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GeneXpert Test for TB Detection

Know about the Genexpert test, why it is done, key features, who and how it is done, interpretation of result and how to manage TB.

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Written by Dr. J T Hema Pratima

Reviewed by Dr. M L Ezhilarasan MBBS

Last updated on 3rd Sep, 2025

genexpert test

Introduction 

Tuberculosis (TB) is a serious infectious disease that primarily affects the lungs but can also impact other parts of the body. Early and accurate detection is crucial for effective treatment and preventing its spread. One of the most advanced and reliable tests for diagnosing TB is the GeneXpert test.

If you or a loved one has been advised to take this test, you may have questions about what it is, how it works, and why it’s important. Let’s break it down in simple terms.

What is the GeneXpert Test?

The GeneXpert test is a rapid molecular diagnostic test used to detect Mycobacterium tuberculosis (the bacteria causing TB) and check for resistance to rifampicin, a key TB drug. Unlike traditional TB tests that take weeks to give results, GeneXpert provides accurate findings in just 2 hours.

Consult a Pulmonologist for Personalised Advice

Dr. Hyder, Pulmonology Respiratory Medicine Specialist

Dr. Hyder

Pulmonology Respiratory Medicine Specialist

5 Years • MBBS, MD (PULMONOLOGY)

Guntur

Kalam chest and multi-speciality clinic, Guntur

500

500

Dr. Mahavir Bagrecha, Pulmonology Respiratory Medicine Specialist

Dr. Mahavir Bagrecha

Pulmonology Respiratory Medicine Specialist

14 Years • MBBS, MD (PULMONOLOGY)

Pune

Swash Chest and Diabetes Clinic, Pune

recommendation

95%

(50+ Patients)

1500

700

Key Features of the GeneXpert Test:

The key features include:

  • Fast results – Detects TB in 2 hours (compared to weeks with traditional tests).
  • Highly accurate – Identifies TB bacteria and drug resistance simultaneously.
  • Simple procedure – Requires only a sputum (mucus from cough) sample.
  • Recommended by WHO – Considered a gold standard for TB diagnosis.

Why is the GeneXpert Test Important?

TB is a major public health concern, especially in countries like India. Delayed diagnosis can lead to severe complications and increased transmission. The GeneXpert test helps by:

  • Detecting TB early – Faster diagnosis means quicker treatment.
  • Identifying drug-resistant TB – Helps doctors prescribe the right medicines.
  • Reducing spread – Early detection prevents transmission to others.

Who Should Get Tested?

You may need a GeneXpert test if you experience:

  • Persistent cough (lasting more than 2 weeks)
  • Fever, especially in the evening
  • Unexplained weight loss
  • Night sweats
  • Chest pain or coughing up blood
  • Fatigue and weakness

If you have been in close contact with a TB patient, your doctor may also recommend this test.

Get Your Test Done

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How is the GeneXpert Test Done?

The process is simple and painless:
1. Sample Collection – You will be asked to cough up sputum (phlegm) into a sterile container.
2. Lab Processing – The sample is placed in the GeneXpert machine, which analyses the DNA of TB bacteria.
3. Results – Available within 2 hours, indicating whether TB is present and if it’s drug-resistant.

No fasting or special preparation is needed.

What Do the Results Mean?

It includes 3 situations, including:

  • TB Detected (Positive) – Confirms active TB infection. Further tests may be done to check the extent.
  • Rifampicin Resistance Detected – Means the TB strain is resistant to a key drug, requiring alternative treatment.
  • TB Not Detected (Negative) – If symptoms persist, additional tests may be needed.

Your doctor will guide you on the next steps based on the results.

As seen, GeneXpert is the fastest and most efficient test available today.

Test Type

Time Taken

Accuracy |

Detects Drug Resistance

Sputum Smear Microscopy

1-2 days

Moderate 

No

Culture Test

2-8 weeks

High 

Yes (but slow

GeneXpert Test

 2 hours

Very High

Yes (Rifampicin

Managing TB: What You Can Do

If diagnosed with TB:

  • Take medicines exactly as prescribed – Skipping doses can lead to drug resistance.
  • Complete the full course – TB treatment usually lasts 6-9 months.
  • Eat a nutritious diet – Helps in recovery (include proteins, vitamins, and minerals).
  • Avoid close contact until non-infectious – Prevent spreading TB to family/friends.
  • Follow up with your doctor – Regular check-ups ensure proper healing.

