Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis

Detalhes bibliográficos
Autor(a) principal: Gomes, Renata Spener
Data de Publicação: 2021
Outros Autores: Costa, Allyson Guimarães, Melo, Hilda Ferreira de, Souza, Alexandra Brito de, Magalhães, Francisco Beraldi, Jesus, Jaquelane Silva, Arriaga Gutiérrez, María Belen, Kritski, Afrânio, Safeb, Izabella, Andrade, Bruno de Bezerril, Trajman, Anete, Santos, Marcelo Cordeiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/46674
Resumo: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) (Finance code 001), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Amparo à Pesquisa do Estado do Amazonas (FAPEAM) (Pró-Estado Program - #002/2008, PAPAC Program - #005/2019 and PECTI-AM/SAÚDE Program - #004/2020). ALK, BBA and AT are CNPq fellows. RSG and ASB (Master and PhD students) have fellowship from CAPES. The funding agencies were not involved in any phase of the manuscript conception, write, and submission.
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spelling Gomes, Renata SpenerCosta, Allyson GuimarãesMelo, Hilda Ferreira deSouza, Alexandra Brito deMagalhães, Francisco BeraldiJesus, Jaquelane SilvaArriaga Gutiérrez, María BelenKritski, AfrânioSafeb, IzabellaAndrade, Bruno de BezerrilTrajman, AneteSantos, Marcelo Cordeiro2021-04-14T12:09:14Z2021-04-14T12:09:14Z2021GOMES, Renata Spener et al. Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis. International Journal of Infectious Diseases, v. 105, p. 743–745, 2021.1201-9712https://www.arca.fiocruz.br/handle/icict/4667410.1016/j.ijid.2021.03.022Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) (Finance code 001), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Amparo à Pesquisa do Estado do Amazonas (FAPEAM) (Pró-Estado Program - #002/2008, PAPAC Program - #005/2019 and PECTI-AM/SAÚDE Program - #004/2020). ALK, BBA and AT are CNPq fellows. RSG and ASB (Master and PhD students) have fellowship from CAPES. The funding agencies were not involved in any phase of the manuscript conception, write, and submission.Universidade do Estado do Amazonas. Pós-graduação em Medicina Tropical. Manaus, AM, Brasil / Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil / Universidade Federal do Amazonas. Manaus, AM, Brasil.Universidade do Estado do Amazonas. Pós-graduação em Medicina Tropical. Manaus, AM, Brasil / Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil / Universidade Federal do Amazonas. Manaus, AM, Brasil. / Fundação Hospitalar de Hematologia e Hemoterapia.do Amazonas. Manaus, AM, Brasil.Universidade do Estado do Amazonas. Pós-graduação em Medicina Tropical. Manaus, AM, Brasil.Universidade do Estado do Amazonas. Pós-graduação em Medicina Tropical. Manaus, AM, Brasil / Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil .Universidade do Estado do Amazonas. Pós-graduação em Medicina Tropical. Manaus, AM, Brasil / Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil / Secretaria de Estado da Saúde do Paraná. Curitiba, PR, Brasil / Faculdades Pequeno Príncipe. Curitiba, PR, Brasil.Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz, Laboratório de Inflamação e Biomarcadores. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina, Salvador, BA, Brasil / Multinational Organization Network Sponsoring Translational and Epidemiological Research Initiative. Salvador, BA, Brazil.Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil.Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz, Laboratório de Inflamação e Biomarcadores. Salvador, BA, Brasil / Universidade Federal da Bahia. Faculdade de Medicina, Salvador, BA, Brasil / Multinational Organization Network Sponsoring Translational and Epidemiological Research Initiative. Salvador, BA, Brazil.Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil / Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil / McGill University. McGill International TB Centre. Montreal, Canada.Universidade do Estado do Amazonas. Pós-graduação em Medicina Tropical. Manaus, AM, Brasil / Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Manaus, AM, Brasil / Universidade Nilton Lins. Manaus, AM, Brasil.Bacteriological confirmation of extrapulmonary tuberculosis (EPTB) is challenging for several reasons: the paucibacillary nature of the sample; scarce resources, mainly in middle and low-income countries; the need for hospitalization; and unfavorable outcomes. We evaluated the diagnostic role of respiratory specimen examination prospectively in a cohort of patients with presumptive EPTB. Methods: From July 2018 to January 2019, in a tuberculosis (TB)/HIV reference hospital, a cohort of 157 patients with presumed EPTB was evaluated. Xpert1 MTB/RIF Ultra or a culture-positive result