Evidence map›Paper›PMID 25177636›Full record

ArticleJournal of clinical and diagnostic research : JCDR2014

Demonstration of mycobacterium tuberculosis in sputum and saliva smears of tuberculosis patients using ziehl neelsen and flurochrome staining- a comparative study.

Anuja G Holani, Sindhu M Ganvir, Nishat N Shah, Shriram C Bansode, Ishali Shende, Rashmi Jawade, Shobha C Bijjargi

Abstract read
In one paragraph

Article in Journal of clinical and diagnostic research : JCDR, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Anuja G HolaniProfessor and HOD, Department of Oral Pathology and Microbiology, MIDSR Dental College , Latur, Maharastra, India .
Sindhu M GanvirProfessor and HOD, Department of Oral Pathology and Microbiology, Government Dental College , Nagpur, Maharastra, India .
Nishat N ShahReader, Department of Oral Pathology and Microbiology, MIDSR Dental College , Latur, Maharastra, India .
Shriram C BansodeSenior Lecturer, Department of Oral Pathology and Microbiology, MIDSR Dental College , Latur, Maharastra, India .
Ishali ShendeProfessor and HOD, Department of Oral Pathology and Microbiology, KMCT Dental College , Calicut, Kerala, India .
Rashmi JawadeReader, Department of Periodontology, MIDSR Dental College, MIDSR Dental College , Latur, Maharastra, India .
Shobha C BijjargiSenior Lecturer, Department of Oral Medicine and Radiology, MIDSR Dental College , Latur, Maharastra, India .

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection of tuberculosis is important for reducing its morbidity and mortality especially in the patients with non-productive cough. To overcome the cumbersome process involved in collection and processing of the sputum specimen, the time consumed for reporting of sputum by Ziehl Neelsen (ZN) method and to introduce a routine screening test in suspected, symptomless tuberculosis patients, the present study was designed using saliva as diagnostic medium and Auramine Rhodamine (AR) as staining method. On review of literature, there was no study which has tried diagnosing tuberculosis using saliva with flurochrome stain; hence the present study was designed.

aimTo introduce a routine screening test for tuberculosis patient using saliva and to determine the diagnostic efficacy of routine ZN staining method and AR fluorescent staining method in sputum and saliva smears of pulmonary tuberculosis patients. SETTINGS AND

designLaboratory settings and Experimental design. MATERIALS AND

methodFifty smears samples of sputum and saliva of known cases of pulmonary tuberculosis were stained with routine ZN stain and other with AR fluorescent stain. All the specimens were inoculated into Lowenstein-Jensen culture media. The smears were subjected for scanning of Mycobacterium tuberculous bacilli under X 1000 magnification for ZN stain and X 400 magnification for AR stain by grid pattern proposed by National tuberculosis institute and graded by RNTCP grading system.

resultsAll 50 sputum samples showed 100% positivity by ZN and AR stain while only 76% positivity was seen by culture. Of the 50 saliva samples 10% cases were positive by ZN, 76% were positive by AR & 70% by culture method. Statistical analysis using chi square test was done, and the value was found to be statistically highly significant for AR staining technique. (p<0.001)

conclusionSaliva can prove to be an important tool for the diagnosis as well as screening of the patients with pulmonary tuberculosis when aided with flurochrome staining method.

Indexed as

Auramine-rhodamine (AR)Flurochrome stainSalivaSputumTuberculosis screeningZiehl –Neelsen (ZN)

Identifiers

PMID25177636
PMCPMC4149142

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.