Table 2.
Patterns of use of TB diagnostics and compared to recommended Kenyan TB guidelines in use in 2015
| Characteristic | Xpert® donea N = 9,553 |
Microscopy doneb N= 62,683 |
Culture/LPA donec N = 515 |
|---|---|---|---|
| n (%) | n (%) | n (%) | |
| Age | |||
| 0-14yr | 309 (3.2) | 1886 (3.0) | 5 (1.0) |
| ≥15yr | 9224 (96.8) | 60797 (97.0) | 510 (99.0) |
| Gender | |||
| Male | 6152 (64.5) | 40128 (64.0) | 385 (74.8) |
| Type of TB | |||
| Pulmonary | 9205 (96.6) | 61320 (97.8) | 508 (98.6) |
| Extrapulmonary | 328 (3.4) | 1363 (2.2) | 7 (1.4) |
| Type of patient | |||
| New/transfer in | 6774 (71.1) | 56821 (90.7) | 200 (38.8) |
| Retreatment (relapse/defaults/treatment failures) | 2759 (28.9) | 5862 (9.3) | 315 (61.2) |
| Test done as per guideline | 3909a (41.0) | 61320b (97.8) | 315c (61.2) |
Excerpt from 2015 Kenyan guidelines
aXpert® recommended for all presumptive paediatric TB OR HIV-infected smear negative OR drug resistant cases OR retreatment cases i.e. relapse/defaults/treatment failures in adults OR suspected drug resistant TB
bMicroscopy recommeded for all recommended pulmonary tuberculosis cases
cCulture/LPA recommended for retreatment cases ((i.e. relapse/defaults/treatment failures) regardless of age