Microbiological criteria in non-tuberculous mycobacteria pulmonary disease: a tool for diagnosis and epidemiology (CROSBI ID 229930)
Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija
Podaci o odgovornosti
Janković, Mateja ; Sabol, Ivan ; Žmak, Ljiljana ; Janković Katalinić, Vera ; Jakopović, Marko ; Obrovac, Mihaela ; Tićac, Brigita ; Bulat Kardum, Ljiljana ; Grle Popović, Sanja ; Mareković, Ivana ; Samaržija, Miroslav ; van Ingen, Jakko
engleski
Microbiological criteria in non-tuberculous mycobacteria pulmonary disease: a tool for diagnosis and epidemiology
The value of microbiological criteria in diagnosing non-tuberculous mycobacteria pulmonary disease (NTM-PD) and monitoring its epidemiology is unknown. OBJECTIVES: To correlate the rate of NTM-PD based on microbiological criteria (American Thoracic Society/Infectious Diseases Society of America [ATS/IDSA] or stricter microbiological criteria) compared with the full ATS/IDSA criteria, to assess the positive predictive value (PPV) of different microbiological criteria in predicting NTM-PD, and to evaluate the clinical relevance of different NTM species. DESIGN: Retrospective study of all patients with pulmonary NTM isolates in Croatia during an 8-year period. NTM species were divided into low, intermediate and high clinical relevance groups for additional analyses. RESULTS: Good correlation between both microbiological and full ATS/IDSA criteria was observed. The PPV of stricter and ATS/IDSA microbiological criteria was respectively 93.3% and 59.8%. The usefulness of microbiological criteria varied between groups. ATS/IDSA microbiological criteria had a PPV of 89.8% in the high relevance group, while in the intermediate relevance group, the PPV of stricter and ATS/IDSA microbiological criteria was respectively 94.3% and 63.4%. CONCLUSIONS: Microbiological criteria are useful in detecting NTM-PD, allowing laboratory-based monitoring. Stricter criteria should be used for species of low clinical relevance, and less stringent criteria for species of high relevance in the local setting.
atypical mycobacteria ; incidence ; prevalence ; pulmonary mycobacteriosis
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Podaci o izdanju
20 (7)
2016.
934-940
objavljeno
1027-3719
1815-7920
10.5588/ijtld.15.0633
Povezanost rada
Javno zdravstvo i zdravstvena zaštita, Kliničke medicinske znanosti