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The microbiological diagnosis of tuberculous meningitis: results of

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dc.contributor.author Erdem, H
dc.contributor.author Ozturk-Engin, D
dc.contributor.author Elaldi, N
dc.contributor.author Gulsun, S
dc.contributor.author Sengoz, G
dc.contributor.author Crisan, A
dc.contributor.author Johansen, IS
dc.contributor.author Inan, A
dc.contributor.author Nechifor, M
dc.contributor.author Al-Mahdawi, A
dc.contributor.author Civljak, R
dc.contributor.author Ozguler, M
dc.contributor.author Savic, B
dc.contributor.author Ceran, N
dc.contributor.author Cacopardo, B
dc.contributor.author Inal, AS
dc.contributor.author Namiduru, M
dc.contributor.author Dayan, S
dc.contributor.author Kayabas, U
dc.contributor.author Parlak, E
dc.contributor.author Khalifa, A
dc.contributor.author Kursun, E
dc.contributor.author Sipahi, OR
dc.contributor.author Yemisen, M
dc.contributor.author Akbulut, A
dc.contributor.author Bitirgen, M
dc.contributor.author Dulovic, O
dc.contributor.author Kandemir, B
dc.contributor.author Luca, C
dc.contributor.author Parlak, M
dc.contributor.author Stahl, JP
dc.contributor.author Pehlivanoglu, F
dc.contributor.author Simeon, S
dc.contributor.author Ulu-Kilic, A
dc.contributor.author Yasar, K
dc.contributor.author Yilmaz, G
dc.contributor.author Yilmaz, E
dc.contributor.author Beovic, B
dc.contributor.author Catroux, M
dc.contributor.author Lakatos, B
dc.contributor.author Sunbul, M
dc.contributor.author Oncul, O
dc.contributor.author Alabay, S
dc.contributor.author Sahin-Horasan, E
dc.contributor.author Kose, S
dc.contributor.author Shehata, G
dc.contributor.author Andre, K
dc.contributor.author Alp, A
dc.contributor.author Cosic, G
dc.contributor.author Gul, HC
dc.contributor.author Karakas, A
dc.contributor.author Chadapaud, S
dc.contributor.author Hansmann, Y
dc.contributor.author Harxhi, A
dc.contributor.author Kirova, V
dc.contributor.author Masse-Chabredier, I
dc.contributor.author Oncu, S
dc.contributor.author Sener, A
dc.contributor.author Tekin, R
dc.contributor.author Deveci, O
dc.contributor.author Karabay, O
dc.contributor.author Agalar, C
dc.date.accessioned 2022-10-13T12:31:44Z
dc.date.available 2022-10-13T12:31:44Z
dc.date.issued 2014
dc.identifier.uri http://hdl.handle.net/11616/80159
dc.description.abstract We aimed to provide data on the diagnosis of tuberculous meningitis (TBM) in this largest case series ever reported. The Haydarpasa-1 study involved patients with microbiologically confirmed TBM in Albania, Croatia, Denmark, Egypt, France, Hungary, Iraq, Italy, Macedonia, Romania, Serbia, Slovenia, Syria and Turkey between 2000 and 2012. A positive culture, PCR or Ehrlich-Ziehl-Neelsen staining (EZNs) from the cerebrospinal fluid (CSF) was mandatory for inclusion of meningitis patients. A total of 506 TBM patients were included. The sensitivities of the tests were as follows: interferon- release assay (Quantiferon TB gold in tube) 90.2%, automated culture systems (ACS) 81.8%, Lowenstein Jensen medium (L-J) 72.7%, adenosine deaminase (ADA) 29.9% and EZNs 27.3%. CSF-ACS was superior to CSF L-J culture and CSF-PCR (p<0.05 for both). Accordingly, CSF L-J culture was superior to CSF-PCR (p<0.05). Combination of L-J and ACS was superior to using these tests alone (p<0.05). There were poor and inverse agreements between EZNs and L-J culture (=-0.189); ACS and L-J culture (=-0.172) (p<0.05 for both). Fair and inverse agreement was detected for CSF-ADA and CSF-PCR (=-0.299, p<0.05). Diagnostic accuracy of TBM was increased when both ACS and L-J cultures were used together. Non-culture tests contributed to TBM diagnosis to a degree. However, due to the delays in the diagnosis with any of the cultures, combined use of non-culture tests appears to contribute early diagnosis. Hence, the diagnostic approach to TBM should be individualized according to the technical capacities of medical institutions particularly in those with poor resources.
