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GeneXpert Ultra (Next Generation) MTB with Rifampicin Resistance Semi Quantitative PCR Test

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GeneXpert Ultra (Next Generation) MTB with Rifampicin Resistance Semi Quantitative PCR Test

Short Name: GeneXpert Ultra MTB/RIF PCR

Also known as: GeneXpert Ultra MTB/RIF, Xpert MTB/RIF Ultra, MTB/RIF Semi Quantitative PCR

GeneXpert Ultra (Next Generation) MTB with Rifampicin Resistance Semi Quantitative PCR Test test available at DNA Labs India for ₹3,500. Uses Real Time Nested PCR, Melt Peak Detection on Sputum, BAL fluid, CSF, Body fluids/Aspirates, Pus, Fresh tissue biopsy samples. Results in Sample accepted daily by 11 am; report delivered same day via online portal, email, or WhatsApp.. Free home collection in 300+ cities across India.

Molecular Diagnostic TestAll Age Groups🏠 Home Collection

🩺 Medically Reviewed By

Overview

This test is intended to detect Mycobacterium tuberculosis complex DNA and concurrently screen for rifampicin resistance, a marker for multidrug-resistant tuberculosis. The semi-quantitative result helps estimate bacterial load and may aid in monitoring treatment response when ordered serially.

Test Code
3474
Price
₹3,500
Sample Type
Sputum, BAL fluid, CSF, Body fluids/Aspirates, Pus, Fresh tissue biopsy
Result Time
Sample accepted daily by 11 am; report delivered same day via online portal, email, or WhatsApp.
Fasting Required
No
Method
Real Time Nested PCR, Melt Peak Detection
Step 1

Sample Collection

No special preparation is required. For sputum samples, early morning deep cough specimen is preferred; rinse mouth with water before expectoration.

Method: Sputum collection, BAL fluid, CSF collection, sterile aspiration, pus collection, or tissue biopsy

Step 2

Laboratory Analysis

Collect in a sterile screw capped container; avoid saliva contamination; for tissue/biopsy place in sterile normal saline.

Step 3

Report Delivery

Seal container securely and ship refrigerated. Do not freeze.

Timeline: Sample accepted daily by 11 am; report delivered same day via online portal, email, or WhatsApp.

Patient Instructions

1
Before the Test:No special preparation or fasting is needed before sample collection.
2
During the Test:A small sample of sputum, BAL fluid, CSF, body fluid, pus, or tissue is collected under aseptic conditions.
3
After the Test:Seal the sample and transport refrigerated; the laboratory processes it the same day if received by 11 am.

About This Test

Who Should Get This Test

This test is intended to detect Mycobacterium tuberculosis complex DNA and concurrently screen for rifampicin resistance, a marker for multidrug-resistant tuberculosis. The semi-quantitative result helps estimate bacterial load and may aid in monitoring treatment response when ordered serially.

How to Prepare

  • Use a sterile screw-capped container.
  • For sputum, collect deep cough specimen after rinsing mouth, not saliva.
  • For CSF, body fluids, aspirates, pus, or tissue biopsies use aseptic technique and sterile container/normal saline.
  • Label with patient identifiers and transport refrigerated to lab.
  • Do not freeze.

Doctor's Notes

Reviewed by — MBBS, MD (Microbiology) · Reg. No. 27670

"GeneXpert Ultra provides rapid semi-quantitative MTB complex DNA detection and rifampicin resistance screening, aiding early diagnosis and management of presumptive pulmonary and extrapulmonary tuberculosis. It should be interpreted with clinical, radiological, and microbiological context."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeSputum, BAL fluid, CSF, Body fluids/Aspirates, Pus, Fresh tissue biopsy
Sample Volume3 mL (1 mL min.) Sputum/BAL/concentrated sediment; 2 mL (1 mL min.) CSF; 5 mL (3 mL min.) Body fluids/Aspirates/Pus; tissue biopsy in sterile normal saline
ContainerSterile screw capped container; fresh tissue biopsy in sterile normal saline
Collection MethodSputum collection, BAL fluid, CSF collection, sterile aspiration, pus collection, or tissue biopsy

