Symptom Screening Among HIV-Infected Pregnant Women Is Acceptable and Has High Negative Predictive Value for Active Tuberculosis
Author(s) -
Amita Gupta,
Anand Chandrasekhar,
Nikhil Gupte,
Sandesh Patil,
Ramesh Bhosale,
Pradeep Sambarey,
S.N. Ghorpade,
Uma Nayak,
Laila Garda,
Jayagowri Sastry,
Renu Bharadwaj,
Robert C. Bollinger
Publication year - 2011
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cir605
Subject(s) - medicine , tuberculosis , active tuberculosis , tuberculin , human immunodeficiency virus (hiv) , predictive value , immunology , obstetrics , pediatrics , mycobacterium tuberculosis , pathology
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.
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