| Autor: |
Kivihya-Ndugga, L. E. A., van Cleeff, M. R. A., Githui, W. A., Nganga, L. W., Kibuga, D. K., Odhiambo, J. A., Klatser, Paul R. |
| Přispěvatelé: |
Extramural researchers, KIT: Biomedical Research |
| Jazyk: |
angličtina |
| Rok vydání: |
2003 |
| Předmět: |
|
| Zdroj: |
international journal of tuberculosis and lung disease, 7(12), 1163-1171. International Union Against Tuberculosis and Lung Disease (The Union) |
| ISSN: |
1027-3719 |
| Popis: |
Nairobi City Council Chest Clinic, Kenya. To establish the efficiency, costs and cost-effectiveness of six diagnostic strategies using Ziehl-Neelsen (ZN) and fluorescence microscopy (FM). A cross-sectional study of 1398 TB suspects attending a specialised chest clinic in Nairobi subjected to three sputum examinations by ZN and FM. Lowenstein-Jensen culture was used as the gold standard. Cost analysis included health service and patient costs. Of 1398 suspects enrolled, 993 (71%) had a complete diagnostic work-up involving three sputum specimens for ZN and FM, culture and chest X-ray (CXR). Irrespective of whether ZN or FM was used on one, two or three smears, the overall diagnostic process detected 92% culture-positive cases. Different strategies affected the ratio of smear-positive to smear-negative TB; however, FM was more sensitive than ZN (P |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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