Diagnostic validity of an expert tuberculosis commission that assists the diagnosis of bacteriologically negative suspected TB cases in Havana, Cuba
| Autor: | E. Gonzalez Ochoa, T. Crespo Díaz, L. Armas Pérez, Francine Matthys, E. García Silvera, S. Valdés Díaz, P. Van der Stuyft, M. Peralta Pérez |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Tuberculosis Adolescent National Health Programs Bacterial diseases Advisory Committees America Latin Commission Sensitivity and Specificity Diagnosis Differential Young Adult Sensitivity Predictive Value of Tests Epidemiology medicine Humans Prospective Studies Medical diagnosis Prospective cohort study Evaluation Tuberculosis Pulmonary Aged Caribbean Aged 80 and over business.industry Public Health Environmental and Occupational Health Sputum Cuba General Medicine Smear-negative Mycobacterium tuberculosis Middle Aged medicine.disease Clinical diagnosis Surgery Pneumonia Infectious Diseases Expert committee Predictive value of tests Specificity Parasitology Female medicine.symptom business |
| Zdroj: | Transactions of the Royal Society of Tropical Medicine and Hygiene. 103(1) |
| ISSN: | 1878-3503 |
| Popis: | The Provincial Tuberculosis Commission of Havana, Cuba, a multi-speciality committee, assists clinicians in diagnosing bacteriologically negative tuberculosis (TB). At its weekly meetings, clinicians present the files of suspected TB cases for discussion, diagnosis and recommendations. This prospective study assessed the validity of the diagnoses made by the Commission by comparing the diagnoses made with diagnoses ascertained after one year of follow-up. Between October 2002 and December 2003, 126 patients suspected to have TB but who were bacteriologically negative completed diagnostic work at the Commission. Fifty-three (42%) were diagnosed as TB cases. The definite diagnosis of 116 patients (92%) was ascertained after one year of follow-up. Six patients diagnosed by the Commission as TB cases were suffering from other diseases, while one patient diagnosed with pneumonia had a definite diagnosis of pulmonary TB. The diagnostic sensitivity and specificity of the Commission were 98% (95% CI 93-100) and 92% (95% CI 85-98), respectively. The Provincial Tuberculosis Commission of Havana can be considered a valuable tool for the diagnosis of TB in patients suspected of TB but who are bacteriologically negative. A comparable approach, adapted to the local conditions, could prove useful in other epidemiological and healthcare settings. |
| Databáze: | OpenAIRE |
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