title: Symptom screening among HIV-infected pregnant women is acceptable and has high negative predictive value for active tuberculosis.
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.
authors.affiliation: 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
authors.forename: Amita
authors.initials: A
authors.lastname: Gupta
authors.forename: Aditya
authors.initials: A
authors.lastname: Chandrasekhar
authors.forename: Nikhil
authors.initials: N
authors.lastname: Gupte
authors.forename: Sandesh
authors.initials: S
authors.lastname: Patil
authors.forename: Ramesh
authors.initials: R
authors.lastname: Bhosale
authors.forename: Pradeep
authors.initials: P
authors.lastname: Sambarey
authors.forename: Shivahari
authors.initials: S
authors.lastname: Ghorpade
authors.forename: Uma
authors.initials: U
authors.lastname: Nayak
authors.forename: Laila
authors.initials: L
authors.lastname: Garda
authors.forename: Jayagowri
authors.initials: J
authors.lastname: Sastry
authors.forename: Renu
authors.initials: R
authors.lastname: Bharadwaj
authors.forename: Robert C
authors.initials: RC
authors.lastname: Bollinger
mesh_terms: D000293:Adolescent; D000328:Adult; D018791:CD4 Lymphocyte Count; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008403:Mass Screening; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D012680:Sensitivity and Specificity; D014376:Tuberculosis / Q000150:complications* / Q000453:epidemiology*; D019562:Viral Load; D055815:Young Adult