Diagnostic test accuracy of adenosine deaminase for tuberculous meningitis: A systematic review and meta-analysis

Pormohammad, Ali; Riahi, Seyed Mohammad; Nasiri, Mohammad Javad; Fallah, Fatemeh; Aghazadeh, Mohammad; Doustdar, Farahnoosh; Pouriran, Ramin

doi:10.1016/j.jinf.2017.02.012

Cited by 58 publications

(48 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Contact was made with expert authors by mail to request any details not included in the original publications and unpublished work regarding our previous experiences. [13][14][15] In addition, we searched related reviews and references for relevant studies. We conducted our study according to PRISMA guidelines.…”

Section: Sources Of Information and Search Strategiesmentioning

confidence: 99%

Prevalence of antibiotic resistance in Escherichia coli strains simultaneously isolated from humans, animals, food, and the environment: a systematic review and meta-analysis

Pormohammad

Nasiri

Azimi

2019

IDR

Self Cite

156

View full text Add to dashboard Cite

Background: Antimicrobial resistance is a serious public health problem worldwide. We aimed to investigate the prevalence of antibiotic resistance in Escherichia coli strains simultaneously isolated from humans, animals, food, and the environment. Methods: Studies on PubMed, Embase, and the Cochrane Library published from January 1, 2000 to January 1, 2018 were searched. The quality of the included studies was assessed by the modified critical appraisal checklist recommended by the Joanna Briggs Institute. All analyses were conducted using Biostat's Comprehensive Meta-Analysis version 2.0. Depending on the heterogeneity test for each antibiotic, we used a random-or fixedeffect model for pooled prevalence of drug resistance. Studies were eligible if they had investigated and reported resistance in two or more isolation sources (human, animal, food, or environment). To decrease heterogeneity and bias, we excluded studies that had reported E. coli drug resistance isolated from one source only. We included publications that reported drug resistance with minimum inhibitory concentration or disk diffusion method (DDM) as antibiotic-susceptibility tests. Results: Of the 39 included studies, 20 used the DDM and 19 minimum inhibitory concentration for their antibiotic-susceptibility testing. Colistin had the lowest prevalence, with 0.8% (95% CI 0.2%-3.8%) and amoxicillin the highest, with 70.5% (95% CI 57.5%-81%) in isolated human E. coli strains tested with the DDM. To assess historical changes in antimicrobial drug resistance, subgroup analysis from 2000 to 2018 showed a significant increase in ciprofloxacin resistance. Conclusion: Monitoring and evaluating antibiotic-sensitivity patterns and preparation of reliable antibiotic strategies may lead to better outcomes for inhibition and control of E. coli infections in different regions of the world.

show abstract

Section: Sources Of Information and Search Strategiesmentioning

confidence: 99%

Prevalence of antibiotic resistance in Escherichia coli strains simultaneously isolated from humans, animals, food, and the environment: a systematic review and meta-analysis

Pormohammad

Nasiri

Azimi

2019

IDR

Self Cite

156

View full text Add to dashboard Cite

show abstract

“…Meanwhile, the specificity of this new technology was high. Besides, the overall accuracy of ADA was superior to PB T-SPOT but comparable with CSF T-SPOT ( 11 , 56 , 57 ) ( Table 5 ).…”

Section: Resultsmentioning

confidence: 87%

“…In total, the present conventional microbiological methods provide restricted efficiency in TBM diagnosis due to the unsatisfactory sensitivity and are time-consuming and costly (9). For biochemical indicators, the levels of adenosine deaminase (ADA) and interferon-gamma in CSF also display potential diagnostic value, but the performance of these indicators is also not satisfactory (10,11). Besides, brain imaging has long been part of the diagnostic evaluation of TBM (12).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Accuracy of T-SPOT.TB Assay for Tuberculous Meningitis: An Updated Meta-Analysis

