Implementation of a telediagnostic system for tuberculosis and determination of multi-drug resistance based in the MODS method in Trujillo, Peru
DOI:
https://doi.org/10.17843/rpmesp.2014.313.79Keywords:
Multiple organ failure, Mycobacterium tuberculosis, Tuberculosis, multidrug-resistantAbstract
Objectives. To implement a system for remote diagnosis of tuberculosis and multidrug resistance (MDR) using the Microscopic-Observation Drug Susceptibility Assay (MODS) method in the Mycobacteria Laboratory, Trujillo Center of Excellence in Tuberculosis (CENEX-Trujillo). The system included a variant of an algorithm for recognition of Mycobacterium tuberculosis recently reported from digital images of MODS cultures of sputum samples. Materials and methods. The recognition algorithm was optimized using a retraining statistical model based on digital images of MODS cultures from CENEX-Trujillo. Images of 50 positive MODS cultures of patients with suspected multidrug-resistant tuberculosis were obtained between January and October 2012 in the CENEX-Trujillo. Results. The sensitivity and specificity to recognize strings of tuberculosis were 92.04% and 94.93% respectively using objects. The sensitivity and specificity to determine a positive tuberculosis field were 95.4% and 98.07% respectively using pictures. Conclusions. The results demonstrated the feasibility of the implementation of telediagnostics in remote locations, which may contribute to the early detection of multidrug-resistant tuberculosis by MODS method.Downloads
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Published
2014-09-25
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Section
Research Articles
How to Cite
1.
Rodríguez L, Alva A, Coronel J, Caviedes L, Mendoza-Ticona A, Gilman R, et al. Implementation of a telediagnostic system for tuberculosis and determination of multi-drug resistance based in the MODS method in Trujillo, Peru. Rev Peru Med Exp Salud Publica [Internet]. 2014 Sep. 25 [cited 2024 Dec. 11];31(3). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/79