Microbiological criteria in non-tuberculous mycobacteria pulmonary disease: a tool for diagnosis and epidemiology
| Autor: | Marko Jakopović, Ljiljana Zmak, Miroslav Samarzija, Ivana Mareković, S Popovic Grle, Ivan Sabol, Brigita Tićac, L Kardum Bulat, J. van Ingen, Mateja Janković, Mihaela Obrovac, V. Katalinic Jankovic |
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| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics 0302 clinical medicine BIOMEDICINA I ZDRAVSTVO. Javno zdravstvo i zdravstvena zaštita Epidemiology Prevalence Medicine 030212 general & internal medicine Child Respiratory Tract Infections Incidence (epidemiology) Incidence Nontuberculous Mycobacteria Mycobacterium Infections Middle Aged Predictive value Infectious Diseases Predictive value of tests Child Preschool pulmonary mycobacteriosis Female Pulmonary and Respiratory Medicine Adult medicine.medical_specialty Adolescent Croatia Public Health and Health Care prevalence Pulmonary disease Mycobacterium Infections Nontuberculous atypical mycobacteria incidence 03 medical and health sciences Young Adult Predictive Value of Tests Internal medicine Humans Clinical significance Aged Retrospective Studies Bacteriological Techniques business.industry BIOMEDICINE AND HEALTHCARE. Public Health and Health Care Infant Newborn Infant Reproducibility of Results Retrospective cohort study bacterial infections and mycoses lnfectious Diseases and Global Health Radboud Institute for Health Sciences [Radboudumc 4] 030228 respiratory system business |
| Zdroj: | International Journal of Tuberculosis and Lung Disease, 20, 7, pp. 934-40 International Journal of Tuberculosis and Lung Disease, 20, 934-40 The international journal of tuberculosis and lung disease The International Journal of Tuberculosis and Lung Disease Volume 20 Issue 7 |
| ISSN: | 1027-3719 1815-7920 |
| DOI: | 10.5588/ijtld.15.0633 |
| Popis: | SETTING: The value of microbiological criteria in diagnosing non-tuberculous mycobacteria pulmonary disease (NTM-PD) and monitoring its epidemiology is unknown. ----- OBJECTIVES: To correlate the rate of NTM-PD based on microbiological criteria (American Thoracic Society/Infectious Diseases Society of America [ATS/IDSA] or stricter microbiological criteria) compared with the full ATS/IDSA criteria, to assess the positive predictive value (PPV) of different microbiological criteria in predicting NTM-PD, and to evaluate the clinical relevance of different NTM species. ----- DESIGN: Retrospective study of all patients with pulmonary NTM isolates in Croatia during an 8-year period. NTM species were divided into low, intermediate and high clinical relevance groups for additional analyses. ----- RESULTS: Good correlation between both microbiological and full ATS/IDSA criteria was observed. The PPV of stricter and ATS/IDSA microbiological criteria was respectively 93.3% and 59.8%. The usefulness of microbiological criteria varied between groups. ATS/IDSA microbiological criteria had a PPV of 89.8% in the high relevance group, while in the intermediate relevance group, the PPV of stricter and ATS/IDSA microbiological criteria was respectively 94.3% and 63.4%. ----- CONCLUSIONS: Microbiological criteria are useful in detecting NTM-PD, allowing laboratory-based monitoring. Stricter criteria should be used for species of low clinical relevance, and less stringent criteria for species of high relevance in the local setting. |
| Databáze: | OpenAIRE |
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