Sample Stability

Sample Rejection Criteria:
  • Sample leaked or unlabeled
  • Inadequate volume
  • Frozen samples
  • Non-sterile container or delayed beyond stability limits

Understanding Your Results

Results are reported as MTB complex DNA Detected or Not Detected, semi-quantitative category (Trace, Very Low, Low, Medium, High), and Rifampicin Resistance Detected/Not Detected/Indeterminate. A positive MTB result with Rifampicin resistance detected suggests possible drug-resistant TB and needs clinical correlation with culture-based DST.
📊

MTB DNA Not Detected

MTBC nucleic acid absent or below limit of detection; TB not ruled out

📊

MTB DNA Detected (Trace/Low/Medium/High)

Active MTBC infection likely; bacterial load category helps monitor response

📊

Rifampicin Resistance Not Detected

No common rifampicin resistance mutation detected; likely susceptible

📊

Rifampicin Resistance Detected

Rifampicin resistance likely; multidrug-resistant TB suspected; refer for DST

⚠️ When to Consult a Doctor:

Consult a physician or chest specialist if you have persistent cough, fever, night sweats, weight loss, hemoptysis, or recent contact with a TB patient. Do not self-interpret PCR results.

Limitations

  • Semi-quantitative results are not absolute colony counts.
  • Rifampicin susceptibility is qualitative and further DST is recommended for confirmation.
  • Negative MTB PCR does not rule out tuberculosis; culture remains gold standard.

Risks & Considerations

  • Minimal; sample collection may cause mild discomfort depending on site such as sputum, CSF, or aspiration.

Interfering Factors

  • Improper sample collection, transportation delay, inadequate sample volume, or previous antibiotic exposure may affect results.
  • Extrapulmonary paucibacillary specimens may yield false-negative results.
  • Rifampicin resistance detection only covers common mutations; rare resistance mechanisms may require culture-based DST.

Compare With Similar Tests

TestGeneXpert Ultra (Next Generation) MTB with Rifampicin Resistance Semi Quantitative PCR Test
ComparisonGeneXpert Ultra (Next Generation) MTB with Rifampicin Resistance Semi Quantitative PCR Test

Frequently Asked Questions

What is GeneXpert Ultra MTB with Rifampicin Resistance Semi Quantitative PCR test?
It is a rapid real-time nested PCR test detecting MTB complex DNA and rifampicin resistance semi-quantitatively.
What sample is required for this test?
Sputum, BAL fluid, CSF, body fluids, pus, or tissue biopsy can be used. Typically 3 mL sputum/BAL, 2 mL CSF, or 5 mL body fluids are required.
Is fasting required for GeneXpert Ultra MTB/RIF PCR test?
No special preparation or fasting is required.
How much does this test cost?
The test costs Rs 3500 across India. Home sample collection is included for online bookings.
What does semi-quantitative mean in this test?
Semi-quantitative means the test provides an estimate of MTB DNA as trace, low, medium, or high, helping monitor bacterial load and treatment response.
How quickly will I get the report?
Samples received daily by 11 am are reported on the same day.
Does this test detect drug resistance?
Yes, it qualitatively detects rifampicin resistance, a key marker of multidrug-resistant TB.
Can a negative result rule out tuberculosis?
No, false negatives are possible in paucibacillary or extrapulmonary TB. Clinical correlation and culture may still be needed.
What organisms are included in the Mycobacterium tuberculosis complex?
M. tuberculosis, M. africanum, M. bovis, M. canettii, M. microti, M. caprae, and M. pinnipedii.
How should the sample be transported?
Collect in a sterile screw capped container and ship refrigerated. Do not freeze.
Who should get this test?
Individuals with cough lasting more than two weeks, fever, night sweats, weight loss, hemoptysis, TB contact, or suspected drug-resistant TB.
Is this test used for monitoring tuberculosis treatment?
Yes, the semi-quantitative MTB DNA load may be used serially to monitor reduction in bacterial load during anti-tubercular therapy.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.

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We serve as a reference laboratory for hospitals and clinics across India. Send samples from your facility with same-day pickup, priority processing, and results delivered through our online portal. Competitive institutional pricing available.

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