Escala diagnóstica de Thwaites: experiencia en el Hospital Carlos Andrade Marín (Quito-Ecuador) / Thwaites diagnostic scale: experience in the Carlos Andrade Marin Hospital (Quito-Ecuador)
Cambios rev. méd
;
15(2): 15-17, jul. 2016. tab
Article
in Spanish
| LILACS
| ID: biblio-1000138
RESUMEN
Introducción:
La tuberculosis es un problema de salud pública. La escala diagnóstica de Thwaites es una herramienta usada para diferenciar la meningitis tuberculosa de otros tipos de meningitis bacterianas. Materiales ymétodos:
Estudio retrospectivo en pacientes con sospecha de meningitis bacteriana realizado en el Hospital Carlos Anadrade Marín con la información de los registros médicos del sistema informático AS-400.Resultados:
Estudiamos 41 casos de meningitis bacteriana no tuberculosa y 7 casos confirmados de tuberculosis. Los resultados del uso de la escala fueron sensibilidad 88% y especificidad 88%. Razón de Verosimilitud positiva 7.33 y Razón de Verosimilitud negativa 0.14.Discusión:
La escala de Thwaites podría ser útil para diferenciar la meningitis bacteriana piógena de la tuberculosa. Palabras clave OMS-OPS; thwaites; LCR; Meningitis, Tuberculosis.ABSTRACT
Introduction:
tuberculous meningitis is one of the most common public health problems worldwide. Thwaites diagnostic scale is a tool used to differentiate tuberculous meningitis from other types of bacterial meningitis.Methods:
This is a retrospective study carried out in patients diagnosed of bacterial meningitis developed at Carlos Andrade Marin Hospital. Information was taken from the medical records stored in the AS400 system.Results:
Of 48 patients studied, 41 had bacterial meningitis and seven tuberculous meningitis. The sensitivity and the specificity of Thwaites' diagnostic score were 88%. The LR+ and LR- were 7.33 y 0.14 respectively.Discusion:
Thwaites' diagnostic score was found to be a useful tool to differentiate bacterial from tuberculous meningitis.
Full text:
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Index:
LILACS (Americas)
Main subject:
Tuberculosis
/
Cerebrospinal Fluid
/
Clinical Laboratory Techniques
/
Diagnosis
/
Meningitis
Type of study:
Diagnostic study
/
Observational study
Limits:
Humans
Country/Region as subject:
South America
/
Ecuador
Language:
Spanish
Journal:
Cambios rev. méd
Journal subject:
Medicine
/
Public Health
Year:
2016
Type:
Article
Affiliation country:
Ecuador
Institution/Affiliation country:
Hospital de Especialidades Carlos Andrade Marín/EC
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