Tags

Type your tag names separated by a space and hit enter

Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children.
Clin Infect Dis. 2017 Jan 15; 64(2):111-115.CI

Abstract

BACKGROUND

Individuals infected with Mycobacterium tuberculosis (Mtb) may develop symptoms and signs of disease (tuberculosis disease) or may have no clinical evidence of disease (latent tuberculosis infection [LTBI]). Tuberculosis disease is a leading cause of infectious disease morbidity and mortality worldwide, yet many questions related to its diagnosis remain.

METHODS

A task force supported by the American Thoracic Society, Centers for Disease Control and Prevention, and Infectious Diseases Society of America searched, selected, and synthesized relevant evidence. The evidence was then used as the basis for recommendations about the diagnosis of tuberculosis disease and LTBI in adults and children. The recommendations were formulated, written, and graded using the Grading, Recommendations, Assessment, Development and Evaluation (GRADE) approach.

RESULTS

Twenty-three evidence-based recommendations about diagnostic testing for latent tuberculosis infection, pulmonary tuberculosis, and extrapulmonary tuberculosis are provided. Six of the recommendations are strong, whereas the remaining 17 are conditional.

CONCLUSIONS

These guidelines are not intended to impose a standard of care. They provide the basis for rational decisions in the diagnosis of tuberculosis in the context of the existing evidence. No guidelines can take into account all of the often compelling unique individual clinical circumstances.

Authors+Show Affiliations

Oregon Health & Science University, Portland, Oregon.Emory University School of Medicine and.Centers for Disease Control and Prevention, Atlanta, Georgia.Denver Public Health Department, Denver, Colorado.National Jewish Health and the University of Colorado Denver, and.California Department of Public Health, Richmond.St James's Hospital, Dublin, Ireland.Oregon Health & Science University, Portland, Oregon.Francis J. Curry International TB Center, San Francisco, California.Centers for Disease Control and Prevention, Atlanta, Georgia.Foundation for Innovative New Diagnostics, Geneva, Switzerland.McGill University and McGill International TB Centre, Montreal, Canada.University of Southampton, United Kingdom.National Jewish Health, Denver, Colorado.Centers for Disease Control and Prevention, Atlanta, Georgia.Vanderbilt University School of Medicine, Vanderbilt Institute for Global Health, Nashville, Tennessee.Wisconsin State Laboratory of Hygiene, Madison, and.University of Arkansas for Medical Sciences, Little Rock.

Pub Type(s)

Duplicate Publication
Journal Article

Language

eng

PubMed ID

28052967

Citation

Lewinsohn, David M., et al. "Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children." Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, vol. 64, no. 2, 2017, pp. 111-115.
Lewinsohn DM, Leonard MK, LoBue PA, et al. Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children. Clin Infect Dis. 2017;64(2):111-115.
Lewinsohn, D. M., Leonard, M. K., LoBue, P. A., Cohn, D. L., Daley, C. L., Desmond, E., Keane, J., Lewinsohn, D. A., Loeffler, A. M., Mazurek, G. H., O'Brien, R. J., Pai, M., Richeldi, L., Salfinger, M., Shinnick, T. M., Sterling, T. R., Warshauer, D. M., & Woods, G. L. (2017). Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children. Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America, 64(2), 111-115. https://doi.org/10.1093/cid/ciw778
Lewinsohn DM, et al. Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children. Clin Infect Dis. 2017 Jan 15;64(2):111-115. PubMed PMID: 28052967.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Official American Thoracic Society/Infectious Diseases Society of America/Centers for Disease Control and Prevention Clinical Practice Guidelines: Diagnosis of Tuberculosis in Adults and Children. AU - Lewinsohn,David M, AU - Leonard,Michael K, AU - LoBue,Philip A, AU - Cohn,David L, AU - Daley,Charles L, AU - Desmond,Ed, AU - Keane,Joseph, AU - Lewinsohn,Deborah A, AU - Loeffler,Ann M, AU - Mazurek,Gerald H, AU - O'Brien,Richard J, AU - Pai,Madhukar, AU - Richeldi,Luca, AU - Salfinger,Max, AU - Shinnick,Thomas M, AU - Sterling,Timothy R, AU - Warshauer,David M, AU - Woods,Gail L, PY - 2016/10/04/received PY - 2016/10/14/accepted PY - 2017/07/15/pmc-release PY - 2017/1/6/entrez PY - 2017/1/6/pubmed PY - 2017/12/23/medline SP - 111 EP - 115 JF - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America JO - Clin Infect Dis VL - 64 IS - 2 N2 - BACKGROUND: Individuals infected with Mycobacterium tuberculosis (Mtb) may develop symptoms and signs of disease (tuberculosis disease) or may have no clinical evidence of disease (latent tuberculosis infection [LTBI]). Tuberculosis disease is a leading cause of infectious disease morbidity and mortality worldwide, yet many questions related to its diagnosis remain. METHODS: A task force supported by the American Thoracic Society, Centers for Disease Control and Prevention, and Infectious Diseases Society of America searched, selected, and synthesized relevant evidence. The evidence was then used as the basis for recommendations about the diagnosis of tuberculosis disease and LTBI in adults and children. The recommendations were formulated, written, and graded using the Grading, Recommendations, Assessment, Development and Evaluation (GRADE) approach. RESULTS: Twenty-three evidence-based recommendations about diagnostic testing for latent tuberculosis infection, pulmonary tuberculosis, and extrapulmonary tuberculosis are provided. Six of the recommendations are strong, whereas the remaining 17 are conditional. CONCLUSIONS: These guidelines are not intended to impose a standard of care. They provide the basis for rational decisions in the diagnosis of tuberculosis in the context of the existing evidence. No guidelines can take into account all of the often compelling unique individual clinical circumstances. SN - 1537-6591 UR - https://www.unboundmedicine.com/medline/citation/28052967/full_citation DB - PRIME DP - Unbound Medicine ER -