Home|Journals|Articles by Year Follow on Twitter| Subscribe to List

Directory for Medical Articles
 

Open Access

Original Research



Utility of pleural fluid routine and microscopy examination plus adenosine deaminase levels in the diagnosis of tuberculous pleural effusion

Gunjan P Upadhyay, Rameshchandra M Thakker.

Abstract
Background: Tuberculous pleural effusion is the second most common site of extrapulmonary tuberculosis. Not all centers have access to advanced and invasive tests and affordability is also an issue. Hence, diagnosis is largely based on history, clinical examination, and pleural fluid analysis.

Objectives: Our aim was to evaluate the utility of pleural fluid routine micro examination along with adenosine deaminase (ADA) levels in diagnosis of tuberculous pleural effusion.

Materials and Methods: A retrospective analysis was done of the 100 adult patients with pleural effusion predefined criteria were adopted to label a case as tuberculous. Using MS Excel 2007 sensitivity, specificity, positive and negative likelihood ratio, accuracy, etc., were derived and various parameters in pleural fluid were also studied.

Result: The sensitivity, specificity, positive, and negative predictive values, positive and negative likelihood ratios, accuracy, and discordance were 95.74%, 94.33%, 93.75%, 96.15%, 16.88%, 4.51%, 95%, and 5%, respectively.

Conclusion: Pleural fluid routine micro examination along with ADA levels has an acceptable sensitivity, specificity, and accuracy for the diagnosis of tuberculous pleural effusion.

Key words: Pleural Effusion; Adenosine Deaminase; Tuberculosis


Full-text options

Full-text Article




Advertisement
Journal of Apitherapy

SUBMIT YOUR ARTICLE NOW




ScopeMed.com
BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.