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The Role of MGIT 960 Culture Medium in Resolving the Diagnostic Dilemma for Genital Tuberculosis Patients Presenting with Infertility

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Abstract

Background

The purpose of this study was to assess the utility of Mycobacteria Growth Indicator Tube (MGIT) 960 culture medium for the diagnosis of genital tuberculosis (GTB) in women presenting with infertility.

Methods

The premenstrual endometrial biopsy samples in 300 women presenting with primary and secondary infertility were subjected to AFB smear method, histopathological examination and culture on LJ and MGIT 960 media. Detection rates were compared for diagnostic modalities and their combinations.

Results

In total, 30 cases were positive for genital tuberculosis by either of the four tests employed. The detection rates for AFB smear, MGIT culture, LJ culture and HPE were 50, 46.7, 3.3 and 33.3%, respectively. A combination of smear examination for AFB, MGIT 960 culture and histopathological examination was able to detect all the positive cases. A combination of MGIT and LJ media provided no added advantage over MGIT alone since the only case where LJ culture was positive had been detected by positive MGIT culture. In as many as five positive cases (16.7%), only MGIT culture was positive.

Conclusion

The addition of MGIT 960 culture medium to routine battery of investigations in infertility patients significantly improves the diagnosis.

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Authors’ Contributions

Study was conceptualized and designed by LKD and SS. The data were collected, analyzed and interpreted by NJ and SG. The drafting of the manuscript was done by NJ.

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Authors and Affiliations

  1. Mahatma Gandhi Medical Services Complex, Khaneri, Rampur, District Shimla, India

    Nidhi Jindal

  2. Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, 160012, India

    Shalini Gainder & Lakhbir Kaur Dhaliwal

  3. Department of Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India

    Sunil Sethi

Authors
  1. Nidhi Jindal
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  2. Shalini Gainder
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  3. Lakhbir Kaur Dhaliwal
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  4. Sunil Sethi
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Corresponding author

Correspondence to Shalini Gainder.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Nidhi Jindal is a Gynecologist working at the Mahatma Gandhi Medical Services Complex, Khaneri, Rampur, District Shimla, India. Dr. Shalini Gainder is Associate Professor of Department of Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh, India. Lakhbir Kaur Dhaliwal is Ex-HOD of Department of Obstetrics and Gynaecology, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh, India. Sunil Sethi is Professor of Department of Microbiology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

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Jindal, N., Gainder, S., Dhaliwal, L.K. et al. The Role of MGIT 960 Culture Medium in Resolving the Diagnostic Dilemma for Genital Tuberculosis Patients Presenting with Infertility. J Obstet Gynecol India 68, 123–128 (2018). https://doi.org/10.1007/s13224-017-1077-1

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  • DOI: https://doi.org/10.1007/s13224-017-1077-1

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