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同时使用低复杂度自动核酸扩增检测和侧向流动尿液脂阿拉伯甘露聚糖检测来检测感染艾滋病毒的成人和青少年中的结核病。

Parallel use of low-complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV.

作者信息

Bjerrum Stephanie, Yang Bada, Åhsberg Johanna, Nathavitharana Ruvandhi R, Olbrich Laura, Jaganath Devan, Kay Alexander W, Lundh Andreas, Shah Maunank

机构信息

Department of Clinical Research, Research Unit of Infectious Diseases, University of Southern Denmark, Odense, Denmark.

Department of Infectious Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

出版信息

Cochrane Database Syst Rev. 2024 May 13;5(5):CD016070. doi: 10.1002/14651858.CD016070.

Abstract

This is a protocol for a Cochrane Review (diagnostic). The objectives are as follows: To compare the diagnostic accuracy of parallel use of lateral flow urine lipoarabinomannan on urine and low-complexity automated nucleic acid amplification tests on respiratory samples versus each test alone for detection of tuberculosis disease in adults and adolescents living with HIV who present with presumptive tuberculosis. Secondary objectives To investigate the following sources of heterogeneity: clinical setting; signs and symptoms of tuberculosis; screening positivity for tuberculosis disease by chest x-ray, C-reactive protein elevation, and molecular World Health Organization-recommended rapid diagnostics; seriously ill; advanced HIV; and CD4 cell count.

摘要

这是一项Cochrane系统评价(诊断性)的方案。目标如下:比较并行使用尿液侧流脂阿拉伯甘露聚糖检测和呼吸道样本低复杂度自动化核酸扩增检测与单独使用每项检测对疑似结核病的成人和青少年HIV感染者结核病的诊断准确性。次要目标:调查以下异质性来源:临床环境;结核病的体征和症状;通过胸部X光、C反应蛋白升高以及世界卫生组织推荐的分子快速诊断法进行结核病筛查呈阳性;重症;晚期HIV;以及CD4细胞计数。

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