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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1993-12-27
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pubmed:abstractText |
The objective of this study was to determine which clinical features of typhoid and malaria are most helpful in distinguishing the two diseases among Papua New Guinean highlanders. In a study of 35 patients with culture-positive typhoid and 49 with blood-slide-positive malaria (Group 1), the odds of typhoid were increased most in patients with altered bowel habit, an illness of more than 2 week's duration, tremor or the presence of typhoid facies. The odds of typhoid were lowest in patients with pallor or jaundice. These findings were used to derive a clinical diagnostic algorithm, which was then evaluated in a further group of 34 typhoid patients and 41 malaria patients (Group 2). The sensitivity of the algorithm in diagnosing malaria was 91% in Group 1 and 71% in Group 2, with specificities of 85% and 79% respectively. For typhoid, the sensitivity of the algorithm was 85% and 79% for Groups 1 and 2, respectively, and the specificities were 91% and 71%. We conclude that the algorithm merits further evaluation in a primary health care setting and may prove useful in making an earlier diagnosis of typhoid.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0031-1480
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
35
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
298-302
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:1341091-Algorithms,
pubmed-meshheading:1341091-Diagnosis, Differential,
pubmed-meshheading:1341091-Diagnostic Errors,
pubmed-meshheading:1341091-Discriminant Analysis,
pubmed-meshheading:1341091-Humans,
pubmed-meshheading:1341091-Malaria,
pubmed-meshheading:1341091-Odds Ratio,
pubmed-meshheading:1341091-Papua New Guinea,
pubmed-meshheading:1341091-Sensitivity and Specificity,
pubmed-meshheading:1341091-Typhoid Fever
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pubmed:year |
1992
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pubmed:articleTitle |
An algorithm for the clinical differentiation of malaria and typhoid: a preliminary communication.
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pubmed:affiliation |
Goroka Base Hospital, Papua New Guinea.
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pubmed:publicationType |
Journal Article,
Comparative Study
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