Performance of Serum C-Reactive Protein as a Screening Test for Smear-Negative Tuberculosis in an Ambulatory High HIV Prevalence Population
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{"title"=>"Performance of serum c-reactive protein as a screening test for smear-negative tuberculosis in an ambulatory high HIV prevalence population", "type"=>"journal", "authors"=>[{"first_name"=>"Douglas", "last_name"=>"Wilson", "scopus_author_id"=>"22136817500"}, {"first_name"=>"Motasim", "last_name"=>"Badri", "scopus_author_id"=>"7005213070"}, {"first_name"=>"Gary", "last_name"=>"Maartens", "scopus_author_id"=>"16157672200"}], "year"=>2011, "source"=>"PLoS ONE", "identifiers"=>{"sgr"=>"79251585957", "doi"=>"10.1371/journal.pone.0015248", "pui"=>"361180227", "pmid"=>"21249220", "scopus"=>"2-s2.0-79251585957", "issn"=>"19326203", "isbn"=>"1932-6203"}, "id"=>"20a5ef39-5644-380e-accd-ba59117503a5", "abstract"=>"Delayed diagnosis has contributed to the high mortality of sputum smear-negative tuberculosis (SNTB) in high HIV prevalence countries. New diagnostic strategies for SNTB are urgently needed. C-reactive protein (CRP) is a non-specific inflammatory protein that is usually elevated in patients with tuberculosis, but its role in the diagnosis of tuberculosis is uncertain.", "link"=>"http://www.mendeley.com/research/performance-serum-creactive-protein-screening-test-smearnegative-tuberculosis-ambulatory-high-hiv-pr", "reader_count"=>69, "reader_count_by_academic_status"=>{"Unspecified"=>3, "Professor > Associate Professor"=>2, "Researcher"=>13, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>14, "Student > Postgraduate"=>6, "Student > Master"=>14, "Other"=>4, "Student > Bachelor"=>1, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>3, "Professor > Associate Professor"=>2, "Researcher"=>13, "Student > Doctoral Student"=>3, "Student > Ph. D. Student"=>14, "Student > Postgraduate"=>6, "Student > Master"=>14, "Other"=>4, "Student > Bachelor"=>1, "Lecturer"=>3, "Lecturer > Senior Lecturer"=>2, "Professor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Materials Science"=>1, "Medicine and Dentistry"=>48, "Agricultural and Biological Sciences"=>5, "Social Sciences"=>6, "Computer Science"=>1, "Immunology and Microbiology"=>4}, "reader_count_by_subdiscipline"=>{"Materials Science"=>{"Materials Science"=>1}, "Medicine and Dentistry"=>{"Medicine and Dentistry"=>48}, "Social Sciences"=>{"Social Sciences"=>6}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>5}, "Computer Science"=>{"Computer Science"=>1}, "Unspecified"=>{"Unspecified"=>4}}, "reader_count_by_country"=>{"Colombia"=>1, "Sweden"=>1, "United States"=>4, "Japan"=>1, "Brazil"=>3, "United Kingdom"=>1, "Kenya"=>1}, "group_count"=>0}

