Early chest X-ray in persons with presumptive tuberculosis increases Xpert® MTB/RIF diagnostic yield and efficiency.

Autor:	Nadiah Z; Undergraduate Programme, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia., Koesoemadinata RC; Infectious Disease Research Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.; Department of Internal Medicine, Radboud University Medical Center, Radboud Institute for Health Sciences, Nijmegen, the Netherlands.; Indonesian Society for Clinical Microbiology, Bandung City, Indonesia., McAllister SM; Centre for International Health, University of Otago Medical School, University of Otago, Dunedin, New Zealand., Putriyani G; Infectious Disease Research Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia., Chaidir L; Infectious Disease Research Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.; Indonesian Society for Clinical Microbiology, Bandung City, Indonesia.; Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia., Ruslami R; Infectious Disease Research Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.; Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia., Santoso P; Infectious Disease Research Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.; Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia., Hill PC; Centre for International Health, University of Otago Medical School, University of Otago, Dunedin, New Zealand., van Crevel R; Department of Internal Medicine and Radboud Center of Infectious Diseases, Radboud University Medical Center, Nijmegen, the Netherlands., Alisjahbana B; Infectious Disease Research Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.; Department of Internal Medicine, Faculty of Medicine, Universitas Padjadjaran, Hasan Sadikin General Hospital, Bandung, Indonesia.
Jazyk:	angličtina
Zdroj:	Public health action [Public Health Action] 2020 Mar 21; Vol. 10 (1), pp. 17-20.
DOI:	10.5588/pha.19.0052
Abstrakt:	Adult presumptive tuberculosis (TB) patients ( n = 1690) were screened for TB using a questionnaire, chest X-ray (CXR) and sputum microscopy for acid-fast bacilli (AFB); Mycobacterium tuberculosis culture was performed for 74% of the patients and Xpert ® MTB/RIF was done for 17.2%. Among patients recruited, 943 (55.8%) were diagnosed with TB, of whom 870 (92.3%) were bacteriologically confirmed and 73 (7.7%) were clinically diagnosed on the basis of CXR. Using CXR prior to culture or Xpert testing reduces the number needed to screen from 7.6 to 5.0. Using CXR to triage for culture or Xpert testing reduces the number of missed cases and increases the efficiency of culture and Xpert testing. Competing Interests: Conflicts of interest: none declared. (© 2020 The Union.)
Databáze:	MEDLINE
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