Exact(6)
Bacteriological screening of all three patients, which included blood culture and CSF Gram stain and culture, were negative.
The PALSA guideline is an effective screening tool for identifying patients requiring bacteriological screening for pulmonary tuberculosis in this primary care setting.
We therefore determined the diagnostic accuracy of the guideline, as used by a nurse, to identify patients requiring bacteriological screening for TB.
In the current validation study, however, the primary care physicians rather than the nurse using the guideline requested sputum tests on patients they considered to require bacteriological screening for TB.
The study shows that, compared with primary care physicians who had with access to chest radiographs and more clinical information, a nurse practioner using the PALSA syndromic respiratory guideline was able to identify patients who require bacteriological screening for pulmonary tuberculosis, from among those presenting with respiratory symptoms in a high tuberculosis prevalence area.
To evaluate the diagnostic accuracy of the integrated Practical Approach to Lung Health in South Africa (PALSA) guideline in identifying patients requiring bacteriological screening for tuberculosis (TB), and to determine which clinical features best predict suspected and bacteriologically-confirmed tuberculosis among patients with respiratory symptoms.
Similar(54)
For simulating this current scenario, we considered that, among prisoners entering the prison, the prevalence of latent TB infection (defined as a positive tuberculin skin test after excluding active TB cases) is 47.0% and that the prevalence of active TB (evaluated through X-ray screening and bacteriological diagnostic tests) is 1.5% (unpublished data).
This contrasts with the 2003 recommendation from the Royal College of Obstetricians and Gynaecologists which states that "routine screening (either bacteriological or risk based) for antenatal GBS carriage is not recommended" [ 9].
Tissue samples were submitted for bacteriological analysis and molecular viral screening.
Unfortunately only microscopy was performed on patients' sputum - test of a low sensitivity especially in the setting of GHC institutions not specializing in tuberculosis diagnosis; rapid molecular screening tests and bacteriological culture which would have been very helpful and are available in the city were not performed.
The isolates represented all MRSA detected in horses in Sweden in the study period and originated from clinical sampling of wound infections (n = 10) using swabs for routine bacteriological sampling or from nasal screening (n = 2), as listed below and in Table 1.
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