Sputum For Afb Test Price in Bangladesh: 2025 Updated
The Sputum For Afb Test, also known as the Acid-Fast Bacillus (AFB) Test, is a vital diagnostic tool used to detect Mycobacterium tuberculosis, the bacteria responsible for tuberculosis (TB). In Bangladesh, where TB remains a significant public health challenge, this test plays a critical role in early diagnosis and treatment. The test involves examining a sputum sample under a microscope to identify acid-fast bacilli, which are characteristic of TB. Individuals may need this test if they experience symptoms such as a persistent cough, unexplained weight loss, fever, night sweats, or coughing up blood. The Sputum For Afb Test price in Bangladesh varies depending on the healthcare facility. In government hospitals, the test is typically provided free of charge as part of the National TB Control Programme, while private hospitals and diagnostic centers charge between 200 and 500 BDT. This article provides a detailed overview of the test, its importance, preparation, pricing, and more to help you make informed healthcare decisions in 2025.
What is a Sputum For Afb Test?
The Sputum For Afb Test is a laboratory procedure designed to detect acid-fast bacilli (AFB) in a sputum sample, primarily to diagnose tuberculosis (TB). AFB are a group of bacteria, including Mycobacterium tuberculosis, that have a unique waxy cell wall, allowing them to retain specific stains even after being washed with acid—hence the term “acid-fast.” The test uses techniques like the Ziehl-Neelsen stain to visualize these bacteria under a microscope. Its clinical significance lies in its ability to confirm active TB infection, enabling timely treatment to prevent disease progression and transmission. Besides TB, the test can detect other mycobacterial infections, though these are less common. Alternative names for the test include AFB Smear, Ziehl-Neelsen Stain, or TB Smear. In Bangladesh, this test is widely used due to the high prevalence of TB, making it a cornerstone of the National TB Control Programme.
When is a Sputum For Afb Test Recommended?
The Sputum For Afb Test is recommended for individuals exhibiting symptoms suggestive of TB, including:
- Persistent cough lasting more than two weeks
- Unexplained weight loss
- Evening fever or night sweats
- Fatigue and weakness
- Chest pain
- Coughing up blood (hemoptysis)
Doctors use the test results to diagnose active TB disease. A positive result indicates the presence of AFB, strongly suggesting TB, though additional tests like TB culture or GeneXpert may be required for confirmation. The test is also used to monitor the effectiveness of TB treatment by checking for the presence of bacteria in follow-up sputum samples. It is primarily a diagnostic tool rather than a screening method, as screening for TB in asymptomatic individuals typically involves tests like the Tuberculin Skin Test (TST) or Interferon-Gamma Release Assays (IGRA). In high-risk groups, such as those with a history of TB exposure or weakened immune systems, this test is particularly valuable.
Sputum For Afb Test Preparation
Preparing for the Sputum For Afb Test is straightforward, with minimal requirements:
- Fasting: No fasting is needed; patients can eat and drink normally.
- Medications: Inform your healthcare provider about any medications, as some may affect sputum production or test results.
- Sample Collection: Patients must provide a sputum sample (not saliva) by coughing deeply to produce mucus from the lungs. Typically, three samples are collected—often one in the morning, one in the afternoon, and one the next day, or over three consecutive days for accuracy.
- Additional Instructions: Avoid smoking, brushing teeth, or using mouthwash before sample collection, as these can introduce contaminants. Gargling with water before coughing can help clear the mouth.
The collection process is quick, taking only a few minutes per sample, but laboratory analysis may take 1–2 days. Samples are collected in sterile containers provided by the healthcare facility.
Sputum For Afb Test Price List in Government Hospitals in Bangladesh
In Bangladesh, the Sputum For Afb Test is provided free of charge in government hospitals under the National TB Control Programme, ensuring accessibility for all. Below is a table of major government hospitals offering this test in 2025:
| Hospital Name | Location | Sputum For Afb Test Price (BDT) | Contact Number |
|---|---|---|---|
| Dhaka Medical College Hospital | Dhaka | Free | +880222301300 |
| Chittagong Medical College Hospital | Chittagong | Free | +880312520000 |
| Mymensingh Medical College Hospital | Mymensingh | Free | +8809167400 |
| Rajshahi Medical College Hospital | Rajshahi | Free | +880721750000 |
| Sylhet MAG Osmani Medical College Hospital | Sylhet | Free | +880821722000 |
| Khulna Medical College Hospital | Khulna | Free | +88041722000 |
| Barisal Sher-e-Bangla Medical College Hospital | Barisal | Free | +88043122000 |
Note: Prices are based on the National TB Control Programme’s policy as of 2025. Confirm with the hospital for any updates.
