Bacteriological diagnosis of tuberculosis in prison inmates: actions taken by the primary health care teams in prisons

Ely, Karine Zenatti; Dotta, Renata Maria; Jarczewski, Carla Adriane; Valim, Andréia Rosane de Moura; Possuelo, Lia Gonçalves

doi:10.36416/1806-3756/e20190179

Cited by 6 publications

(1 citation statement)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[2] Early detection, diagnosis, and treatment are essential for effective TB management, and laboratory testing plays a critical role in TB diagnosis. [3] While sputum smear microscopy is a simple and rapid method, its sensitivity is relatively low. [4] Although culture remains the gold standard for diagnosis, the extended duration (6–8 weeks or more) is not conducive to rapid diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Breakthrough of chemiluminescence-based LAM urine test beyond HIV-positive individuals: Clinical diagnostic value of pulmonary tuberculosis in the general population

Zhang,

Chen,

Wei

et al. 2023

Medicine

View full text Add to dashboard Cite

To investigate the diagnostic value of a novel high-sensitivity urine lipoarabinomannan (LAM) test (chemiluminescence-based) for active tuberculosis in the general population. A retrospective study was conducted on 250 clinical suspected tuberculosis patients who were HIV-negative and visited the Fourth People’s Hospital of Foshan from January 2022 to December 2022. Among them, there were 135 cases of pulmonary tuberculosis, 34 cases of extrapulmonary tuberculosis, and 81 cases of non-tuberculosis. Urine samples were collected for LAM antigen detection before treatment, and laboratory data of sputum smear acid-fast staining (smear method), sputum culture, and GeneXpert method were collected. Using clinical diagnosis as the reference standard, the diagnostic efficacy of 4 methods for detecting active tuberculosis was evaluated. For the 135 cases of pulmonary tuberculosis, the sensitivity of sputum smears, sputm culture, sputm GeneXpert method, and urine LAM were 29.6% (40/135), 45.9% (62/135), 59.3% (80/135), and 51.9% (70/135), respectively. The combination of LAM + GeneXpert and LAM + culture had the highest sensitivity for detecting active pulmonary tuberculosis, which were 71.0% and 78.2%, respectively. For the detection of sputum culture-negative pulmonary tuberculosis, the positive rates of smear, GeneXpert, and LAM were 0.0% (0/73), 53.4% (39/73), and 52.1% (38/73), respectively. LAM + smear and LAM + Genexpert could detect 52.1% and 68.5% of sputum culture-negative patients, respectively. The high-sensitivity urine LAM test holds promise for tuberculosis diagnosis in the general population. It demonstrates high-sensitivity, enabling the detection of sputum culture-negative pulmonary tuberculosis patients. Furthermore, when combined with existing methods, it can enhance the overall detection rate.

show abstract

Section: Introductionmentioning

confidence: 99%