The Herald

Scientists make TB diagnosis discovery

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SCOTS health experts have developed a way to dramatical­ly cut the time needed to diagnose tuberculos­is in the developing world.

The treatable disease still causes one million deaths every year, with diagnosis often taking months to confirm.

However, a team at the University of St Andrews has developed an analysis that provides result in four hours.

The molecular bacterial load assay (MBLA) investigat­es patient laboratory samples and can tell healthcare workers whether tuberculos­is is present or not in four hours.

It is also able to count the number of live organisms and show whether the patient is responding to antibiotic­s.

Professor Stephen Gillespie, leader of the infection group at the university, said: “It can be many months after the patient visits the clinic before the results are available.

“This means the patient can be on the wrong treatment for a long time.

“MBLA is unique, like a molecular culture method. It means the patient can be seen in the morning and the result be available in the afternoon. If they are failing therapy, this can be identified and managed.”

Health profession­als from 16 countries and the World Health Organisati­on are visiting St Andrews to discuss how to roll out the system globally.

Dr Wilber Sabiiti, who has been leading the field evaluation of the test, said: “Ability to know in real time how the patient is responding to therapy is of paramount importance in the clinical management of tuberculos­is disease.”

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