Changes in Diagnostic Methods for Pulmonary Tuberculosis between 2005 and 2013 / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases
;
: 227-231, 2015.
Article
in English
| WPRIM
| ID: wpr-114245
ABSTRACT
BACKGROUND:
Diagnostic methods for pulmonary tuberculosis (TB) have recently advanced. The aim of this study was to evaluate the changes in TB diagnostic tests that prompted the initiation of anti-TB treatment over time in South Korea, an industrialized country with an intermediate TB burden.METHODS:
Patients diagnosed with pulmonary TB in the first halves of 2005 and 2013 at a tertiary referral hospital were included. Diagnostic methods that prompted the initiation of anti-TB treatment were compared between the 2 groups of patients.RESULTS:
A greater proportion of patients were diagnosed with pulmonary TB using bronchoscopy in 2013 than in 2005 (26.7% vs. 6.6%, respectively; p<0.001), while the proportion of patients clinically diagnosed with pulmonary TB was lower in 2013 than in 2005 (24.7% vs. 49.0%, respectively; p<0.001). Additionally, more patients started anti-TB treatment based on positive polymerase chain reaction (PCR) results for Mycobacterium tuberculosis DNA in 2013 than in 2005 (47.3% vs. 7.9%, respectively; p<0.001).CONCLUSION:
The initiation of treatment for pulmonary TB in South Korea has become more frequently based on PCR and the use of bronchoscopic specimens.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tuberculosis, Pulmonary
/
Bronchoscopy
/
DNA
/
Developed Countries
/
Polymerase Chain Reaction
/
Nucleic Acid Amplification Techniques
/
Diagnosis
/
Diagnostic Tests, Routine
/
Tertiary Care Centers
/
Korea
Type of study:
Diagnostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Tuberculosis and Respiratory Diseases
Year:
2015
Type:
Article
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