Use of trained African giant pouched rats as a predictor of clinical diagnosis of pulmonary TB

For over a decade, trained African giant pouched rats have been employed in detecting missed pulmonary TB (PTB). However, the relationship between rat-positive results and subsequent clinical PTB or extrapulmonary TB (EPTB) has not been previously reported. This report highlights the use of rat-positivity as a predictor for PTB clinical diagnosis and treatment among presumptive TB. Treating physicians were 1.39 times more likely to clinically diagnose and treat rat-positives than rat-negatives: 12% versus 9%, respectively, odds ratio=1.39, 95% confidence interval: 1.05-1.84<i>.</i> No difference was observed among EPTB.

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Publication Details

Journal
Public Health Action
Published
2025-09-01
DOI
https://doi.org/10.5588/pha.25.0010
Primary Topic
Tuberculosis Research and Epidemiology
Type
article
Field-Weighted Citation Impact
0.00
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article

Use of trained African giant pouched rats as a predictor of clinical diagnosis of pulmonary TB

Cynthia D. Fast, Stephen Mwimanzi, Negussie Beyene, Christophe Cox et al.
Public Health Action
Tuberculosis Research and Epidemiology
article

Use of trained African giant pouched rats as a predictor of clinical diagnosis of pulmonary TB

Cynthia D. Fast, Stephen Mwimanzi, Negussie Beyene, Christophe Cox, Gilbert Mwesiga, Joseph Soka, Tefera Agizew, M. S. Stephen, R Kondo, N Edward
article en

Abstract

For over a decade, trained African giant pouched rats have been employed in detecting missed pulmonary TB (PTB). However, the relationship between rat-positive results and subsequent clinical PTB or extrapulmonary TB (EPTB) has not been previously reported. This report highlights the use of rat-positivity as a predictor for PTB clinical diagnosis and treatment among presumptive TB. Treating physicians were 1.39 times more likely to clinically diagnose and treat rat-positives than rat-negatives: 12% versus 9%, respectively, odds ratio=1.39, 95% confidence interval: 1.05-1.84<i>.</i> No difference was observed among EPTB.

Public Health ActionVol. 15(3)
University of Antwerp (BE), Armauer Hansen Research Institute (ET), Sokoine University of Agriculture (TZ)
Openalex Percentile: Top 71%
Tuberculosis Research and Epidemiology
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Use of trained African giant pouched rats as a predictor of clinical diagnosis of pulmonary TB — Cynthia D. Fast, Stephen Mwimanzi, et al. · Public Health Action (2025) | TGRS Research Map | TGRS