Smear microscopy is the most inexpensive test for determining whether a person has infectious TB as it can identify those with high bacillary loads who are most likely transmitting TB.
Microscopic examination of stained sputum is feasible in nearly all settings.
Repeated sputum smear microscopy may diagnose PTB in up to two-thirds of active cases.
Fluorescence microscopy (FM), is recommended by WHO (REF) and improves sensitivity by approximately 10% and can be done more quickly