Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children
| Autor: | Ann M. Loeffler, Joseph Keane, Ed Desmond, Philip A. LoBue, Charles L. Daley, Gerald H. Mazurek, Gail L. Woods, David M. Warshauer, Madhukar Pai, Michael K. Leonard, Thomas M. Shinnick, Richard J. O'Brien, Luca Richeldi, David M. Lewinsohn, David L. Cohn, Deborah A. Lewinsohn, Timothy R. Sterling, Max Salfinger |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Microbiology (medical) medicine.medical_specialty Pediatrics Evidence-based practice Tuberculosis Interferon gamma release assay Disease Article Mycobacterium tuberculosis 03 medical and health sciences 0302 clinical medicine Tuberculosis diagnosis Latent Tuberculosis medicine Humans 030212 general & internal medicine Child Intensive care medicine Tuberculosis Pulmonary Latent tuberculosis biology business.industry Age Factors medicine.disease biology.organism_classification Infectious Diseases 030228 respiratory system Infectious disease (medical specialty) business |
| Zdroj: | Clinical Infectious Diseases. 64:e1-e33 |
| ISSN: | 1537-6591 1058-4838 |
| DOI: | 10.1093/cid/ciw694 |
| Popis: | Background. Individuals infected with Mycobacterium tuberculosis (Mtb) may develop symptoms and signs of disease (tuberculosis disease) or may have no clinical evidence of disease (latent tuberculosis infection [LTBI]). Tuberculosis disease is a leading cause of infectious disease morbidity and mortality worldwide, yet many questions related to its diagnosis remain. Methods. A task force supported by the American Thoracic Society, Centers for Disease Control and Prevention, and Infectious Diseases Society of America searched, selected, and synthesized relevant evidence. The evidence was then used as the basis for recommendations about the diagnosis of tuberculosis disease and LTBI in adults and children. The recommendations were formulated, written, and graded using the Grading, Recommendations, Assessment, Development and Evaluation (GRADE) approach. Results. Twenty-three evidence-based recommendations about diagnostic testing for latent tuberculosis infection, pulmonary tuberculosis, and extrapulmonary tuberculosis are provided. Six of the recommendations are strong, whereas the remaining 17 are conditional. Conclusions. These guidelines are not intended to impose a standard of care. They provide the basis for rational decisions in the diagnosis of tuberculosis in the context of the existing evidence. No guidelines can take into account all of the often compelling unique individual clinical circumstances. |
| Databáze: | OpenAIRE |
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