Scopus | Further Information

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Figshare

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  • {"files"=>["https://ndownloader.figshare.com/files/807009"], "description"=>"<p>Performance of CRP as a screening test: Combined group of confirmed or possible tuberculosis vs. those with no tuberculosis (n = 364).</p>", "links"=>[], "tags"=>["crp", "confirmed", "tuberculosis"], "article_id"=>477380, "categories"=>["Biotechnology", "Biochemistry", "Cell Biology", "Infectious Diseases"], "users"=>["Douglas Wilson", "Motasim Badri", "Gary Maartens"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0015248.t003", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Performance_of_CRP_as_a_screening_test_Combined_group_of_confirmed_or_possible_tuberculosis_vs_those_with_no_tuberculosis_n_8202_8202_364_/477380", "title"=>"Performance of CRP as a screening test: Combined group of confirmed or possible tuberculosis vs. those with no tuberculosis (n = 364).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-10 02:03:00"}
  • {"files"=>["https://ndownloader.figshare.com/files/806755"], "description"=>"<p>* Reasons for exclusion (n) Not able to attend for regular review - determined during screening visit (28) No active symptoms (17) Alternative medical diagnosis made at screening (14) Karnofsky Score <40 (5) Pneumocystis pneumonia (4) Informed consent not obtained (3) Sputum smear positive (3) Already on antitubercular therapy (3) Other (6).</p>", "links"=>[], "tags"=>["public health and epidemiology", "Infectious diseases", "pathology", "Biochemistry"], "article_id"=>477126, "categories"=>["Biotechnology", "Biochemistry", "Cell Biology", "Infectious Diseases"], "users"=>["Douglas Wilson", "Motasim Badri", "Gary Maartens"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0015248.g001", "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Participant_flow_chart_and_final_diagnosis_/477126", "title"=>"Participant flow chart and final diagnosis.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-01-10 01:58:46"}
  • {"files"=>["https://ndownloader.figshare.com/files/806948"], "description"=>"<p>Participant characteristics (n = 364).</p>", "links"=>[], "tags"=>["characteristics"], "article_id"=>477322, "categories"=>["Biotechnology", "Biochemistry", "Cell Biology", "Infectious Diseases"], "users"=>["Douglas Wilson", "Motasim Badri", "Gary Maartens"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0015248.t001", "stats"=>{"downloads"=>1, "page_views"=>5, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Participant_characteristics_n_8202_8202_364_/477322", "title"=>"Participant characteristics (n = 364).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-10 02:02:02"}
  • {"files"=>["https://ndownloader.figshare.com/files/403019", "https://ndownloader.figshare.com/files/403037", "https://ndownloader.figshare.com/files/403060", "https://ndownloader.figshare.com/files/403077"], "description"=>"<div><h3>Background</h3><p>Delayed diagnosis has contributed to the high mortality of sputum smear-negative tuberculosis (SNTB) in high HIV prevalence countries. New diagnostic strategies for SNTB are urgently needed. C-reactive protein (CRP) is a non-specific inflammatory protein that is usually elevated in patients with tuberculosis, but its role in the diagnosis of tuberculosis is uncertain.</p> <h3>Methodology/Principal Findings</h3><p>To determine the diagnostic utility of CRP we prospectively evaluated the performance of CRP as a screening test for SNTB in symptomatic ambulatory tuberculosis suspects followed up for 8 weeks in KwaZulu-Natal, South Africa. Confirmed tuberculosis was defined as positive culture or acid-fast bacilli with granulomata on histology, and possible tuberculosis as documented response to antitubercular therapy. The CRP quotient was defined as a multiple of the upper limit of normal of the serum CRP result. Three hundred and sixty four participants fulfilled entry criteria: 135 (37%) with confirmed tuberculosis, 114 (39%) with possible tuberculosis, and 115 (24%) without tuberculosis. The median CRP quotient was 15.4 (IQR 7.2; 23.3) in the confirmed tuberculosis group, 5.8 (IQR 1.4; 16.0) in the group with possible tuberculosis, and 0.7 (IQR 0.2; 2.2) in the group without tuberculosis (<em>p</em><0.0001). The CRP quotient above the upper limit of normal had sensitivity 0.98 (95% CI 0.94; 0.99), specificity 0.59 (95% CI 0.50; 0.68), positive predictive value 0.74 (95% CI 0.67; 0.80), negative predictive value 0.96 (95% CI 0.88; 0.99), and diagnostic odds ratio 63.7 (95% CI 19.1; 212.0) in the confirmed tuberculosis group compared with the group without tuberculosis. Higher CRP quotients improved specificity at the expense of sensitivity.</p> <h3>Significance</h3><p>In high HIV prevalence settings a normal CRP could be a useful test in combination with clinical evaluation to rule out tuberculosis in ambulatory patients. Point-of-care CRP should be further evaluated in primary care clinics.</p> </div>", "links"=>[], "tags"=>["serum", "c-reactive", "smear-negative", "tuberculosis", "ambulatory", "hiv", "prevalence"], "article_id"=>139627, "categories"=>["Cancer", "Biochemistry", "Cell Biology", "Biotechnology"], "users"=>["Douglas Wilson", "Motasim Badri", "Gary Maartens"], "doi"=>["https://dx.doi.org/10.1371/journal.pone.0015248.s001", "https://dx.doi.org/10.1371/journal.pone.0015248.s002", "https://dx.doi.org/10.1371/journal.pone.0015248.s003", "https://dx.doi.org/10.1371/journal.pone.0015248.s004"], "stats"=>{"downloads"=>6, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Performance_of_Serum_C_Reactive_Protein_as_a_Screening_Test_for_Smear_Negative_Tuberculosis_in_an_Ambulatory_High_HIV_Prevalence_Population/139627", "title"=>"Performance of Serum C-Reactive Protein as a Screening Test for Smear-Negative Tuberculosis in an Ambulatory High HIV Prevalence Population", "pos_in_sequence"=>0, "defined_type"=>4, "published_date"=>"2011-01-10 02:40:27"}
  • {"files"=>["https://ndownloader.figshare.com/files/806834"], "description"=>"<p>A and B comparing participants with confirmed tuberculosis vs. those with no tuberculosis (n = 250); C and D combined confirmed and possible tuberculosis vs. those with no tuberculosis (n = 364); and E and F confirmed tuberculosis vs. those with possible tuberculosis and no tuberculosis.</p>", "links"=>[], "tags"=>["curves"], "article_id"=>477204, "categories"=>["Biotechnology", "Biochemistry", "Cell Biology", "Infectious Diseases"], "users"=>["Douglas Wilson", "Motasim Badri", "Gary Maartens"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0015248.g002", "stats"=>{"downloads"=>0, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Receiver_operating_curves_and_sensitivity_specificity_decision_plots_/477204", "title"=>"Receiver operating curves and sensitivity/specificity decision plots.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2011-01-10 02:00:04"}
  • {"files"=>["https://ndownloader.figshare.com/files/807043"], "description"=>"<p>Performance of CRP as a screening test: Confirmed tuberculosis vs. those with possible tuberculosis or without tuberculosis (n = 364).</p>", "links"=>[], "tags"=>["crp", "confirmed", "tuberculosis"], "article_id"=>477407, "categories"=>["Biotechnology", "Biochemistry", "Cell Biology", "Infectious Diseases"], "users"=>["Douglas Wilson", "Motasim Badri", "Gary Maartens"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0015248.t004", "stats"=>{"downloads"=>1, "page_views"=>2, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Performance_of_CRP_as_a_screening_test_Confirmed_tuberculosis_vs_those_with_possible_tuberculosis_or_without_tuberculosis_n_8202_8202_364_/477407", "title"=>"Performance of CRP as a screening test: Confirmed tuberculosis vs. those with possible tuberculosis or without tuberculosis (n = 364).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2011-01-10 02:03:27"}

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Relative Metric

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