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. 2014 Aug 4;59(10):1353–1360. doi: 10.1093/cid/ciu620

Table 4.

Hypothetical Impact of Xpert Assay on Time to Testing Completion and Duration of Respiratory Isolation Among Patients With Negative Tuberculosis Cultures (n = 133)

Impact Smear Microscopy Strategya Concentrated Xpert Strategyb Direct Xpert Strategyc
Time to result, h, median (IQR) 66 (58–85) 34 (28–53) 4.5 (2.9–10)
Time savings vs microscopy, h, median (IQR)d 35 (24–36) 45 (35–46)
Total time in isolation, days/y (95% CI) 840 (116–1564) 684 (0–1410) 35 (31–39)
Total time savings vs control, days/y (95% CI) 159 (75–242) 258 (227–288)

Abbreviations: AFB, acid-fast bacilli; CI, confidence interval; IQR, interquartile range; smear, AFB smear microscopy; Xpert, GeneXpert MTB/RIF assay.

a Collection of 2 sputum samples on separate days for N-acetyl-l-cysteine–sodium hydroxide (NALC-NaOH) concentrated acid-fast bacilli smear microscopy.

b Collection of 1 sputum sample for processing using NALC-NaOH concentration and testing by Xpert.

c Collection of 1 sputum sample for direct testing by Xpert.

d Savings reflect within-patient differences and are not equal to differences between medians for each strategy.