背景:结核病是一种引起健康不良的重要原因的传染病。根据世卫组织2021年全球结核病报告。到2020年,有990万结核病人患病。重要的是,印度的结核病患病率为25%。
目的:分析印度南部大城市郊区的结核病患病率。分析男性和女性结核病的血清学标志物及预后。确定分子检测的重要性-AFB涂片后对TB的PCR确认。
方法:一项回顾性研究,分析了呼吸内科招募的462例患者,他们怀疑肺部356例(M-264和F-92)和肺外106例(M-73和F-33)患者并诊断为Zhiel-Neelsen染色,Mantoux测试,基于芯片的RT-PCR检测,红细胞沉降率,并分析了血清学测试,如C反应蛋白,化学发光免疫测定。
结果:23例患者Ziehl-Neelsen染色阳性,65在分子True-NatPCR检测中呈阳性,Mantoux皮肤试验硬结10例,在血清学分析中检查了98例TB阳性患者,1&3患者在HIV/HBsAg反应,分别进行HBsAg检测,通过化学发光免疫分析,8例PTB和4例EPTB和47例非TB患者的C反应蛋白阳性,在ESR测试中,这160名患者中有46名TB和94名非TB患者检测到异常值。
结论:结核病的患病率正在显著上升,尤其是中年人。检测TB的快速分子诊断具有高度的敏感性和特异性。血清学标志物对于分析疾病预后至关重要,需要重点关注DOTS和RNTCP对终结结核病的指导。
BACKGROUND: Tuberculosis is an infectious disease responsible for a significant cause of ill health. According to the WHO global tuberculosis report 2021. 9.9 million cases fell sick with TB in 2020. Significantly, the prevalence of tuberculosis in India is 25%.
OBJECTIVE: To analyze the prevalence of tuberculosis in the suburban areas of the metropolitan city in South India. To analyze the serological marker and prognosis of tuberculosis among males and females. To determine the importance of molecular testing - PCR confirmation on TB after AFB smear.
METHODS: A retrospective study to analyze 462 patients enrolled by the respiratory medicine department on suspecting pulmonary- 356 (M-264 & F-92) and extra-pulmonary-106 (M-73&F-33) patients and diagnosed Zhiel-Neelsen staining, Mantoux test, Chip-based RT-PCR test, Erythrocyte sedimentation rate, and analyzed serological test such as C-Reactive Protein, Chemiluminescence immune assay.
RESULTS: 23 patients were positive in Ziehl-Neelsen staining, 65 were positive in molecular True-Nat PCR test, Mantoux skin test induration in 10 patients, 98 TB Positive patients examined in the serological analysis, 1 & 3 patients reacted in HIV/HBsAg, and HBsAg test respectively, by chemiluminescence immunoassay, 8 PTB and 4 EPTB and 47 non-TB patients were positive in C-reactive protein, 46 TB and 94 non-TB patients detected abnormal values out of these 160 patients in ESR test.
CONCLUSIONS: The Prevalence of tuberculosis is significantly rising, especially in the middle-aged population. The rapid molecular diagnostics to detect TB are highly sensitive and specific. Serological markers are essential for the analysis of disease prognosis and need to focus on the guidance of DOTS and RNTCP to End TB.