Journal of Hebei Medical University

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Comparative analysis of the diagnostic value of smear negative pulmonary #br# tuberculosis in different age groups by two methods

  

  1. 1.Depertment of Clinical Laboratory, the Chest Hospital of Hebei Province, Shijiazhuang 050041, China;
    2.Nursing college of Hebei Traditional Chinese Medical College, Shijiazhuang 050200, China;
    3.Depertment of Respiratory, the Chest Hospital of  Hebei Province, Shijiazhuang 050041, China
  • Online:2016-06-25 Published:2017-01-16

Abstract: [Abstract] ObjectiveTo evaluate the diagnostic value of TSPOTTB and tuberculosis protein chip test for difference age patients with smearnegative pulmonary tuberculosis. MethodsOne hundred and ninetyone tuberculosis patients(smearnegative pulmonary tuberculosis) and 91 pneumonia patients were enrolled in our test. They were divided into three groups: the teenage group(7~40 years old), the middleaged group(>40~65 years old) and the gerontism group(more than >65 years old). The three groups were examined with TSPOTTB and tuberculosis protein chip test. ResultsThe  sensitivity of TSPOTTB and tuberculosis protein chip test in teenage group and  middleaged group were significant difference between the two methods(P<005), but the specificity of two methods was no significant difference(P>005). The sensitivity and  specificity in gerontism group were no significant difference(P>005).  ConclusionTSPOTTB was important in the diagnosis for teenage  and middleaged patients with smearnegative pulmonary tuberculosis. The diagnosis of smear negative pulmonary tuberculosis in the elder patients should be selected according to the specific status.

Key words: tuberculosis, pulmonary, interferongamma release tests, protein chip