Early chest X-ray in persons with presumptive tuberculosis increases Xpert(R) MTB/RIF diagnostic yield and efficiency

Fulltext:
220643.pdf
Embargo:
until further notice
Size:
215.3Kb
Format:
PDF
Description:
Publisher’s version
Publication year
2020Source
Public Health Action, 10, 1, (2020), pp. 17-20ISSN
Publication type
Article / Letter to editor

Display more detailsDisplay less details
Organization
Internal Medicine
Radboudumc Extern
Journal title
Public Health Action
Volume
vol. 10
Issue
iss. 1
Page start
p. 17
Page end
p. 20
Subject
Radboudumc 4: lnfectious Diseases and Global Health RIHS: Radboud Institute for Health SciencesAbstract
Adult presumptive tuberculosis (TB) patients (n = 1690) were screened for TB using a questionnaire, chest X-ray (CXR) and sputum microscopy for acid-fast bacilli (AFB); Mycobacterium tuberculosis culture was performed for 74% of the patients and Xpert((R)) MTB/RIF was done for 17.2%. Among patients recruited, 943 (55.8%) were diagnosed with TB, of whom 870 (92.3%) were bacteriologically confirmed and 73 (7.7%) were clinically diagnosed on the basis of CXR. Using CXR prior to culture or Xpert testing reduces the number needed to screen from 7.6 to 5.0. Using CXR to triage for culture or Xpert testing reduces the number of missed cases and increases the efficiency of culture and Xpert testing.
This item appears in the following Collection(s)
- Academic publications [203935]
- Electronic publications [102318]
- Faculty of Medical Sciences [80403]
Upload full text
Use your RU credentials (u/z-number and password) to log in with SURFconext to upload a file for processing by the repository team.