was considered for bacteriologically confirmed TB. Results: Out of 157 patients with presumptive EPTB, 97 (62%) provided extrapulmonary and respiratory specimens and 60 (38%) extrapulmonary specimens only. Of the 60 patients with extrapulmonary samples, 5 (8%) were positive. Of those with respiratory and extrapulmonary samples, 27 (28%) were positive: 10 in both the respiratory and extrapulmonary samples, 6 in the extrapulmonary sample only, and 11 in the respiratory sample only. A respiratory specimen examination increased by 6-fold the chance of bacteriological confirmation of TB (odds ratio = 5.97 [1.11–47.17]). Conclusion: We conclude that respiratory samples should be examined in patients with presumptive EPTB. © 2021 The Author(s). Published by Elsevier Ltd on behalf of International Society for Infectious Diseases. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc- ndengElsevierTuberculoseHIVDiagnósticoRecursos em SaúdeTuberculosisExtrapulmonaryDiagnosisXpert UltraExamination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosisinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83097https://www.arca.fiocruz.br/bitstream/icict/46674/1/license.txt36b51ef91c52b5338d9d29ba0cc807bcMD51ORIGINALGomes, Renata Spener. Examination....pdfGomes, Renata Spener. 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dc.title.pt_BR.fl_str_mv Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis
title Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis
spellingShingle Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis
Gomes, Renata Spener
Tuberculose
HIV
Diagnóstico
Recursos em Saúde
Tuberculosis
Extrapulmonary
Diagnosis
Xpert Ultra
title_short Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis
title_full Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis
title_fullStr Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis
title_full_unstemmed Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis
title_sort Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis
author Gomes, Renata Spener
author_facet Gomes, Renata Spener
Costa, Allyson Guimarães
Melo, Hilda Ferreira de
Souza, Alexandra Brito de
Magalhães, Francisco Beraldi
Jesus, Jaquelane Silva
Arriaga Gutiérrez, María Belen
Kritski, Afrânio
Safeb, Izabella
Andrade, Bruno de Bezerril
Trajman, Anete
Santos, Marcelo Cordeiro
author_role author
author2 Costa, Allyson Guimarães
Melo, Hilda Ferreira de
Souza, Alexandra Brito de
Magalhães, Francisco Beraldi
Jesus, Jaquelane Silva
Arriaga Gutiérrez, María Belen
Kritski, Afrânio
Safeb, Izabella
Andrade, Bruno de Bezerril
Trajman, Anete
Santos, Marcelo Cordeiro
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Gomes, Renata Spener
Costa, Allyson Guimarães
Melo, Hilda Ferreira de
Souza, Alexandra Brito de
Magalhães, Francisco Beraldi
Jesus, Jaquelane Silva
Arriaga Gutiérrez, María Belen
Kritski, Afrânio
Safeb, Izabella
Andrade, Bruno de Bezerril
Trajman, Anete
Santos, Marcelo Cordeiro
dc.subject.other.pt_BR.fl_str_mv Tuberculose
HIV
Diagnóstico
Recursos em Saúde
topic Tuberculose
HIV
Diagnóstico
Recursos em Saúde
Tuberculosis
Extrapulmonary
Diagnosis
Xpert Ultra
dc.subject.en.pt_BR.fl_str_mv Tuberculosis
Extrapulmonary
Diagnosis
Xpert Ultra
description Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) (Finance code 001), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Amparo à Pesquisa do Estado do Amazonas (FAPEAM) (Pró-Estado Program - #002/2008, PAPAC Program - #005/2019 and PECTI-AM/SAÚDE Program - #004/2020). ALK, BBA and AT are CNPq fellows. RSG and ASB (Master and PhD students) have fellowship from CAPES. The funding agencies were not involved in any phase of the manuscript conception, write, and submission.
publishDate 2021
dc.date.accessioned.fl_str_mv 2021-04-14T12:09:14Z
dc.date.available.fl_str_mv 2021-04-14T12:09:14Z
dc.date.issued.fl_str_mv 2021
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv GOMES, Renata Spener et al. Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis. International Journal of Infectious Diseases, v. 105, p. 743–745, 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/46674
dc.identifier.issn.pt_BR.fl_str_mv 1201-9712
dc.identifier.doi.none.fl_str_mv 10.1016/j.ijid.2021.03.022
identifier_str_mv GOMES, Renata Spener et al. Examination of respiratory specimens improves microbiological diagnosis of patients with presumptive extrapulmonary tuberculosis. International Journal of Infectious Diseases, v. 105, p. 743–745, 2021.
1201-9712
10.1016/j.ijid.2021.03.022
url https://www.arca.fiocruz.br/handle/icict/46674
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dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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