This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related articles  • Similar articles in this journal  Topic Collections  • HIV/AIDS  • Tuberculosis/ Other Mycobacterium  • Alert me on articles by topic  Social Bookmarking   What's this?

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

We recently read with interest the article written by Wisnivesky et al¹ about the prospective validation of a prediction model for isolating inpatients with suspected pulmonary TB. As expected, their prediction rule did not perform as accurately in the validation cohort as in the population in which it was established,² but its sensitivity was similar (95% vs 98%) and its specificity was only moderately lower (35% vs 46%), still reducing the number of unnecessary episodes of respiratory isolation by 35% compared with current practices in their institutions. However, it must be stressed that these results were obtained in a population with a very high prevalence of human immunodeficiency virus (HIV) infection. Indeed, 362 patients (70%) of the 516 enrolled in the study were infected with HIV, whereas only 9% of the patients diagnosed with TB in United States in 2003 tested positive for HIV.³

In HIV-infected patients, decreased tuberculin reactivity, . . . [Full Text of this Article]

AUTHOR INFORMATION
Pierre Tattevin, MD; Elisabeth Bouvet, MD, PhD

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLES

A Prediction Model for Isolating Inpatients With Suspected Pulmonary Tuberculosis—Reply
Juan P. Wisnivesky and Thomas G. McGinn
Arch Intern Med. 2005;165(15):1795.
EXTRACT | FULL TEXT  

Prospective Validation of a Prediction Model for Isolating Inpatients With Suspected Pulmonary Tuberculosis
Juan P. Wisnivesky, Claudia Henschke, Jerry Balentine, Courtney Willner, Amy Margolis Deloire, and Thomas G. McGinn
Arch Intern Med. 2005;165(4):453-457.
ABSTRACT | FULL TEXT  

Evaluation of Clinical Parameters to Predict Mycobacterium tuberculosis in Inpatients
Juan P. Wisnivesky, Jennifer Kaplan, Claudia Henschke, Thomas G. McGinn, and Ronald G. Crystal
Arch Intern Med. 2000;160(16):2471-2476.
ABSTRACT | FULL TEXT