Revista da Sociedade Brasileira de Medicina Tropical · 2022
Impact of a computer system as a triage tool in the management of pulmonary tuberculosis in a HIV reference center in Brazil.
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Libório Mariana Pitombeira, Kritski Afrânio, Almeida Isabela Neves de, Miranda Pryscila Fernandes Campino, Mesquita Jacó Ricarte Lima de, Mota Rosa Maria Salani, Sousa George Jó Bezerra, Pires Neto Roberto da Justa, Leitão Terezinha do Menino Jesus Silva
Аннотация
BACKGROUND: The Neural Clinical Score for tuberculosis (NCS-TB) is a computer system developed to improve the triage of presumed pulmonary TB (pPTB).
METHODS: A study was performed with cohorts of pPTB patients cared for at a reference hospital in Northeast Brazil.
RESULTS: The NCS-TB sensitivity was 76.5% for TB diagnosis, which shortened the time from triage to smear microscopy results (3.3 to 2.5 days; p<0.001) and therapy initiation (6.7 to 4.1 days; p=0.045).
CONCLUSIONS: Although the NCS-TB was not suitable as a screening tool, it was able to optimize laboratory diagnosis and shorten the time to treatment initiation.
METHODS: A study was performed with cohorts of pPTB patients cared for at a reference hospital in Northeast Brazil.
RESULTS: The NCS-TB sensitivity was 76.5% for TB diagnosis, which shortened the time from triage to smear microscopy results (3.3 to 2.5 days; p<0.001) and therapy initiation (6.7 to 4.1 days; p=0.045).
CONCLUSIONS: Although the NCS-TB was not suitable as a screening tool, it was able to optimize laboratory diagnosis and shorten the time to treatment initiation.