文章基本信息

标题：Specificity and sensitivity of clinical diagnosis for chronic pneumonia
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作者：M. Avijgan
期刊名称：Eastern Mediterranean Health Journal
印刷版ISSN：1020-3397
出版年度：2005
卷号：11
期号：5/6
页码：1029
出版社：World Health Organization
摘要：To compare clinical (non-invasive) diagnosis with bronchoscopic (invasive) diagnosis, a total of 50 patients with chronic pneumonia (sputum smear-negative for tuberculosis) were examined. Age range was 12–82 years. Sensitivity of clinical diagnosis was 100% for tuberculosis and 81.8% for lung cancer; specificity was 67.5% for tuberculosis and 89.7% for lung cancer. Clinical diagnosis was correct in 43.4% of cases suspected of tuberculosis and 69.2% of cases suspected of lung cancer. It may be reliable only for elderly women smokers. Because tuberculosis is over-diagnosed in endemic areas, bronchoscopy is strongly recommended for all cases of chronic pneumonia.