斑疹伤寒血培养试验诊断肠热的准确性评价

Mohsan Sohail, Anam Nazeer, Sarah Azhar, Ghazala Irfan, S. Abrar, M. Khan
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摘要

目的:探讨斑疹伤寒血培养试验诊断肠热的准确性。研究设计:横断面研究地点和研究时间:2019年8月至2020年1月,Arif纪念教学医院。材料与方法:89例符合纳入标准的肠热症状和体征。结果:男性40例(44.9%),女性49例(55.1%)。伤寒试验阳性60例(67.4%),血培养阳性69例(77.5%)。伤寒的敏感性为68.1%,特异性为35%,阳性预测值(PPV)为78.3%,阴性预测值(NPV)为24.1%,对培养物(金标准)的诊断准确率为60.7%。结论:伤寒试验诊断肠热的敏感性和特异性均低于血培养。关键词:伤寒试验,肠热,血培养,伤寒试验,诊断准确性
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Evaluation of Diagnostic Accuracy of Typhidot Test Against Blood Culture in Diagnosis of Enteric Fever
Objective: To determine the accuracy of Typhidot test against blood culture to diagnose Enteric Fever. Design of Study: Cross-sectional study Place and Period of study: Arif Memorial Teaching Hospital from August 2019 to Jan 2020. Material and Method: A total number of 89 cases who were fulfilled the inclusion criteria with signs & symptoms of Enteric fever. Results: There were 40 (44.9%) males and 49 (55.1%) females. 60 (67.4%) patients had positive Typhidot test while 69 (77.5%) showed positive blood culture. The typhidot showed sensitivity of 68.1%, specificity of 35%, PPV (Postive Predictive value) of 78.3%, NPV (Negtive Predictive value) of 24.1% and diagnostic accuracy of 60.7% against culture (gold standard). Conclusion: The study concludes that sensitivity & specificity of Typhidot test is less as compare to blood culture in diagnosing Enteric fever. Keyword: Typhoid Test, Enteric fever, Blood culture, Typhidot Test, Diagnostic accuracy
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