http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
( Nai-chien Huan ),( Inn Shih Khor ),( Hema Yamini Ramarmuty ),( Ming Yao Lim ),( Kai Choon Ng ),( Alfieyanto Syaripuddin ),( Qin Zhi Lee ),( Wee Jing Teo ),( Kunji Kannan Sivaraman Kannan ) 대한결핵 및 호흡기학회 2020 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.128 No.-
Introduction Pleural fluid adenosine deaminase (pfADA) is a simple, rapid and inexpensive surrogate marker for tuberculous pleural effusion (TPE). A nationwide cut-off of 40U/L is currently used based on overseas data. There is a need to optimise the diagnostic utility of pfADA by establishing a local cut-off value. In this study, we aimed to: describe the demographics and clinical characteristics of patients with TPE and non-TPE; to determine the sensitivity and specificity of current pfADA of 40U/L; and to establish a new local pfADA cut-off for TPE. Methods We conducted a single centre, observational, prospective study of patients with exudative pleural effusion and pfADA measured from 1st October 2019 to 30th April 2020 at Queen Elizabeth Hospital, Malaysia. Results The diagnosis of analysed patients (n=93) included TPE (n=41), malignancy (n=28), parapneumonic effusion (n=12) and other causes (n=12) (figurer 1). The mean pfADA was 51.15 (SD=13.77)U/L among TPE group and 18.86 (SD=12.33)U/L among non- TPE. When analysis was restricted to TPE patients, the local pfADA cut-off is 29.6U/L, with sensitivity of 97.6% and specificity of 90.4% (figure 2). The current pfADA of 40U/L has a sensitivity of 87.8% and specificity of 92.3%. Conclusion We established a local pfADA cut-off of 29.6U/L for TPE. Optimising the utility of pfADA helps to enhance clinicians’ treatment confidence of TPE when initial work-up were inconclusive.