Final Thoughts

TB is treatable and curable, especially when detected early. The GeneXpert test is a game-changer in TB diagnosis, providing fast and accurate results so that treatment can begin immediately. If you or someone you know shows symptoms, consult a doctor and consider this test for quick and reliable answers.

Consult a Pulmonologist for Personalised Advice

Dr. Hyder, Pulmonology Respiratory Medicine Specialist

Dr. Hyder

Pulmonology Respiratory Medicine Specialist

5 Years • MBBS, MD (PULMONOLOGY)

Guntur

Kalam chest and multi-speciality clinic, Guntur

500

500

Dr. Mahavir Bagrecha, Pulmonology Respiratory Medicine Specialist

Dr. Mahavir Bagrecha

Pulmonology Respiratory Medicine Specialist

14 Years • MBBS, MD (PULMONOLOGY)

Pune

Swash Chest and Diabetes Clinic, Pune

recommendation

95%

(50+ Patients)

1500

700

Consult a Pulmonologist for Personalised Advice

Dr. Hyder, Pulmonology Respiratory Medicine Specialist

Dr. Hyder

Pulmonology Respiratory Medicine Specialist

5 Years • MBBS, MD (PULMONOLOGY)

Guntur

Kalam chest and multi-speciality clinic, Guntur

500

500

Dr. Tikly Das, Pulmonology Respiratory Medicine Specialist

Dr. Tikly Das

Pulmonology Respiratory Medicine Specialist

7 Years • MBBS, Diploma in Tuberculosis and Chest Diseases

New Town

Dr Tikly Das' Clinic, New Town

750

600

Dr. Deepanshu Chawla, Pulmonology Respiratory Medicine Specialist

Dr. Deepanshu Chawla

Pulmonology Respiratory Medicine Specialist

3 Years • MBBS, MD Respiratory Medicine

New Delhi

CHAWLA CLINIC, New Delhi

500

Dr. Lokesh Kumar Garg, Pulmonology Respiratory Medicine Specialist

Dr. Lokesh Kumar Garg

Pulmonology Respiratory Medicine Specialist

15 Years • MBBS,DTCD,PGDS

Faridabad

Arsh Hospital, Faridabad

625

500

Dr. Mahavir Bagrecha, Pulmonology Respiratory Medicine Specialist

Dr. Mahavir Bagrecha

Pulmonology Respiratory Medicine Specialist

14 Years • MBBS, MD (PULMONOLOGY)

Pune

Swash Chest and Diabetes Clinic, Pune

recommendation

95%

(50+ Patients)

1500

700

Consult a Pulmonologist for Personalised Advice

Dr. Hyder, Pulmonology Respiratory Medicine Specialist

Dr. Hyder

Pulmonology Respiratory Medicine Specialist

5 Years • MBBS, MD (PULMONOLOGY)

Guntur

Kalam chest and multi-speciality clinic, Guntur

500

500

Dr. Tikly Das, Pulmonology Respiratory Medicine Specialist

Dr. Tikly Das

Pulmonology Respiratory Medicine Specialist

7 Years • MBBS, Diploma in Tuberculosis and Chest Diseases

New Town

Dr Tikly Das' Clinic, New Town

750

600

Dr. Deepanshu Chawla, Pulmonology Respiratory Medicine Specialist

Dr. Deepanshu Chawla

Pulmonology Respiratory Medicine Specialist

3 Years • MBBS, MD Respiratory Medicine

New Delhi

CHAWLA CLINIC, New Delhi

500

Dr. Lokesh Kumar Garg, Pulmonology Respiratory Medicine Specialist

Dr. Lokesh Kumar Garg

Pulmonology Respiratory Medicine Specialist

15 Years • MBBS,DTCD,PGDS

Faridabad

Arsh Hospital, Faridabad

625

500

Dr. Mahavir Bagrecha, Pulmonology Respiratory Medicine Specialist

Dr. Mahavir Bagrecha

Pulmonology Respiratory Medicine Specialist

14 Years • MBBS, MD (PULMONOLOGY)

Pune

Swash Chest and Diabetes Clinic, Pune

recommendation

95%

(50+ Patients)

1500

700

Get Your Test Done

3200(₹8000)60% off

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