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  • Cartridge Based Nucleic Acid Amplification Test [CBNAAT]

    Learning Objectives
    1. Provide an overview of the CBNAAT- Fully automated (GeneXpert) platform and that it uses RTPCR as the base molecular technology. Describe the name CBNAAT and discuss the use of the word cartridge.
    2. Discuss the important advantages of the platform.
      1. Rapid test with high reliability
      2. Automated test
      3. The type of cartridge would determine the test/ assay that would be performed.
    3. Discuss the parts of a CBNAAT machine and the various configurations it comes in. 
    4. Mention that they can identify the nearest CBNAAT laboratory from Nikshay Directory or the Nikshay Arogya Saathi application
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Cartridge Based Nucleic Acid Amplification Test (CBNAAT) is a rapid molecular diagnostic test. It is used for diagnosis of Tuberculosis (TB) and Rif-resistant Tuberculosis (RR-TB) in NTEP. Results are obtained from unprocessed sputum samples in about 2hours which helps in early detection and treatment of TB patients. 

India has vast number of CBNAAT laboratories which are utilized for TB/RR-TB detection and Universal Drug Susceptibility Testing (UDST) under the National TB Elimination Program (NTEP).  

Figure: CBNAAT Cartridge and Machine in Use (Image courtesy: USAID supported Challenge TB Project)

The CB-NAAT system detects DNA sequences specific for Mycobacterium tuberculosis complex and rifampicin resistance by Polymerase Chain Reaction (PCR). It concentrates Mycobacterium tuberculosis bacilli from sputum samples, isolates genomic material from the captured bacteria by sonication and subsequently amplifies the genomic DNA by PCR. The process identifies clinically relevant rifampicin resistance-inducing mutations in the RNA polymerase beta (rpoB) gene in the Mycobacterium tuberculosis genome in a real-time format using fluorescent probes called molecular beacons.

 

Video file

Video: Cartridge-Based Nucleic Acid Amplification Test [CBNAAT] - GeneXpert Technology 

Resources

 

Assessment Questions

 

Question 

Answer 1 

Answer 2 

Answer3 

Answer 4 

Correct Answer 

Correct explanation 

Part of pre-test

Part of post-test

Under NTEP, CBNAAT is offered upfront for which of these categories?

PLHIV

Paediatric presumptive TB

Presumptive DR-TB

All of the above

4

Under NTEP, CBNAAT is recommended upfront for People living with HIV, Paediatric Presumptive TB patients, Presumptive DR-TB patients and patients notified from the Private sector.

Yes

 

Yes

CBNAAT requires the processing of sputum samples before testing

True

False

 

 

2

Results are obtained from unprocessed sputum samples in about 2hours from a CBNAAT machine

Yes

 

Yes

 

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