Cochrane · systematic review · CD009593

Xpert Ultra versus Xpert MTB/RIF for pulmonary tuberculosis and rifampicin resistance in adults with presumptive pulmonary tuberculosis

Zifodya, JS, Kreniske, JS, Schiller, I, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Infectious Diseases2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
8
No studies
2
Included studies
NR
No studies 2 · 20%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 8 · 80%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Xpert Ultra versus Xpert MTB/RIF for the detection of pulmonary tuberculosis*

Population: adults with presumptive pulmonary tuberculosis. Participants were unselected, meaning they were not enrolled in a study based on microscopy smear results or history of tuberculosis Role: an initial test Index tests: Xpert Ultra and Xpert MTB/RIF Threshold for index tests: an automated result is provided Reference standards: solid or liquid culture Studies: cross‐sectional and cohort studies
5 questions
OutcomeEffectEvidenceStatus / GRADE
Test result
Xpert Ultra vs Xpert MTB/RIF
no estimate extractedNRNo studies
True positives (TP)
Xpert Ultra vs Xpert MTB/RIF
no estimate extracted7 studies · 983 participantsHigh
False negatives (FN)
Xpert Ultra vs Xpert MTB/RIF
no estimate extracted7 studies · 983 participantsHigh
True negatives (TN)
Xpert Ultra vs Xpert MTB/RIF
no estimate extracted7 studies · 1852 participantsHigh
False positives (FP)
Xpert Ultra vs Xpert MTB/RIF
no estimate extracted7 studies · 1852 participantsHigh

Xpert Ultra versus Xpert MTB/RIF for the detection of rifampicin resistance*

Population: adults with presumptive pulmonary tuberculosis Role: an initial test Index tests: Xpert Ultra and Xpert MTB/RIF Threshold for index tests: an automated result is provided Reference standards: drug susceptibility testing, line probe assay Studies: cross‐sectional and cohort studies
5 questions
OutcomeEffectEvidenceStatus / GRADE
Test result
Xpert Ultra vs Xpert MTB/RIF
no estimate extractedNRNo studies
True positives (TP)
Xpert Ultra vs Xpert MTB/RIF
no estimate extracted5 studies · 238 participantsHigh
False negatives (FN)
Xpert Ultra vs Xpert MTB/RIF
no estimate extracted5 studies · 238 participantsHigh
True negatives (TN)
Xpert Ultra vs Xpert MTB/RIF
no estimate extracted5 studies · 692 participantsHigh
False positive (FP)
Xpert Ultra vs Xpert MTB/RIF
no estimate extracted5 studies · 692 participantsHigh