Variability in distribution and use of tuberculosis diagnostic tests in Kenya: a cross-sectional survey

BMC Infectious Diseases

Table 2 Patterns of use of TB diagnostics and compared to recommended Kenyan TB guidelines in use in 2015

Characteristic	Xpert® done^a N = 9,553	Microscopy done^b N= 62,683	Culture/LPA done^c N = 515
Characteristic	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	3909^a (41.0)	61320^b (97.8)	315^c (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

ISSN: 1471-2334