Diagnostic value of effusion adenosine deaminase, γ-interferon release assay and effusion lactatedehy drogenase/effusion adenosine deaminase for tuberculous pleural effusion in patients aged 60 years and above.

IF 4.6 2区 医学 Q2 IMMUNOLOGY
Frontiers in Cellular and Infection Microbiology Pub Date : 2024-10-09 eCollection Date: 2024-01-01 DOI:10.3389/fcimb.2024.1444238
Fei Guo, Chen Huimin, Wei Xia, Yilin Xu, Weijiang Jin, Fang Liu
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引用次数: 0

Abstract

Background: China is experiencing rapid growth in its population of older adults, which may lead to increased susceptibility to tuberculous pleural effusion (TPE) due to age-related changes in the immune system. This study aimed to investigate the diagnostic potential of multiple biomarkers in individuals aged 60 years and above with pleural effusion.

Methods: A total of 519 adult patients from Ningbo First Hospital were included in the study, with 7 biomarkers and their ratios in serum and pleural effusion analyzed using logistic regression analysis. Effusion Adenosine Deaminase(ADA), γ-Interferon Release Assay(IGRA), and Effusion lactatedehy drogenase(LDH)/Effusion ADA were identified as valuable parameters for differentiating TPE from non-TPE, particularly in individuals aged 60 years and older.

Results: Effusion ADA, IGRA, and Effusion LDH/Effusion ADA were identified as valuable parameters for the differential diagnosis of TPE from non-TPE, showing good diagnostic performance in individuals aged 60 years and older. The combined diagnosis of these three indexes achieved the highest diagnostic accuracy for TPE in this age group, with an AUC of 0.925, sensitivity of 85.23%, and specificity of 89.57%.

Conclusions: Overall, the study highlights the importance of using multiple indicators for a combined diagnosis to improve diagnostic efficacy in detecting tuberculous pleurisy in older individuals as for young patients.

渗出腺苷脱氨酶、γ-干扰素释放检测和渗出乳酸脱氢酶/渗出腺苷脱氨酶对 60 岁及以上结核性胸腔积液的诊断价值。
背景:中国的老年人口正在经历快速增长,这可能会因免疫系统与年龄相关的变化而导致结核性胸腔积液(TPE)的易感性增加。本研究旨在探讨多种生物标志物对 60 岁及以上胸腔积液患者的诊断潜力:方法:研究共纳入宁波市第一医院的519名成年患者,采用Logistic回归分析法分析血清和胸腔积液中的7种生物标志物及其比值。结果发现,胸腔积液腺苷脱氨酶(ADA)、γ-干扰素释放测定(IGRA)和胸腔积液乳酸脱氢酶(LDH)/胸腔积液ADA是区分TPE和非TPE的重要指标,尤其是在60岁及以上的人群中:结果表明:渗出 ADA、IGRA 和渗出 LDH/ 渗出 ADA 被认为是鉴别诊断 TPE 和非 TPE 的重要指标,在 60 岁及以上人群中显示出良好的诊断性能。在该年龄组中,这三个指标的联合诊断对 TPE 的诊断准确率最高,AUC 为 0.925,灵敏度为 85.23%,特异性为 89.57%:总之,该研究强调了使用多种指标进行综合诊断的重要性,以提高对老年结核性胸膜炎的诊断效果,就像对年轻患者一样。
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来源期刊
CiteScore
7.90
自引率
7.00%
发文量
1817
审稿时长
14 weeks
期刊介绍: Frontiers in Cellular and Infection Microbiology is a leading specialty journal, publishing rigorously peer-reviewed research across all pathogenic microorganisms and their interaction with their hosts. Chief Editor Yousef Abu Kwaik, University of Louisville is supported by an outstanding Editorial Board of international experts. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. Frontiers in Cellular and Infection Microbiology includes research on bacteria, fungi, parasites, viruses, endosymbionts, prions and all microbial pathogens as well as the microbiota and its effect on health and disease in various hosts. The research approaches include molecular microbiology, cellular microbiology, gene regulation, proteomics, signal transduction, pathogenic evolution, genomics, structural biology, and virulence factors as well as model hosts. Areas of research to counteract infectious agents by the host include the host innate and adaptive immune responses as well as metabolic restrictions to various pathogenic microorganisms, vaccine design and development against various pathogenic microorganisms, and the mechanisms of antibiotic resistance and its countermeasures.
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