Sputum For Afb Test Price List in Private Hospitals in Bangladesh
Private hospitals and diagnostic centers in Bangladesh charge for the Sputum For Afb Test, with prices typically ranging from 200 to 500 BDT. Below is a table of private facilities offering this test in 2025, based on available data:
| Hospital/Diagnostic Center | Location | Sputum For Afb Test Price (BDT) | Contact Number |
|---|---|---|---|
| Ibn Sina Diagnostic & Consultation Center | Dhaka | 300 (Discounted: 225) | +880258150000 |
| Square Hospitals Ltd. | Dhaka | 400 | +88028122222 |
| Popular Diagnostic Centre Ltd. | Dhaka | 350 | +8809666787801 |
| United Medical College Hospital | Dhaka | 300 | +880258150000 |
| LabAid Diagnostic Laboratories | Dhaka | 350 | +88028836000 |
| Gonoshasthaya Kendra | Dhaka | 250 | +88028811524 |
| American Bangla Medicentre | Dhaka | 400 | +88029882222 |
| Evercare Hospital | Dhaka | 500 | +88028402000 |
| Islami Bank Hospital | Dhaka | 350 | +88028811524 |
| Apollo Hospitals Dhaka | Dhaka | 450 | +880258150000 |
Note: Prices are based on data from sources like Ibn Sina Diagnostic Center and may vary. Contact facilities directly for the latest pricing.
Understanding Sputum For Afb Test Results
The Sputum For Afb Test results are reported as positive or negative:
- Normal Range (Negative): No acid-fast bacilli are detected, suggesting no active TB infection. However, a negative result does not completely rule out TB, especially in early stages or with poor-quality samples.
- Abnormal Results (Positive): The presence of AFB indicates a likely active TB infection. The number of bacilli observed may suggest infection severity, but further tests (e.g., TB culture, GeneXpert) are needed for confirmation and to assess drug resistance.
- Factors Affecting Results:
- Poor sample quality (e.g., saliva instead of sputum).
- Recent antibiotic use, which may reduce bacterial presence.
- Laboratory technician expertise or equipment quality.
- When to Consult a Doctor: If results are positive, consult a doctor immediately for further evaluation and treatment. Even with negative results, if TB symptoms persist, additional testing may be required.
Frequently Asked Questions
How accurate is the Sputum For Afb Test?
The test is highly specific, meaning a positive result strongly indicates TB. However, its sensitivity is moderate, and false negatives can occur if the sample is inadequate or the infection is early-stage. Additional tests may be needed for confirmation.
How long does it take to get Sputum For Afb Test results?
Results are typically available within 1–2 days after sample submission, depending on the laboratory’s processing time.
Is the Sputum For Afb Test covered by insurance in Bangladesh?
Some private health insurance plans in Bangladesh may cover the test, but coverage varies. Check with your insurance provider for details.
How often should the Sputum For Afb Test be done?
For diagnosis, three sputum samples are usually collected over different days. For treatment monitoring, follow-up tests are scheduled based on the doctor’s advice, often monthly.
What is the difference between the Sputum For Afb Test and TB Culture?
The Sputum For Afb Test is a quick microscopic examination (1–2 days) but cannot identify specific bacterial strains or drug resistance. TB Culture takes 4–8 weeks but confirms the diagnosis and tests for drug susceptibility.
Can the Sputum For Afb Test detect latent TB?
No, this test detects active TB only. Latent TB is diagnosed using tests like the Tuberculin Skin Test (TST) or Interferon-Gamma Release Assays (IGRA).
Is the Sputum For Afb Test painful?
The test is not painful, though coughing deeply to produce sputum may cause mild discomfort for some individuals.
Conclusion
The Sputum For Afb Test is a cornerstone of tuberculosis diagnosis in Bangladesh, enabling early detection and treatment of this serious infectious disease. With TB being a major public health concern, access to affordable testing is critical. Government hospitals offer the test free of charge through the National TB Control Programme, while private facilities provide it at a cost of 200–500 BDT, making it accessible across various budgets. Comparing prices between facilities can help you find the most cost-effective option. If you suspect TB or have been exposed to someone with the disease, consult your healthcare provider promptly to discuss the need for a Sputum For Afb Test price in Bangladesh and take the first step toward effective treatment.
