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Journal Article Review Epublish 15 citations

PubMed: 34631731 DOI: 10.3389/fmed.2021.709793

Past and Present Approaches to Diagnosis of Active Pulmonary Tuberculosis.

Front Med (Lausanne) 8:709793

Authors: Anna Ritah Namuganga, Novel N Chegou, Harriet Mayanja-Kizza

Affiliations

  • Uganda-Case Western Research Collaboration-Mulago, Kampala, Uganda.
  • Joint Clinical Research Centre, Kampala, Uganda.
  • College of Health Sciences, Makerere University, Kampala, Uganda.
  • DSI-NRF Centre of Excellence for Biomedical Tuberculosis Research, South African Medical Research Council Centre for Tuberculosis Research, Division of Molecular Biology and Human Genetics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.

Abstract

Tuberculosis disease continues to contribute to the mortality burden globally. Due to the several shortcomings of the available diagnostic methods, tuberculosis disease continues to spread. The difficulty to obtain sputum among the very ill patients and the children also affects the quick diagnosis of tuberculosis disease. These challenges warrant investigating different sample types that can provide results in a short time. Highlighted in this review are the approved pulmonary tuberculosis diagnostic methods and ongoing research to improve its diagnosis. We used the PRISMA guidelines for systematic reviews to search for studies that met the selection criteria for this review. In this review we found out that enormous biosignature research is ongoing to identify host biomarkers that can be used as predictors of active PTB disease. On top of this, more research was also being done to improve already existing diagnostic tests. Host markers required more optimization for use in different settings given their varying sensitivity and specificity in PTB endemic and non-endemic settings.

MeSH

Tuberculosis, Pulmonary, Biomarkers, Tuberculosis, Immunity, Diagnosis, Research, Tuberculosis Disease

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