The Diagnostic Performance of Chest-X-Ray and Erythrocyte Sedimentation Rate in Comparison with GeneXpert
CXR
ESR
GeneXpert
HIV
PLHIV
TB
Journal
Risk management and healthcare policy
ISSN: 1179-1594
Titre abrégé: Risk Manag Healthc Policy
Pays: England
ID NLM: 101566264
Informations de publication
Date de publication:
2020
2020
Historique:
received:
25
05
2020
accepted:
10
08
2020
entrez:
16
10
2020
pubmed:
17
10
2020
medline:
17
10
2020
Statut:
epublish
Résumé
For many years, chest-X-ray (CXR) has been used as a diagnostic tool to complement clinical diagnosis of bacteriologically negative tuberculosis (TB) cases. Increased erythrocyte sedimentation rate (ESR) was also used as laboratory surrogates to augment the diagnosis of bacteriological test negative TB cases. The objective of this study was to evaluate the diagnostic performance of CXR and ESR in comparison with geneXpert An institution-based cross-sectional study was carried out from February 1, 2018-January 31, 2019. During regular HIV-clinic visits, PLHIVs were assessed for TB using the National and WHO screening tool, and those with positive results were further evaluated using ESR, CXR and sputum for AFB and GeneXpert A total of 384 patients with presumptive TB-HIV co-infection were included of which 165 (43.0%) were diagnosed to have TB, and 79 (53.3%) of these were confirmed by GeneXpert CXR in diagnostic work of TB among PLHIV plays an unprecedented role while ESR has little clinical significance in the evaluation of TB.
Identifiants
pubmed: 33061697
doi: 10.2147/RMHP.S264447
pii: 264447
pmc: PMC7518781
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1639-1646Informations de copyright
© 2020 Sorsa.
Déclaration de conflit d'intérêts
The author reports no conflicts of interest in this work.
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