An evaluation of Composite Reference Standard (CRS) for diagnosis of Female Genital Tuberculosis.


Journal

The Indian journal of tuberculosis
ISSN: 0019-5707
Titre abrégé: Indian J Tuberc
Pays: India
ID NLM: 0373027

Informations de publication

Date de publication:
Jan 2023
Historique:
received: 07 05 2021
revised: 06 08 2021
accepted: 09 03 2022
entrez: 5 2 2023
pubmed: 6 2 2023
medline: 8 2 2023
Statut: ppublish

Résumé

Female genital tuberculosis (FGTB) is a common cause of infertility in developing countries. Its diagnosis is difficult due to its paucibacillary nature, with no single test having high sensitivity and specificity. This study is to share the experience of using Composite Reference Standard (CRS) for the diagnosis of FGTB. This is a prospective study conducted between September 2017 to June 2019, over 100 infertile females found to have FGTB on composite reference standard which consisted of acid-fast bacilli on microscopy or culture, histopathological evidence of epithelioid granuloma, positive gene Xpert on endometrial sample or definite or probable finding of FGTB on laparoscopy. A total of 100 infertile women (78% primary, 22% secondary) found to have FGTB on CRS were enrolled in this study. Mean age, body mass index, parity and duration of infertility were 28.2 years, 23.17 kg/m This study demonstrates the high reliability of use of composite reference standard for diagnosis of FGTB.

Sections du résumé

BACKGROUND BACKGROUND
Female genital tuberculosis (FGTB) is a common cause of infertility in developing countries. Its diagnosis is difficult due to its paucibacillary nature, with no single test having high sensitivity and specificity. This study is to share the experience of using Composite Reference Standard (CRS) for the diagnosis of FGTB.
METHODS METHODS
This is a prospective study conducted between September 2017 to June 2019, over 100 infertile females found to have FGTB on composite reference standard which consisted of acid-fast bacilli on microscopy or culture, histopathological evidence of epithelioid granuloma, positive gene Xpert on endometrial sample or definite or probable finding of FGTB on laparoscopy.
RESULTS RESULTS
A total of 100 infertile women (78% primary, 22% secondary) found to have FGTB on CRS were enrolled in this study. Mean age, body mass index, parity and duration of infertility were 28.2 years, 23.17 kg/m
CONCLUSION CONCLUSIONS
This study demonstrates the high reliability of use of composite reference standard for diagnosis of FGTB.

Identifiants

pubmed: 36740321
pii: S0019-5707(22)00043-9
doi: 10.1016/j.ijtb.2022.03.014
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

70-76

Informations de copyright

Copyright © 2022 Tuberculosis Association of India. Published by Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest The authors have none to declare.

Auteurs

J B Sharma (JB)

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India. Electronic address: jbsharma2000@gmail.com.

Shefali Jain (S)

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Sona Dharmendra (S)

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

Urvashi B Singh (UB)

Department of Microbiology, All India Institute of Medical Sciences, New Delhi, India.

Manish Soneja (M)

Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.

Vidushi Kulshrestha (V)

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

P Vanamail (P)

Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India.

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