Value of chest radiography in a tuberculosis prevention programme for HIV-infected people, Botswana
Value of chest radiography in a tuberculosis prevention programme for HIV-infected people, Botswana
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DOI：
10.1016/s0140-6736(03)14745-9
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发表时间：
2003-11-08
期刊：
影响因子：
168.9
通讯作者：
Kenyon, TA
中科院分区：
文献类型：
--
作者：
Mosimaneotsile, B;Talbot, EA;Kenyon, TA
为了排除结核病，世卫组织/联合国艾滋病规划署建议在开始对希尔感染者进行结核病预防之前，考虑病史、症状筛查和胸部X线片。用于这一目的的胸片的价值尚不清楚。我们前瞻性地评估了935名寻求异烟肼预防性治疗的HIV感染门诊患者。在935名患者中，692名(74%)没有结核病的症状或体征。在692人中，123人(18%)在胸部X光检查过程中丢失，其余563人中有1人(0.2%)根据胸部X光照片诊断为结核病。对于在能够筛查结核病体征和症状的环境中服用异烟肼作为预防性治疗的无症状患者，不应常规要求筛查胸部X线片。
To exclude tuberculosis, WHO/UNAIDS recommends considering medical history, symptom screen, and chest radiograph before starting tuberculosis prevention in people infected with Hill. The value of a chest radiograph for this purpose is unknown. We prospectively assessed 935 HIV-Infected outpatients seeking isoniazid preventive therapy. Of 935 patients, 692 (74%) had no signs or symptoms of tuberculosis. Of these 692, 123 (18%) were lost during the chest radiograph process, and one (0.2%) of the remaining 563 was diagnosed with tuberculosis on the basis of the chest radiograph. A screening chest radiograph should not be required routinely for asymptomatic people taking isoniazid as preventive treatment in settings able to screen for signs and symptoms of tuberculosis.