Dipstick urinalysis for diabetes screening in TB patients.
Dipstick urinalysis for diabetes screening in TB patients.
复制标题
试纸尿液分析用于结核病患者糖尿病筛查。
DOI：
10.1093/inthealth/iht007
复制
发表时间：
2013
影响因子：
2.5
通讯作者：
Mora-Guzman,Francisco
中科院分区：
文献类型：
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作者：
Restrepo,BlancaI;Pino,PaulaA;Zarate,Izelda;Mora-Guzman,Francisco
结核病患者的糖尿病知识有助于改善结核病治疗结果，但缺乏糖尿病诊断意识是发展中国家的一个限制。方法对90例初治肺结核患者进行糖尿病筛查，并对糖尿病筛查的敏感性进行评价（38名糖尿病患者）在德克萨斯州南部，2009年1月至2010年12月，在美国（n = 20）和墨西哥东北部（n = 70）的糖尿病患者中，65%的慢性高血糖患者存在糖尿（阳性预测值91%，阴性预测值84%）.ConclusionWe建议，结核病诊所有限的预算，便携式血糖仪可能无法进行普遍筛查糖尿病与尿试纸。随后可以在需要确认或更高敏感性评估的患者亚组中进行血糖或HbA1c检测，以改善TB和糖尿病的并发症。
IntroductionDiabetes knowledge among TB patients can contribute to improved TB treatment outcomes, but lack of diabetes diagnosis awareness is a limitation in developing countries. Given its low cost, the sensitivity of urine glucose dipsticks for diabetes screening in TB patients was assessed.MethodsGlycosuria was assessed in 90 newly diagnosed TB patients (38 with diabetes) in south Texas, USA (n = 20) and northeast Mexico (n = 70) during January 2009–December 2010.ResultsGlycosuria was detected in 65% of the diabetic patients with chronic hyperglycemia (positive predictive value 91%, negative predictive value 84%).ConclusionWe propose that TB clinics with limited budgets where portable glucometers may not be available conduct universal screening for diabetes with urine dipsticks. This could be followed by blood glucose or HbA1ctesting in the subset of patients requiring confirmation or higher sensitivity assessment, to improve the comanagement of TB and diabetes.