dc.description.abstract C1 [Erdem, H.; Oncul, O.] GATA Haydarpasa Training Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.
dc.description.abstract [Ozturk-Engin, D.; Inan, A.; Ceran, N.] Haydarpasa Numune Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.
dc.description.abstract [Elaldi, N.] Cumhuriyet Univ Sch Med, Dept Infect Dis & Clin Microbiol, Sivas, Turkey.
dc.description.abstract [Gulsun, S.] Diyarbakir Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Diyarbakir, Turkey.
dc.description.abstract [Sengoz, G.; Pehlivanoglu, F.] Haseki Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.
dc.description.abstract [Crisan, A.] Victor Babes Univ Med & Pharm, Dept Infect Dis, Timisoara, Romania.
dc.description.abstract [Johansen, I. S.] Odense Univ Hosp, Dept Infect Dis Q, DK-5000 Odense, Denmark.
dc.description.abstract [Nechifor, M.] Gr T Popa Univ Med & Pharm, Dept Pharmacol, Iasi, Romania.
dc.description.abstract [Al-Mahdawi, A.] Baghdad Teaching Hosp, Dept Neurol, Baghdad, Iraq.
dc.description.abstract [Civljak, R.] Univ Zagreb Sch Med, Dr Fran Mihaljev Univ Hosp Infect Dis, Dept Infect Dis, Zagreb, Croatia.
dc.description.abstract [Ozguler, M.; Akbulut, A.] Firat Univ Sch Med, Dept Infect Dis & Clin Microbiol, Elazig, Turkey.
dc.description.abstract [Savic, B.] Univ Belgrade, Inst Microbiol & Immunol, Natl Reference Lab TB, Fac Med, Belgrade, Serbia.
dc.description.abstract [Cacopardo, B.] Univ Catania, Infect Dis Sect, Dept Clin & Mol Biomed, Catania, Italy.
dc.description.abstract [Inal, A. S.] Cukurova Univ Sch Med, Dept Infect Dis & Clin Microbiol, Adana, Turkey.
dc.description.abstract [Namiduru, M.] Gaziantep Univ Sch Med, Dept Infect Dis & Clin Microbiol, Gaziantep, Turkey.
dc.description.abstract [Dayan, S.; Tekin, R.; Deveci, O.] Dicle Univ Sch Med, Dept Infect Dis & Clin Microbiol, Diyarbakir, Turkey.
dc.description.abstract [Kayabas, U.] Inonu Univ Sch Med, Dept Infect Dis & Clin Microbiol, Malatya, Turkey.
dc.description.abstract [Parlak, E.; Parlak, M.] Ataturk Univ Sch Med, Dept Infect Dis & Clin Microbiol, Erzurum, Turkey.
dc.description.abstract [Khalifa, A.] Damascus Hosp, Dept Neurol, Damascus, Syria.
dc.description.abstract [Kursun, E.] Baskent Univ Sch Med, Dept Infect Dis & Clin Microbiol, Adana, Turkey.
dc.description.abstract [Sipahi, O. R.] Ege Univ Sch Med, Dept Infect Dis & Clin Microbiol, Izmir, Turkey.
dc.description.abstract [Yemisen, M.] Istanbul Univ Cerrahpasa Sch Med, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.
dc.description.abstract [Bitirgen, M.; Kandemir, B.] Necmettin Erbakan Univ Sch Med, Dept Infect Dis & Clin Microbiol, Konya, Turkey.
dc.description.abstract [Dulovic, O.] Univ Belgrade, Clin Infect & Trop Dis, Clin Ctr Serbia, Fac Med, Belgrade, Serbia.
