fmicb.2022.924410

World Health Organization. WHO consolidated guidelines on tuberculosis. Module 3: diagnosis – rapid diagnostics for tuberculosis detection, third edition [Internet]. Geneva: WHO; 2024 [citado 21 Fev 2025]. Disponível em: https://www.who.int/publications/i/item/9789241501545

World Health Organization. Automated real-time nucleic acid amplification technology for rapid and simultaneous detection of tuberculosis and rifampicin resistance: Xpert MTB/RIF system [Internet]. Geneva: WHO; 2011 [citado 13 Mar 2024]. Disponível em: https://www.who.int/publications/i/item/9789241501545

Denkinger CM, Schumacher SG, Boehme CC, Dendukuri N, Pai M, Steingart KR. Xpert MTB/RIF essay for the diagnosis of extrapulmonary tuberculosis: a systematic review and meta-analysis. Eur Respir J. 2014;44:435-466. https://doi.org/10.1183/09031936.00007814

Mokaddas E, Ahmad S, Eldeen H. Performance comparison of GeneXpert MTB/RIF and Probetec Et Tests for rapid molecular diagnosis of extrapulmonary tuberculosis in a low TB/MDR-TB incidence country. Med Princ Pract. 2021;30(3):277-284. https://doi.org/10.1159/000515254

World Health Organization. Standard Operating Procedure (SOP): specimen processing of CSF, lymph nodes and other tissues for Xpert MTB/RIF [Internet]. Geneva: WHO; 2014 [citado 28 Abr 2024]. Disponível em: https://tbcindia.mohfw.gov.in/wp-content/uploads/2023/05/190623097905-Annexure-05-GeneXpert_SOP_Xpert_processing_EPTB_specimens_.pdf

Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1. https://doi.org/10.1186/2046-4053-4-1

Campbell JM, Klugar M, Ding S, Carmody DP, Hakonsen SJ, Jadotte YT, et al. Chapter 9: diagnostic test accuracy systematic reviews. In: Aromataris E, Munn Z, editors. JBI Manual for Evidence Synthesis. Adelaide: JBI, 2020. https://doi.org/10.46658/JBIMES-20-10

Khan KS, Zamora J. Systematic Reviews to support Evidence-Based Medicine: how to appraise conduct and publish reviews. London: CRC Press, 2022.

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan - a web and mobile app for systematic reviews. Syst Rev. 2016;5:210. https://doi.org/10.1186/s13643-016-0384-4

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:71. https://doi.org/10.1136/bmj.n71

Whiting PF, Rutjes AW, Westwood ME, Mallett S, Deeks JJ, Reitsma JB, et al. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011;155(8):529-536. https://doi.org/10.7326/0003-4819-155-8-201110180-00009

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2025 Online Brazilian Journal of Nursing