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Comparative Analysis of Sputum Acid Fast Bacilli Smear and Gene Xpert MTB in Adult Pulmonary Tuberculosis Patients with and without T2DM |
HE Haini, et al |
Xi'an Chest Hospital, Shaanxi Xi'an 710100, China |
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Abstract Objective: To study the difference of sputum acid fast bacilli smear and gene xpert MTB detection between adult pulmonary tuberculosis patients with and without T2DM. Methods: 43 patients with tuberculosis with T2DM and 43 patients without T2DM who were admitted to our hospital from January 2019 to December 2019 were studied to evaluate the difference between the two groups of patients with T2DM smear and Gene Xpert MTB. Results: The incidence of hemoptysis in tuberculosis group with T2DM was significantly higher than that without T2DM. The sensitivity of two methods in tuberculosis combined with T2DM group had no significant difference, P>0.05. The diagnostic sensitivity of MTB method was significantly higher than that of acid fast bacilli smear method in pulmonary tuberculosis without T2DM group (P<0.05). There was no significant difference between the two methods in the diagnosis of pulmonary tuberculosis complicated with T2DM, P>0.05. There was no statistical significance between the two detection methods in pulmonary tuberculosis combined with T2DM group (P>0.05). There was statistical significance between the two detection methods of acid fast bacilli smear and gene xpert MTB in the pulmonary tuberculosis without T2DM group, P<0.05. Conclusion: The diagnostic effect of the two methods is similar when pulmonary tuberculosis complicated with T2DM. The sensitivity of gene xpert MTB is better in patients without T2DM.
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