Source:http://linkedlifedata.com/resource/pubmed/id/15585500
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
Pt 12
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pubmed:dateCreated |
2004-12-8
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pubmed:abstractText |
Nucleic acid amplification techniques (NAATs) have been demonstrated to make significant improvements in the diagnosis of tuberculosis (TB), particularly in the time to diagnosis and the diagnosis of smear-negative TB. The BD ProbeTec strand displacement amplification (SDA) system for the diagnosis of pulmonary and non-pulmonary tuberculosis was evaluated. A total of 689 samples were analysed from patients with clinically suspected TB. Compared with culture, the sensitivity and specificity for pulmonary samples were 98 and 89 %, and against final clinical diagnosis 93 and 92 %, respectively. This assay has undergone limited evaluation for non-respiratory samples and so 331 non-respiratory samples were tested, identifying those specimens that were likely to yield a useful result. These were CSF (n = 104), fine needle aspirates (n = 64) and pus (n = 41). Pleural fluid (n = 47) was identified as a poor specimen. A concern in using the SDA assay was that low-positive samples were difficult to interpret; 7.8 % of specimens fell into this category. Indeed, 64 % of the discrepant results, when compared to final clinical diagnosis, could be assigned as low-positive samples. Specimen type did not predict likelihood of a sample being in the low-positive zone. Although the manufacturers do not describe the concept of a low-positive zone, we have found that it aids clinical diagnosis.
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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 |
0022-2615
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
53
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1215-9
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:15585500-Ascitic Fluid,
pubmed-meshheading:15585500-Bacterial Typing Techniques,
pubmed-meshheading:15585500-Cerebrospinal Fluid,
pubmed-meshheading:15585500-False Positive Reactions,
pubmed-meshheading:15585500-Humans,
pubmed-meshheading:15585500-Lung,
pubmed-meshheading:15585500-Mycobacterium tuberculosis,
pubmed-meshheading:15585500-Nucleic Acid Amplification Techniques,
pubmed-meshheading:15585500-Predictive Value of Tests,
pubmed-meshheading:15585500-Sensitivity and Specificity,
pubmed-meshheading:15585500-Suppuration,
pubmed-meshheading:15585500-Tuberculosis
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pubmed:year |
2004
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pubmed:articleTitle |
Prospective evaluation of BDProbeTec strand displacement amplification (SDA) system for diagnosis of tuberculosis in non-respiratory and respiratory samples.
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pubmed:affiliation |
Centre for Medical Microbiology, Department of Infection, Royal Free & University College Medical School, Pond Street, London NW3 2PF, UK. t.mchugh@rfc.ucl.ac.uk
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pubmed:publicationType |
Journal Article,
Comparative Study,
Evaluation Studies
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