dc.description.abstract [Luca, C.] Gr T Popa Univ Med & Pharm, Dept Infect Dis, Iasi, Romania.
dc.description.abstract [Stahl, J. P.] Joseph Fourier Univ & Univ Hosp Grenoble, Dept Infect Dis, Grenoble, France.
dc.description.abstract [Simeon, S.] Univ Hosp Pontchaillou, Dept Infect & Trop Dis, Rennes, France.
dc.description.abstract [Ulu-Kilic, A.; Alabay, S.] Erciyes Univ Sch Med, Dept Infect Dis & Clin Microbiol, Kayseri, Turkey.
dc.description.abstract [Yasar, K.] Bakrkoy Dr Sadi Konuk Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.
dc.description.abstract [Yilmaz, G.] Ankara Univ Sch Med, Dept Infect Dis & Clin Microbiol, Ankara, Turkey.
dc.description.abstract [Yilmaz, E.] Uludag Univ Sch Med, Dept Infect Dis & Clin Microbiol, Bursa, Turkey.
dc.description.abstract [Beovic, B.] Univ Med Ctr, Dept Infect Dis, Ljubljana, Slovenia.
dc.description.abstract [Catroux, M.] Univ Poitiers Hosp, Dept Infect Dis, Poitiers, France.
dc.description.abstract [Lakatos, B.] St Laszlo Hosp, Dept Infect Dis, Budapest, Hungary.
dc.description.abstract [Sunbul, M.] Ondokuz Mayis Univ Sch Med, Dept Infect Dis & Clin Microbiol, Samsun, Turkey.
dc.description.abstract [Sahin-Horasan, E.] Mersin Univ Sch Med, Dept Infect Dis & Clin Microbiol, Mersin, Turkey.
dc.description.abstract [Kose, S.] Tepecik Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Izmir, Turkey.
dc.description.abstract [Shehata, G.] Assiut Univ Hosp, Dept Neurol & Psychiat, Assiut, Egypt.
dc.description.abstract [Andre, K.] Dax Hosp, Dept Infect Dis, Dax, France.
dc.description.abstract [Alp, A.] Hacettepe Univ, Sch Med, Deparment Med Microbiol, Ankara, Turkey.
dc.description.abstract [Cosic, G.] Univ Novi Sad, Fac Med, Dept Prevent & Control Dis, IPH Vojvodina, Novi Sad, Serbia.
dc.description.abstract [Gul, H. Cem; Karakas, A.] Gulhane Mil Med Acad, Dept Infect Dis & Clin Microbiol, Ankara, Turkey.
dc.description.abstract [Chadapaud, S.] Marie Jose Treffot Hosp, Dept Infect Dis, Hyeres, France.
dc.description.abstract [Hansmann, Y.] Univ Hosp, Dept Infect Dis, Strasbourg, France.
dc.description.abstract [Harxhi, A.] Univ Hosp Ctr Tirana, Infect Dis Serv, Tirana, Albania.
dc.description.abstract [Kirova, V.] Univ Clin Infect Dis & Febrile Condit, Skopje, Macedonia.
dc.description.abstract [Masse-Chabredier, I.] Aurillac Hosp, Dept Infect Dis, Aurillac, France.
dc.description.abstract [Oncu, S.] Adnan Menderes Univ Sch Med, Dept Infect Dis & Clin Microbiol, Aydin, Turkey.
dc.description.abstract [Sener, A.] Onsekiz Mart Univ Sch Med, Dept Infect Dis & Clin Microbiol, Canakkale, Turkey.
dc.description.abstract [Karabay, O.] Sakarya Univ Sch Med, Dept Infect Dis & Clin Microbiol, Sakarya, Turkey.
dc.description.abstract [Agalar, C.] Fatih Sultan Mehmet Training & Res Hosp, Dept Infect Dis & Clin Microbiol, Istanbul, Turkey.
dc.source CLINICAL MICROBIOLOGY AND INFECTION
dc.title The microbiological diagnosis of tuberculous meningitis: results of
dc.title Haydarpasa-1 study


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