医学
肺结核
结核性淋巴结炎
系统回顾
肺外结核
重症监护医学
结核分枝杆菌
儿科
梅德林
病理
政治学
法学
作者
Lavanyah Sivaratnam,Azmawati Mohammed Nawi,Mohd Rizal Abdul Manaf
出处
期刊:The International Journal of Mycobacteriology
日期:2020-04-01
卷期号:9 (2): 107-115
被引量:1
标识
DOI:10.4103/ijmy.ijmy_207_19
摘要
To achieve the World Health Organization end TB Strategy, early detection, and prompt treatment of not only pulmonary but also extrapulmonary tuberculosis (EPTB) should be achieved. The most common EPTB is tuberculous lymphadenitis, and the diagnosis is typically time-consuming. This review aimed to identify the best diagnostic pathway for preventing treatment delay and thus further complications. A systematic keyword search was done using four databases and other relevant publications and using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses flowchart to search for relevant articles that met the inclusion criteria. The quality of the articles was assessed using Newcastle-Ottawa Scale, and the articles were summarized based on the test for diagnosing tuberculous lymphadenitis. A total of ten articles were included for the synthesis of results, which compared the sensitivity and specificity of each diagnostic test for tuberculous lymphadenitis. The most promising test is the Xpert Mycobacterium tuberculosis/RIF, which has high sensitivity and specificity, but costs much more in comparison to the other tests. An ideal diagnostic method should include the combination of relevant patient history, clinical examination, and laboratory and radiological testing to avoid delays in treatment, misdiagnosis, and further complications.
科研通智能强力驱动
Strongly Powered by AbleSci AI