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Table 1 Study and patient characteristics

From: The diagnostic yield of nasopharyngeal aspirate for pediatric pulmonary tuberculosis: a systematic review and meta-analysis

  

No. of patients/total no. of patients (%)

First author of study, year

Location

Country TB and HIV burdena

Study design

Participant recruitment timing

Clinical setting(s)

No. enrolled

Clinical features of cohort

Exclusion criteria

Median age (IQR) (months)

Female gender

Previous TB history

HIV positive

MRS + vec

CRS + ved

Franchi, 1998 [11]

Peru

MDR TB high burden

Cohort

Prospective

Hospital

64

Presumed pulmonary TB from clinical and epidemiological information

AIDS or previous TB Rx

85b (NR)

NR

0/64

0/64 (0)

26/64 (41)

NA

Hanrahan, 2019 [24]

South Africa

TB + HIV/TB + MDR TB high burden

Cohort

Prospective

Primary healthcare

119

TB contact, cough, weight loss/failure to thrive, fever, lethargy

Received Rx for TB in past 3 months, the presence of danger signs (fever > 39 °C, severe respiratory distress, reduced consciousness) > 10 years of age

21 (12–43)

56/119 (47)

5/119 (4)

21/119 (18)

4/119 (3)

104/119 (87)

Marcy, 2016 [26]

Burkina Faso, Cameroon, Cambodia, Vietnam

TB high burden, TB/HIV high burden, TB + MDR TB high burden, not high-burden country

Cohort

Prospective

Hospital

281

Cough, failure to thrive, CXR abnormality, fever, failure of broad spectrum abx

Received Rx for TB in past 2 years

86 (49–NR)

132/272 (49)

49/272 (18)

272/272 (100)

35/272 (13)

246/272 (90)

Oberhelman, 2015 [27]

Peru

MDR TB high burden

Case control

Prospective

Hospital

290

TB contact, cough, CXR abnormality, TST/IGRA + ve, Stegen-Toledo score > 4 or > 3 if HIV positive

Not specified

NR

145/290 (50)

Unknown

81/290 (28)

23/290 (8)

NA

Owens, 2007 [28]

Uganda

TB + HIV/TB high burden

Cohort

Prospective

Hospital

96

Cough, weight loss, severe malnutrition, CXR abnormality, TST/IGRA + ve, failure of abx

HIV + ve and stable with CXR changes of bilateral symmetrical hilar opacities with diffuse parenchymal infiltration suggestive of LIP

48 (NR)

37/94 (39)

Unknown

44/94 (47)

24/94 (26)

NA

Song, 2021 [23]

Kenya

TB + HIV/TB high burden

Cohort

Prospective

Hospital, household contact tracing

300

Cough, weight loss/failure to thrive, CXR abnormality, fever, large persistent cervical LN, failure of abx

On TB Rx or IPT or if received Rx for TB in past year or IPT in past 6 months

24 (12–43)

151/300 (50)

Unknown

73/300 (24)

31/300 (10)

NA

Zar, 2012 [29]

South Africa

TB + HIV/TB + MDR TB high burden

Cohort

Prospective

Hospital

674

TB contact, cough, weight loss/failure to thrive, CXR abnormality TST/IGRA + ve

TB Rx for > 72 h did not live in Cape Town, IS or NPA sample not obtained

19 (11–38)

241/535 (45)

56/535 (10)

117/535 (22)

99/535 (19)

343/535 (64)

Zar, 2013 [25]

South Africa

TB + HIV/TB + MDR TB high burden

Cohort

Prospective

Primary healthcare

415

TB contact, cough, weight loss/failure to thrive, CXR abnormality TST/IGRA + ve

TB Rx for > 72 h, IS or NPA sample not obtained

38 (21–57)

203/384 (53)

42/384 (11)

31/384 (8)

42/384 (11)

197/384 (51)

Zar, 2019 [30]

South Africa

TB + HIV/TB + MDR TB high burden

Cohort

Prospective

Hospital

195

TB contact, cough, weight loss/failure to thrive, CXR abnormality TST/IGRA + ve

TB Rx for > 72 h did not live in Cape Town, IS or NPA sample not obtained

23 (14–47)

NR

15/195 (8)

32/195 (16)

45/195 (23)

144/195 (74)

  1. Abbreviations: CRS composite reference standard, GA gastric aspirate, IGRA interferon gamma release assay, IS induced sputum, IQR interquartile range, MRS microbiological reference standard, MDR-TB multidrug-resistant TB, NPA nasopharyngeal aspirate, NA not applicable, NR not reported, Rx treatment, TB tuberculosis, TST tuberculin skin test
  2. aAs defined by the WHO [22]
  3. bMean reported, median not available
  4. cMicrobiologically confirmed TB by mycobacterial culture and/or a WHO-endorsed NAAT from NPA, GA, IS stool, string, and/or sputum specimens
  5. dMicrobiologically confirmed TB or with clinical, radiological, or immunologic features suggestive of TB but negative microbiological testing