Browsing by Author "Kaufmann, S"

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Ability of Cricetomys rats to detect Mycobacterium tuberculosis and discriminate it from other microorganisms
(2011-11-26) Mgode, G.F; Weetjens, B; Cox, C; Jubitana, M; Machang’u, R; Lazar, D; Weiner, J; Geertruyden, J.P; Kaufmann, S
Trained African giant pouched rats (Cricetomys gambianus) have potential for diagnosis of tuberculosis (TB). These rats target volatile compounds of Mycobacterium tuberculosis (Mtb) that cause TB. Mtb and nontuberculous mycobacteria (NTM) species are related to Nocardia and Rhodococcus spp., which are also acid-fast bacilli and can be misdiagnosed as Mtb in smear microscopy. Diagnostic performance of C. gambianus on in vitro-cultured mycobacterial and related pulmonary microbes is unknown. This study reports on the response of TB detection rats to cultures of reference Mtb, clinical Mtb, NTM, Nocardia; Rhodococcus; Streptomyces; Bacillus; and yeasts. Trained rats significantly discriminated Mtb from other microbes (p < 0.008, Fisher’s exact test). Detection of Mtb cultures was age-related, with exponential and early stationary phase detected more frequently than early log phase and late stationary phase (p < 0.001, Fisher’s test) (sensitivity ¼ 83.33%, specificity ¼ 94.4%, accuracy ¼ 94%). The detection of naturally TB-infected sputum exceeded that of negative sputum mixed with Mtb, indicating that C. gambianus are conditioned to detect odours of TB-positive sputum better than spiked sputum. Although further studies on volatiles from detectable growth phases of Mtb are vital for identification of Mtb-specific volatiles detected by rats, our study underline the potential of C. gambianus for TB diagnosis.
APOPO’s tuberculosis research agenda: achievements, challenges and prospects
(2012-04) Beyene, N; Mahoney, A; Cox, C; Weetjens, B; Making, G; Mgode, G; Durgin, A; Kuipers, D; Jubitana, M; Egwaga, S; Kamala, D; Lwila, F; Mfinanga, S; Kahwa, A; Machangu, R; Kazwala, R; Reither, K; Kaufmann, S; Poling, A
This article describes Anti-Persoonsmijnen Ontmijnende Product Ontwikkeling (APOPO) recent use of specially trained African giant pouched rats as detectors of pulmonary tuberculosis in people living in Tanzania. It summarizes the achievements and challenges encountered over the years and outlines future prospects. Since 2008, second-line screening by the rats has identified more than 2000 tuberculosis-positive patients who were missed by microscopy at Direct Observation of Treatment – Short Course centres in Tanzania. Moreover, data that are reviewed herein have been collected with respect to the rats’ sensitivity and specificity in detecting tuberculosis. Findings strongly suggest that scent-detecting rats offer a quick and practical tool for detecting pulmonary tuberculosis and within the year APOPO’s tuberculosis-detection project will be extended to Mozambique. As part of its local capacity building effort, APOPO hires and trains Tanzanians to play many important roles in its TB detection project and provides research and training opportunities for Tanzanian students.