Prevalence of culture positive Tuberculosis and utility of a clinical diagnostic tool for the diagnosis of Tuberculosis among HIV Infected Children attending HIV/AIDS Care and Treatment in Dodoma Municipality, Central Tanzania
| Autor: | Bonaventura C.T. Mpondo, David P. Mnzava, Sauda A. Mutabazi, Shakilu Jumanne |
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| Rok vydání: | 2020 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Male Pediatrics medicine.medical_specialty Tuberculosis Adolescent Cross-sectional study 030106 microbiology HIV Infections Sensitivity and Specificity Tanzania lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Tuberculosis diagnosis Hiv infected medicine Prevalence Humans lcsh:RC109-216 030212 general & internal medicine Child biology business.industry Diagnostic Tests Routine Sputum General Medicine Mycobacterium tuberculosis biology.organism_classification medicine.disease Clinical TB score tool Infectious Diseases TB Cross-Sectional Studies Child Preschool Failure to thrive HIV/AIDS Female medicine.symptom business |
| Zdroj: | International Journal of Infectious Diseases, Vol 96, Iss, Pp 593-599 (2020) |
| ISSN: | 1878-3511 |
| Popis: | Objective: To evaluate the performance of the modified Keith Edwards TB clinical diagnostic tool among HIV infected children. Methods: Cross sectional study of 252 HIV infected children < 15 years old suspected with TB at four HIV/AIDS Care Clinics in Dodoma, Tanzania from November 2018 - March 2019. The modified Keith Edwards TB clinical diagnostic tool was compared to gastric aspirates, lymphnode aspirates or sputum gene x-pert MTB/RIF and TB culture. Sensitivity, specificity, negative and positive predictive value of the clinical tool were determined. Data was analyzed using SPSS version 25. Results: Out of 252 children evaluated, 13.5% (34/252) had TB using the clinical diagnostic tool and 5.2% (13/252) had culture positive TB. The sensitivity of the clinical tool was 76.9%, specificity of 90%. Culture positive TB predictors were lymphadenopathy (AOR 13.74, 95%CI (3.86 – 48.86) p value < 0.001), weight loss (AOR 3.19,95%CI (1.38 – 7.36) p value 0.007), and difficulty breathing (AOR 7.25, 95%CI (1.54 – 34.16) p value 0.012). Conclusion: The utility of the modified Keith Edwards clinical diagnostic tool for Tuberculosis diagnosis among HIV infected children is limited, calling for further validation. HIV infected children with lymphadenopathy, failure to thrive and difficulty in breathing are at high risk of Tuberculosis. |
| Databáze: | OpenAIRE |
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