et al. 2020

View full text Add to dashboard Cite

Background: The role of T-SPOT.TB (T-SPOT) assay for tuberculous meningitis (TBM) diagnosis has not been fully assessed. Here, we conducted an updated meta-analysis to evaluate the diagnostic accuracy of peripheral blood (PB) T-SPOT and cerebrospinal fluid (CSF) T-SPOT for diagnosing TBM. Methods: Relevant studies in the PubMed database, EmBase database, Cochrane database, Scopus database, Google Scholar, China National Knowledge Internet, and Wan-Fang database were retrieved from August 1, 2005, to June 22, 2020. Statistical analysis was performed using Stata, Revman, and Meta-Disc software. The pooled sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR), summary receiver operating characteristic curves, and the area under the curve were determined and analyzed. Results: A total of 27 studies were eligible for inclusion within the meta-analysis. The pooled sensitivity and specificity of PB T-SPOT for TBM diagnosis were 0.78 (95% CI, 0.76-0.81) and 0.68 (95% CI, 0.66-0.71), respectively, whereas the pooled PLR, NLR, and DOR were 2.80 (95% CI, 2.29-3.42), 0.32 (95% CI, 0.27-0.38), and 10.08 (95% CI, 7.21-14.08), respectively. On the other hand, the pooled sensitivity and specificity of CSF T-SPOT on diagnosing TBM were 0.76 (95% CI, 0.72-0.80) and 0.88 (95% CI, 0.85-0.90), respectively, whereas the pooled PLR, NLR, and DOR were 5.92 (95% CI, 4.25-8.25), 0.28 (95% CI, 0.21-0.39), and 29.05 (95% CI, 16.40-51.45), respectively. The area under the summary receiver operating characteristic curve values of PB T-SPOT and CSF T-SPOT for TBM diagnosis were 0.83 (95% CI, 0.80-0.86) and 0.92 (95% CI, 0.89-0.94), respectively. Conclusions: CSF T-SPOT showed a higher specificity compared with PB T-SPOT for diagnosing TBM. Both two T-SPOT assays have considerable potential in improving the diagnosis of TBM. Furthermore, the standardization of the operating procedure is further needed when performing CSF T-SPOT.

show abstract

“…The use of the antibody levels to detect antigens of Mycobacterium tuberculosis in the diagnosis has not been fruitful because of their poor specificities [40,41]; however a systematic review and meta-analysis done in 2017 have shown that adenosine desaminase test had a relatively high accuracy for the diagnosis of tuberculous meningitis [42].…”

Section: Methodsmentioning

confidence: 99%

Cerebro-Meningeal Tuberculosis in HIV-Negative Adults

Guenifi¹,

Gasmi²,

Boukhrissa³

et al. 2018

J Infect Dis Epidemiol

View full text Add to dashboard Cite

Background: Tuberculosis remains a public health problem worldwide. Neurological localization is the most severe manifestation of extra-pulmonary tuberculosis characterized by a high mortality rate and a high rate of sequelae among survivors; its diagnosis is hampered by the absence of rapid and accurate tools, therefore it is often evoked and treated on presumption arguments. The aim of this study is to assess the epidemiological, clinical, diagnostic, treatment, and outcome features in patients with cerebro-meningeal tuberculosis in Setif-Algeria.

show abstract

Diagnostic test accuracy of adenosine deaminase for tuberculous meningitis: A systematic review and meta-analysis

Cited by 58 publications

References 30 publications

<p>Prevalence of antibiotic resistance in <em>Escherichia coli</em> strains simultaneously isolated from humans, animals, food, and the environment: a systematic review and meta-analysis</p>

<p>Prevalence of antibiotic resistance in <em>Escherichia coli</em> strains simultaneously isolated from humans, animals, food, and the environment: a systematic review and meta-analysis</p>

Diagnostic Accuracy of T-SPOT.TB Assay for Tuberculous Meningitis: An Updated Meta-Analysis

Cerebro-Meningeal Tuberculosis in HIV-Negative Adults

Contact Info

Product

Resources

About