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A systematic review of commercial serological antibody detection tests for the diagnosis of extrapulmonary tuberculosis.

A systematic review of commercial serological antibody detection tests for the diagnosis of extrapulmonary tuberculosis. Research Abstract Details 

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  • A systematic review of commercial serological antibody detection tests for the diagnosis of extrapulmonary tuberculosis. Abstract Text:

    karen r steingartKaren R Steingart,megan henryMegan Henry,suman laalSuman Laal,philip c hopewellPhilip C Hopewell,andrew ramsayAndrew Ramsay,dick menziesDick Menzies,jane cunninghamJane Cunningham,karin weldinghKarin Weldingh,madhukar paiMadhukar Pai,karen r steingartKaren R Steingart,megan henryMegan Henry,suman laalSuman Laal,philip c hopewellPhilip C Hopewell,andrew ramsayAndrew Ramsay,dick menziesDick Menzies,jane cunninghamJane Cunningham,karin weldinghKarin Weldingh,madhukar paiMadhukar Pai,

    Conventional diagnostic tests for tuberculosis have several limitations and are often unhelpful in establishing the diagnosis of extrapulmonary tuberculosis. Although commercial serological antibody based tests are available, their usefulness in the diagnosis of extrapulmonary tuberculosis is unknown. A systematic review was conducted to assess the accuracy of commercial serological antibody detection tests for the diagnosis of extrapulmonary tuberculosis. In a comprehensive search, 21 studies that reported data on sensitivity and specificity for extrapulmonary tuberculosis were identified. These studies evaluated seven different commercial tests, with Anda-TB IgG accounting for 48% of the studies. The results showed that (1) all commercial tests provided highly variable estimates of sensitivity (range 0.00-1.00) and specificity (range 0.59-1.00) for all extrapulmonary sites combined; (2) the Anda-TB IgG kit showed highly variable sensitivity (range 0.26-1.00) and specificity (range 0.59-1.00) for all extrapulmonary sites combined; (3) for all tests combined, sensitivity estimates for both lymph node tuberculosis (range 0.23-1.00) and pleural tuberculosis (range 0.26-0.59) were poor and inconsistent; and (4) there were no data to determine the accuracy of the tests in children or in patients with HIV infection, the two groups for which the test would be most useful. At present, commercial antibody detection tests for extrapulmonary tuberculosis have no role in clinical care or case detection.

    A systematic review of commercial serological antibody detection tests for the diagnosis of extrapulmonary tuberculosis. Publishing Authors By Initials

    kr steingartKR Steingart,m henryM Henry,s laalS Laal,pc hopewellPC Hopewell,a ramsayA Ramsay,d menziesD Menzies,j cunninghamJ Cunningham,k weldinghK Weldingh,m paiM Pai,kr steingartKR Steingart,m henryM Henry,s laalS Laal,pc hopewellPC Hopewell,a ramsayA Ramsay,d menziesD Menzies,j cunninghamJ Cunningham,k weldinghK Weldingh,m paiM Pai,

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    A systematic review of commercial serological antibody detection tests for the diagnosis of extrapulmonary tuberculosis. Journal Published:

    PUBLICATION TYPE: Research Support, Non-U.S. Gov

    Journal: Thorax

    VOLUME: 62

    Page Numbers: 911-8

    Journal Abbreviation: Thorax

    ISSN: 0040-6376

    DAY: 3

    MONTH: 08

    YEAR: 2007

    A systematic review of commercial serological antibody detection tests for the diagnosis of extrapulmonary tuberculosis. Information

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    LANGUAGE: eng

    NlmUniqueID: 417353

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    Grant and Affiliation Information for A systematic review of commercial serological antibody detection tests for the diagnosis of extrapulmonary tuberculosis.

    AFFILIATION: Division pf Pulmonary and Critical Care Medicine, San Francisco General Hospital, University of California, USA.

    Country: England

    England Research PublicationEngland Research Publication

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    MEDLINETA: Thorax

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