Symptom screening among HIV-infected pregnant women is acceptable and has high negative predictive value for active tuberculosis |
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| Authors: | Gupta Amita Chandrasekhar Aditya Gupte Nikhil Patil Sandesh Bhosale Ramesh Sambarey Pradeep Ghorpade Shivahari Nayak Uma Garda Laila Sastry Jayagowri Bharadwaj Renu Bollinger Robert C;Byramjee Jeejeebhoy Medical College–Johns Hopkins University Study Group |
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| Institution: | Dept of Medicine, Division of Infectious Diseases,Centre for Clinical Global Health Education, Johns Hopkins School of Medicine, 600 N Wolfe St, Baltimore, MD 21287, USA. agupta25@jhmi.edu |
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| Abstract: | We evaluated tuberculosis (TB) screening among 799 human immunodeficiency virus (HIV)-infected pregnant women in India. Eleven (1.4%) had active TB. The negative predictive value of screening using cough, fever, night sweats, or weight loss was 99.3%. Tuberculin skin test and targeted chest radiography provided no substantial benefit. TB symptom screening, as recommended by the World Health Organization, is effective for ruling out TB in HIV-infected pregnant women. |
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