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Symptom screening among HIV-infected pregnant women is acceptable and has high negative predictive value for active
Amita Gupta1, Aditya Chandrasekhar, Nikhil Gupte
1Dept 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
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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