Symptom Screening Among HIV-Infected Pregnant Women Is Acceptable and Has High Negative Predictive Value for Active Tuberculosis

被引:36
作者
Gupta, Amita [1 ,2 ,3 ]
Chandrasekhar, Aditya [1 ]
Gupte, Nikhil [3 ]
Patil, Sandesh [3 ]
Bhosale, Ramesh [3 ,4 ]
Sambarey, Pradeep [3 ,4 ]
Ghorpade, Shivahari [3 ,5 ]
Nayak, Uma [2 ]
Garda, Laila [7 ]
Sastry, Jayagowri [3 ]
Bharadwaj, Renu [3 ,6 ]
Bollinger, Robert C. [1 ,2 ,3 ]
机构
[1] Johns Hopkins Univ, Sch Med, Div Infect Dis, Baltimore, MD 21205 USA
[2] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Int Hlth, Baltimore, MD USA
[3] Byramjee Jeejeebhoy Med Coll, Johns Hopkins Clin Trial Unit, Pune, Maharashtra, India
[4] Byramjee Jeejeebhoy Med Coll, Dept Obstet & Gynecol, Pune, Maharashtra, India
[5] Byramjee Jeejeebhoy Med Coll, Dept Chest Med, Pune, Maharashtra, India
[6] Byramjee Jeejeebhoy Med Coll, Dept Microbiol, Pune, Maharashtra, India
[7] King Edward Mem Hosp, Pune, Maharashtra, India
基金
美国国家卫生研究院;
关键词
TO-CHILD TRANSMISSION; PREVENTION; INFANTS; INDIA;
D O I
10.1093/cid/cir605
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
We evaluated tuberculosis (TB) screening among 799 human immunodeficiency virus (HIV)-infected pregnant women in India. Eleven (1.4%) had active TB. The negative predictive value of screening using cough, fever, night sweats, or weight loss was 99.3%. Tuberculin skin test and targeted chest radiography provided no substantial benefit. TB symptom screening, as recommended by the World Health Organization, is effective for ruling out TB in HIV-infected pregnant women.
引用
收藏
页码:1015 / 1018
页数:4
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