Keith Edwards score for diagnosis of tuberculosis

被引：17

作者：

Shyam Narayan

S. Mahadevan

V. Tiroumourougane Serane

机构：

[1] Department of Pediatrics, JIPMER

来源：

The Indian Journal of Pediatrics | 2003年 / 70卷 / 6期

关键词：

Childhood tuberculosis; Keith Edwards score;

D O I：

10.1007/BF02723134

中图分类号：

学科分类号：

摘要：

Objective: To evaluate the applicability of Keith Edwards scoring system for the diagnosis of childhood tuberculosis. Methods. One hundred and one children aged 2 months to 12 years who fulfilled the inclusion criteria were evaluated with Keith Edwards score. The diagnosis of tuberculosis by Keith Edwards score and the definitive reference were compared. Results. Among the 65 children diagnosed as having tuberculosis by the definitive reference, 59 had a Keith Edwards score of >7. Four children had a score of >7 but were not suffering from tuberculosis. The sensitivity and specificity of this score have been found to be 91% and 88% respectively. Conclusion. In select population with indicative clinical features, Keith Edwards score can be a definitive guideline for the diagnosis of childhood tuberculosis. However, more studies are required for the validation of this clinical score before it can be used as a definitive diagnostic reference standard for tuberculosis.

引用

页码：467 / 469

页数：2

共 9 条

[1]

Stegan J., Jones K., Kaplan P., Criteria for guidance in the diagnosis of tuberculosis, Pediatrics, 43, pp. 260-263, (1969)

[2]

Nair M., Philip E., A scoring system for the diagnosis of tuberculosis in children, Indian Pediatr, 18, pp. 299-303, (1981)

[3]

Udani P.M., Tuberculosis, Textbook of Pediatrics, pp. 991-1236, (1991)

[4]

Fourie P.B., Procedures for developing a simple scoring method based on unsophisticated criteria for screening children for tuberculosis, Int J Tuberc Lung Dis, 2, pp. 116-123, (1998)

[5]

Crofton J., Horne N., Miller F., Clinical Tuberculosis. 1st Indian Edn., pp. 47-50, (1996)

[6]

Fletcher R.H., Interpretation of diagnostic tests, Indian J Pediatr, 67, pp. 49-53, (2000)

[7]

Van Beckhnizen H.J., Tuberculosis score chart in children in Aitipe, Papua New Guinea, Tropical Doctor, 28, pp. 115-118

[8]

Van Rheenan P., The use of pediatric score chart in HIV endemic area, Trop Med Int Health, 7, pp. 435-441, (2002)

[9]

Diagnostic standards and classification of tuberculosis, Am Rev Respir Dis, 142, pp. 725-735, (1971)

← 1 →